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HomeMy WebLinkAbout09-9524 - CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9524 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 9 524 Address: 5214 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: 11 26 - 0010 - 16600 - 0250 Improv. Cost: >L. , :'777 Date Issued: 9/09/2009 Name: VICHRIS INC Total Fees: 25.00 Address: 5214 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 9/09/2009 Phone: (813)782 -9556 Work Desc: FPM - QUARTERLY HOOD CLEANING FOR VILLAGE INN - SCHEDULED FOR 9/8/09 •M E'1 IAL E'VI E IN Fl - E PE 25.00 l C ' , ,,, i) , A. ,, fr „, 3 ._. 0 4 S yr, s FIR A - AN inal 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." fr 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 .FEB /?0 /2007 /TUE 11:10 AM ZEPHYRHILLS BUILDING FAX No.813 780 - 0021 P. 002 '813=780'0020 • City of.Zephyrhill5' n loo ^^ • :Fax- 813 - 7800021 ......:g Permit Application ', -. -• . • •••a3iic Date Received o P e Contact for E'ormlt • l Owner's Name — , 1 / _. :>, 1 S , eG` / - .. -, Owner's Phone Number , 9© `/ 1 '2 _ 3�ac6 .I ....- Owner's Address 2 � S/ J " ..U.S ,r;_ •f .. • . � i i 7 � � 2 lv Fee Simple iltleholder Name Titleholder Phone Number Fee Simple Address ��} .. r.5 .. .', ._...a.. � ' __.�...' .:. - i < .:ti... .�,. rt'.. .. q. .. -m_di_ .._ .... Job Address �� / fie' /�� _ ���'a o 1 4 Lot# _ • Sub"Dlvlsion ' 11, /r�i I _ I Parcel # r ` Bio- Hazard Waste Storage - •ANNUAL •' • • I ' .I Fumigation Tent ' . • • n Comm Exhaust Kitchen Hood /Duct r Hazardous Material (Tier II or RQ Facility) ANNUAL . I I Controlled Bum 1 I Hood Installation /� , f f - Emergency Generator < 30 kw . n LP /Natural Gas - Installation (� ! I f • 1 1 • Emergency Generator P 8o kw . n LP /Natural Gas - ANNUAL Sale. `� Fire Protectioh Maintenance - ANNUAL - .' I. 1 • Places of Assembly-ANNUAL ' . )wrrrfl [ emrl Aril I tither • Sprinkler I: la ❑ ❑ n Recreational 6um - Fire Alarm ' El ❑ ❑ ❑ L__. . I .. } Sparklers . • • Hood Cleaning [><1 » ❑ ❑ I I I Sprinkler System Installations . Hood Suppression I I' Q ❑ .0 I • • • I l Standpipes (Sprinkler Sys) 1 I Fire Alarm installation ( Torch Roofing/Tar Kettle . Fire Pumpe . . - • I Waste `tire Storage ANNUAL Fire Works ' • - . . • .:. . • Flammable Application ANNUAL . j Valuation of Project • • I I ,Fuel Tanks . - , El Other: I_ • Contractor - Company Signature L Registered' Y/ N I Fee Current I Y/ N I Address I • . .. . . ... j License # . J . ELECTRICIAN Company • _ 1 Signature Registered Y N I Fee Current 1 Y/ N I • Address License # _ ] 1 • • PLUMBER - • . . . • Company _ - 1 Signature Registered Y / N I Fee Current .1 Y / N Address License # I 1 • MECHANICAL • Company • I Signature Registered . Y / N 1 Fee Current Y-/ N I Address . . I .License # . I . 1 OTHER . Company Signature . • Registered Y / N . I Fae Current ' 1 Y / N 1 Address � Ucenee # 1 wr Directions: Fill out application completely. . Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner) • if over $2500, a Notice of Commencement Is required.(Mechanical work over 85000) , Supply two (2) sets of drawings with applicable documentation . • Allow 10-14 days for rovlew after submittal date. Parcel #- obtained from Property Tax Notice (http: / /appraiser.pascogov.com) • • • • FEB /20 /2007 /TUE 11:10 AM ZEPHYRHILLS BUILDING FAX No 813 - 780 - 0021 003 " p j•OTIOE+O:F;DEED:RESTRICTIONS: The. underslgned-�ind nas: hat •this permit may . be:subjectlto - 'deed ":restrictlQn tr . :. ty P�ft G fiiCh'frnay'be more restrictive than County re,gulatlonshe unttgrs�ned� assumes- re�ponsiblll for com larrce.wl(h n r .appllcable.deed restrictions. a -- -.. 'I E'• 't �11N1':ll✓•ENSED r.CONTRACT.ORS AND CONTRACTOR- fRESF30NSIBlI:iTIES-:-':If--:the 'ownrrr has - hired'rawcontractor.tar'�- °r~"•"'°' .;contractors- to undertake work,•they may be •requlred:to be licensed•in.accordance with state.and local If the..:; - contractor is not licensed as required by law, 'both owner ;and .contractor •may-.be cited .a misdemeanor Violation_ .under law. Ifthe owner or intended .contractor :are ungerfain:as what licensing 'requirements may apply for the-- intended work,'they are advised•to contact the 'Pasco County ;Building;lnspection.Division — Licensing Sectlon_at727-847- :8009. := F.urthermore, 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 appllcationlor which be responsible. •If you, as owner'sign • •-• . contractor, that 'may bean indication :that - he . is not :properly. licensed. and is not entitled - to :permitting. privileges in- ;Pasco ..,, -County. :CONSTRUCTION .LIEN-LAW •( ChapterTl3 ,'Florlda'Statutes,.as :amended): If•valuatlon of work is . $2;500.00 .or . certify that •1, `the applicant, have been provided with a copy .of, the "Florida Construction Llen Law — Homeowner's 'Protection •Guide" prepared by'the Florida Department of Agriculture -and Consumer Affairs. If the applicant is someone, . otherthan the' "owner ",1 certify that I have obtained :a copy•of.the -above described document and promise in good falthto deliver it to the "owner" priorto commencement. CONTRACTOR'S /OWNER'S AFFIDAVIT: '1 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 madeto 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 _ government agencies may apply to the Intended work, and that It is my responsibility to identify what actions I must take'to be in compliance. If 1 am-the:AGENT'FOR'THE OWNER, . I promise in good faith to inform the owner of permitting conditions set in this affidavit prlor•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 in 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 codes, nor shall Issuance of• a permit prevent the f3ullding Official from thereafter requiring a correction of errors In 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 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 justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. 'WARNING TO OWNER: YOUR"FAILURETO - RECORD A'NOTICE'OPCOMMENCEMENT MAY :RRESULT :IN YOUR PAYING TWICE FOR I • .VEM• T 0 YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINAJ NG, CONSULT WITH Ys UR L NDER , A : ' AN A ",:! s ¥BEFORE RECORDING YOUR NOTIC '' F OMM N • • lA ir- ir ,,,,......r.- , , • . FLORIDA JURAT (F.S. 11 �� OWNER OR AGENT CON TRACTOR Subscribed and swo ` . (or ,�r =d) before me i ,s Subscribed and swom to •r afflr ' -d) =fore me this by Who is /are personally known to ma or has/have produced Who is /are personally known to ma or has/have produced p • as identi fication. as identification. Notary Public Notary Public • Commission No; , Commission No, Notary typed; p Name of Notary typed, punted or stamped • Name Of Notes ed; rinted or stamped