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09-9518
CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9518 ANNUAL FIRE PROTECTION MAINTENANCE ' +. Eon 5 .• Permit Number: 9518 Address: 7643 GALL BLVD Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL. Class of Work: FIRE - PROTECTION MAINTENANCE Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 35- 25 -21- 0110 - 00000 -0040 Improv. Cost: Date Issued: 9/04/2009 Name: CHILI'S BAR & GRILL Total Fees: 25.00 Address: 7643 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 9/04/2009 Phone: Work Desc: FPM - SPRINKLER QUARTERLY- CHILI'S hs vs a' I G' N L L I PERMIT 25.00 -Z J - A EPTANCE 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." � I nv P � 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 09/04/2009 10:50 FAX a 006 q5I • 813.78t -'ooz0 City of Zep hyrh ills Fire: Fax - 813-790 -0021 Permit Application Date Received . . • :;• Phone Contactfor Permit 1==i � — Ov net's Name S TMPT,F,7CC;'R TNNELL 1 Owners Phono Number . 813 626 J 15 4 8 2 Ov ner's Address 4701 Oak Fair Blvd TAMPA FL 33610 " • Fe : Simple Titleholder Name Titleholder Phone Number I 1 1 Fe'Simple titleholder I - - Jot Address — 7 69 `"I 7 Cl c. c?)I vG • lie Ph6YhItI s ,,-- J35k-iI Lot# 1 Sul, Division Parcel # I Sio-H Hard Waste Storage - ANNUAL = Fumigation Tent . D Comm Fodiaust tatehen Haod /Duct = Hazardous Material (Ter 11 or RQ Facility) ANNUAL D . • Controlled Bum n Hood Installation Emergency Generator < 30 kw 0 • LP /Natural Gas - Installation - Emergency Generator > 30 •kw LP /Natural Gas - ANNUAL Sale Fire Protection Maintenance ANNUAL ' • . I 1 Pieces of Assembly-ANNUAL �-; f y u 1 J Mil comer F Sprinkler d e r , D O l J • prir Recreational Bum • • • r; • . Fire Alarm . ❑ ❑ ❑• I , (, 0 Sparlders , - = S rinerm Installatfoha • Hood Clean ❑ ❑ I ld5 P Y te _ . ' Hood= SUPpre sIon' :., ..�Ji p .. P_ • . A .•! 1,• . : = Standpipes (Sprinkler Sys). . _ .. ., ,. , . • ..: — `.!.. -. �' FireAat fns IIatlon _.._ -- 7. ....._w... - -- _ - T•or n RabFg tar a'•. ;.. • *.-,..'''.".e.- - _..• --- • '• - • - •— • P re Pumps _ Waste Tire S torage AN . ,i, • gif ' - Fire Works , . , - -,• Flammable Application- ANNUAL ` .1 Valuation of : . roject ' . Other: Con rector ' . Company rrrt 0 ,, r fC t • Sigr attire i ' . Registered Y / N • Fee Cunnt I• YIN I - . Addres•5 • I ; . , .. , . . , • r. _ . I . License # ELE;TROJAN "f.".- . ,; !- ! ComPanY ,• ' *,- ... -. • : • , Sign tura ..,• ' •' . . • •, . I • Roglstered • , l• Y/ , •FeeCurrytt• I;r.•;Y /N .,.1p.: Address I 4; . I License # ; .r 1 .PLU:dBER - �. ' CompOrty s + : ;'• : r Sign iture Registered Y / N Fee. Cunent'• Y / N;° . • • • Address I . • • • I License # , ' . I MEC 4ANICAL Company. • • Sign; dire - Registered Y/ N I Fee current I Y 1 N J . Address I; - ' • . I License # I OTHI _R - - Company . - - • Slgris bare Registered Y / N 1 Fee Current I Y / N • .I Address License # • _ . , - -- Dirac ions - - Flfl out application completely. Owner & Contractor sign back of applleation, notarized (Or, copy of signed contact with owner) - If over $2500, a Notice of Commencement Is required.