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HomeMy WebLinkAbout09-9509 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9509 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 9509 Address: 5841 GALL BLVD Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL. Class of Work: FIRE - PROTECTION MAINTENANCE Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: Improv. Cost: � 77:77:777710% . 4 , 54 Date Issued: Name: MARI'S DONUT SHOP Total Fees: 25.00 Address: 5841 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 9/01/2009 Phone: Work Desc: FPM- SUPPRESSION ANNUAL - MARI'S DONUT =NA Di FI . SAF •UIPME T - - - I 25.00 e re FIRE A PTAN E Final Chapter 633, Florida Statutes, authorizes the City to charge and collect user fees to pay for the costs of fire prevention and protection related activities such as inspections, plan review, administrative fees, and other costs related to the aforementioned. Complete Plans, Specifications and Fee Must Accompany Application. Commencement of work without written approval of the Fire Department's Fire Marshal or required permits or opening up for commercial activity without an approved final inspection shall be charged double permit fee per day of operation or a minimum of $100.00, whichever is greater. All work shall be performed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." !! AiA P 'T IT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813 - 780 -0041 . . . 4 q 50 313. 7800020 City of Zephyrfifls fiwycrn Fax-813-780-0021 Permit Application - Date Received 1 : Phone Contact to Permit 1 1 L, Owner's Name • 11 �iO4 _..... 7/L ' Owner's Phone � N � umber _ 1 -- - Owners Aaron :�■� � i ..�� "� '� r/ -, 1rAGI�" ._ 1 1 Fee Simple 'Titleholder Name Titleholder Phone Number ( l Fee Simpl.TMeheldarMdress 1 1 Job Address / M_ i it Sub Division Parcel El Bb4lszard Waste Storage - ANNUAL a Ftadgatlon Tent • Comm Exhaust laden Hood/Duct a Hazardous Materiel (Tier 11 or RO Fadlty) ANNUAL El Controlled Bum 0 Hood rutallatlort Entergemy Generator < 30 kw LP/Na4sai Gas- tlatIon Emergency Gererator> 30 kw LPA4.Wrai Ges,IpaNUAL. Sale Fine Per, Maintenance - ANNUAL = Places d Assembly-ANNUAL _ • L J r i rhnkl Sper 0 0 0 _ Recreational Sum Fare Alarm 0 0 0 Sperw.rs Hoed learning 0 0 0 Sprkider System Irndlidons Hood Si sasior, 0 0 Stand pipes (Sprinkler Sys) H Fire Aim kaWatlort Torch Roofing/Tar Kettle ' - - Ike Pumps ' " - r �~ Waste life Storage ANNUAL Fin Works ■ Flartnabl. r ANNUAL. ) •, Valuation Of Project Fast Tans . Contdolcr ® ..�.��. . onpeny Psi i :147'�2/le1 ` °��1 i =f* 4 Sr igehN �,� r � iaarri , � C _ Roistered ram ` Address r4..7.e .. 1rfwAng' . : , :%� as Aro .. m 4:" : 0L-f.- `0.r.oltr., •s e ELE- Company Signdure Registered Y / N Fee Cusent M,] Address 1 Lk enee * ( 1 PLUMBER I Company I Signature Registered L Y/ Nj Fss Current I Y/ N I Address 1 License * ( 1 mEcHANIcAl Company 1 Y/ I km current I Y / N 1 Address I 1 License * 1 OTHER Company 1 • Registered L Y/ N• Fos cirrent I Y/ N Cis License* I 1 deigned contract welt owner) NNW A t'onartenlsr bFp0" wok ove► >jl5000) If was SS00©. a Notice iml l , d A (2) for my " ParoN # - obteired from Property Tax Notice (h hpprdNer. peeoogovcam) Allow 10-14 daysfrrr NtKsubAMtW date. . 4 'NOTICE OF: DEED RESTRICTIONS ?IEI'�darsigned understands that this permit may .besutygrt eeod" estrictions" which may be more restrictive 'thanlOoitnt1reguiations. The.underaigned .assumes responsibility. opmpliance'with any - applkable deed restrictions. • 'UNUCENSED ICONTRACTORI �1 ID"CDNTRACTOR :RESP.ONSIBILRIES: if - the owner - haEchtrethrzontractor or • contractore lo undertake work, they may be required to be licensed In accordance with state and .Iocal•regulations. if the contractor Is not licensed as required by law, both the owner and contractor may be cited for a . misdemeanor violation under state raw. if the owner or intended contractor are uncertain as to what licensing •requirements may apply for the Intended work, they are advised to contact the Pasco County Building Inspection Division — Licensing Section.at 727 -847- 8009. Furthermore, tf the owner has hired .a contractor or contractors, he is advised to have the .contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. if you as the owner sign as the contractor, that may be an Indication that he Is not properly licensed and Is not'entitled permitting .privileges In Pasco County. CONSTRUCTION .LIEN LAW (Chapter713, Florida Statutes,.as.amended): tf valuation of work is $2;500.00 or more, I certify that I, the applicant, have been provided with a copy of the 'Florida Construction Lien Law— Homeowner's Protection Guide' prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner", I certify that I have obtained a copy of the above described document and promise In good faith to deliver it to the *owner" prior to commencement. CONTRACTOR'S/OWNER'S •AFFIDAVIT: I certify that all the information in this application Is accurate and that all work will be done In compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as Indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, .zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other . govemment agencies may apply the Intended work, and that It Is my responsibility to identify what actions I must taketo be in compliance. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth In this affidavit prior to commencing construction. 1 understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included Mn the application. A permit Issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall Is$uanoe of a permit prevent the Building Official from thereafter requiring a correction of errors Mn plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or If work authorized by the permit Is suspended or abandoned for a period of sbi (8) months after the time the work Is commenced. An extension may be requested, In witting, from the Building Official for a period not to exceed ninety (90) days and will demonstrate kalifftliblii MUM) for the extension. If work ceases for ninety (90) _ days, the job is considered abandoned. WARNING TQ OWNER: YOUR FAILURE TO RECORD A'NOTICE 'OF 'COMMENCEMENT MAY RESULT IN YOUR " ° .,5 TO YOUR PR *, IF YQkI' � e -9 ,TO N Fl IN =C, CONSULT PAYINfIisY ; ; _ doe . � .) „ �s .... ' Ilru°_ v:. t '�9 8°. LIVI • 9 Aeii 1 .S.11 .03) 411_ OWNER 01 4 140 ENT , .. a produced t as IdenSioation. • as Idendfcet1on. �i •J.` • Nog ry pcallc .. �/ /as / /A I■' Notary Public CommbeionNo. Commission No. /f N ano o � or stamped Name or Nis►�; *taxi or stamped Nano P NCIS SP MY COMMISSION 8DDS44782 WIRES Dbecnixt 12, 2012 1-100,34CORY FI. Naar Wong Max co.