(Mechanicral work over $5000) . Supply two (2) at of drawings With applicable documentation Allow 10-14,days for review alter submittal date. Pan:e1 i/- obtained from Property Tax Notice (httpl /appraiser.pascogov -com) • • • 09/04/2009 10:50 FAX 0007 'NO 1 OF :DEED RESTRICT(ONS: The .undersigned understands that this permit may.be "deed "trestridtions " -- , whi•:h may be more restrictive than County regulations. The.undersigned assumes responsibility for:complier=e ►with any ;' . - .altplicable deed restrictions. UNLICENSED 'CONTRACTORS AND RES If . the owner has •hired or - - con ractors to undertake work, they may be required' to be licensed in accordance with state and local if the con :rector is not licensed as required by law, both the owner and contractor may be cited - misdemeanor violation under state law. If the owner or intended contractor are uncertain. as' to what licensing - requirements may apply for the Inte -ded work, they are advlsed•to contact the-Pasco County Building Inspection Division— Licensing Section,at 727 -847- . ' 800i Fuithermbre, if the owner has hired -a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block' of this applicationfor which will be responsible. if you, as owner'sign as the con rector, that may be an indication' that he is not properly licensed and is not entitled permitting privileges in Pasco Coi. nty. COi4STRUCTION.LIEN LAW (Chapter713, Florida Statutes,.as_amended): if valuation of work is 32f500.00 or more, 1 . cert fy that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by Florida Department of Agriculture and Consumer Affairs. If the applicant is 'someone • othe r than the• "owner", 1 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 accurate and that.all work wilr be done in compliance with all applicable laws regulating cbnstructibn,, 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 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 1 understand that the regulations of other . govemment agencies may apply the intended work, and that it is my responsibility to identify what actions 1 must take to be in compliance. • ' ":if 1'arir the 'AGENT FOR OWNER, I promise -in good faith to. inform the owner, o f. the- perimtting.coaditioos. set.forth.in.... _. . - •this - 9iffiaavit- prior-to eormmeaeing-6onsiructra .1 underataod: tha a permii may be r'eguired:for electrical work,_ _ .--- — plurr bing, signs, .wells, pools, air conditioning,' gas, ,or other installations not specifically included in the application. A pem it issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, •or set side any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter . ,requ ring a correction of errors in plans; construction or violations of any codes. Every. permit issued shall become, invalid , ' tTnle:is the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by • , •ttie r errnit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension . May be requested; in writing; from the Building Official for a period not to exceed ninety (90) days and will demonstrate _ • justif able cause for the extension. if work ceases for ninety (90) consecutive days, the job is considered abandoned_ :., :WAF:NING To. OWNER. • YOUR . FAILURE TO RECORD A 'NOTICE 'OF COMMENCEMENT MAY. RESULT 1N; YOUR ' ' ` :.:. :. PAYING :TWICE F'DR IMPROVEMENTS TO YOUR PROPERTY. iF YOU INTEND TO OBT • N .FINANCING, CONSULT ; CONSULT.;:- ' I.YOU -' LENDS ` OFt AN • TTO; = 'BEFORE RECORDING YOUR•NOTIC t.. • Cr,i -. ENCEMENT. : .,,:� , 0: . FLAR•DA`JJRAi' (P_S: 117.E • i / / �©� 1 - w tii lit OR AGENT CONTRALTO � • _ Subscribed and • m to or - - rated) before me Subscribed swom (oF r ed) before me this :•: • by ` by - ` . ,.: .:. . Who is /are personally known tq me dr has/have produced Who Is/are personally known to me or has /have produced as idenUficaion. • as identificason: . Notary Public ' Notary Public Commission No. Commission No. . Name of Notary typed•, printed. or stamped _Name 9f Notary typed; printed of stamped • .