HomeMy WebLinkAbout09-9525 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9525
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 9525 Address: 6816 GALL BLVD SEE NOTES
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: 02- 26 -21- 0010 - 02400 -0020
Improv. Cost:
Date Issued: 9/16/2009 Name: PIN CHASERS BOWLING
Total Fees: 25.00 Address: 6816 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/09/2009 Phone: (813)782 -5511
Work Desc: FPM - QUARTERLY HOOD CLEANING FOR PIN CHASER LANES SCH FOR 9/9/09
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FI' E A AN Final A
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 $100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE
OF COMMENCEMENT.” ar
-i
P � IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813- 780 -0041
FF2/20/2007/TUE 11,10 AM ZEPHYPHILLS BUILDING FAX No, 813 P.002
813=780'0020 • City of.Zephyrhiil$ l L-oo_^ Fa x- 813 - 7800021 • , '• :h,
Permit Application : -•-• `. • . • •... lic
• N .. J •
Date Received
3;.4 �
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ne Contact for Permit Y_.�M /•.i. ..�N. ..::.�.. ...... NW,.�.�!...+? e.1...�.�. •.ren.o�•.. ..'. Y .�. - ..._.._... .. -.. . ,.�...:. . �.. '__ :f. '. '. _ � .... . .... _...T+s }lIN.�S+._
Owner's Name - -..- -• J /e�i� �
q �Gfi - .- _ . owner's Phone Number 949 I / 1 y z _ I3‘06' ....._
Owner's Address ar 57 3 .1 . .(:).5 . � �_ .. • . ' . ,i• . s 7 . - .3 2' y 4
•
• Fee Simple TItleholder Name • . • • Titleholder Phone Number I
Fee Simple Address {
• N l ' yi
Job Address ��� / U i �J�/' �� Lot # _
Subfivlston ,f' // i// 111COMMIIIIIIII Parcel
Bio- Hazard Waste Store'
tore'ge -ANNUAL '' • . ' • I • . Fumlgeti ❑n Tent •
1 Comm Exhaust Kitchen Hood /Duct I I Hazardoua Material (Tier II or RQ Facility) ANNU •
I Controlled Bum 1 1 Hood Installation �,i,
• El - Emergency Generator < 30 kw .. n LP /Natural Gas - Installation • , b
I 1 ' kmemency Generator n 30 kw • I I LP /Natural Gas - ANNUAL Sale
I I Fire Protection Maintenance - ANNUAL ' 1 I - Places of Assembly - ANNUAL .
. ._ Iuttr'9I L!erra IAN Uther • •
Sprinkler I• o ❑ 0 • _ • 1 Recreational Bum .
• Fire Alarm '' ' n D ❑- 0 I . n Sparklers . • •
Hood Cleaning IX E•• 0 . ❑ I 1 I • 1 Sprinkler System installations .
Hood Suppression u ' ❑ D .❑ • I [- Standpipes (Sprinkler Sys)
I • I Fire Alarm Installation . n Torch RoofIng/Tar Kettle •
Fire Pumpa ' I I W aste Tire Storage ANNUAL
Fire Works • • ' - • . ... • '
Flammable Application ANNUAL . 1 j Valuation of Project • •
I I Fuel Tanks . '
•
n Other: ______]
Contractor
Signature � Company
' Registered Y / N I Fes Current 1 Y / N 1 • Address 1• • . . .. . . ....1 — License# .! 1 . .
ELECTRICIAN Company 1
Signature Registered Y/ N I Fee Current ' Y / N 1 •
Address I . ^ I' License #
' PLUMBER . . . • Company I
Signature Reglatered Y/ N 1 Fee Current Y/ N 1
Address I ' - I License # 1
MECHANICAL • Company
Signature . Registered .Y/N 1 ^ Fee Current I Y' / N I •
Address L 1 .License # . . - 1 .
OTHER . . Company • 1
Signature . • Registered Y / N ' I Fee Current 'I Y / N 1
Address Llcenea#
:... .n_..: :warn.: L r. r *r. mow. - -, .m w.•as .. r y.. v w... a: + .. .. _.� + -r nr.,. , �.,. r'� +rn_u - era ,. ....,.... ,.. .6uc ^ r.:wl^r..r.r.._ ari r. _, FY....9:rf*r�_ 1.,
Directions:
Fill out application completely. •
Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner) -
lf over 52500, a Notice of Cornmancement Is required.(Mechanical work over $5000)
Supply two (2) seta of drawings with applicable documentation . •
Allow 10-14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (http: / /eppraiser•pascogov.com)
•
FEB /20 /2007 /TUE 11 AM ZEPHYAHILLS BUILDING FAX No. 813
' N'oTIOE+OF;DEEDRESTRICTIONS: The. undersigned -und nys hat thls:permlt ma,y.be r subject;to "deed ". restriction (C�
:_i ; t �e .9 onsiblll al .?L' A p' , i'
-:4" hiCYTarnay '.b'e more than County:regulatlons' fhe -�und. rsi -nee, assumes -reap tyfiorrcom iarrce�.wlthn r .�
`applicable deed restrictions. a L , oii� T- ' ;'..1%,E.-1:,•:,-4 '-.
-'' j 1N1?IO•ENSED .CONTRACTORS SAND , CONTRACTOR - RESRONSIBILITIES:= -, lf Tthe - owner has - hired•rawcontractor. {t i
.:contractorst -. o undertake work,•they may be required :to be llcensed.in accordance with state.and local If -the.. _:
contractor is not licensed as required .by law, 'both - the owner and - contractor'may.be cited misdemeanor violation -
—under —rstate law. If'the owner or intended:contractor :are uncertain :as'to what licensing 'requirements may :apply for :the
intended .work, are advised:to contact the 'Pasco County;Building;lnspection - Dlvis'lon— Licensing Sectlon:at 727 -847-
.8009. := F.urthermore, if the owner has hired :a contractor or. contractors, he Is .advised to have the contractors) sign
.portions of the "contractor Block" of thls application for which•the_y.will be responsible. If you, as owner.slgn:as.the
contractor, `that maybe an indication :that he is not:properly licensed.. and is not. entitled :permitting - privileges in-Pasco
-County.
CONSTRUCTION - LIEN -LAW ( Chapter71 3 ,'FIorlda'Statutes,As:amended): if work is more, a .
certify that '1, the applicant. have .been provided with a copy ..of "Florida Construction Lien Law-- Homeowner's .
protection Guide" prepared by Florida Department of Agriculture and Consumer Affairs. If the applicant is someone_ .
other than the' "owner ", 1 certify that I have obtained :a copy of -the above described document and promise in good falth•to
deliver it to the "owner" prior:to commencement.
CONTRACTOR'.SIOWNER'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 madeto obtain a permit to do work and Installation as Indicated. !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
- government agencies may apply to the intended work, and that It is my responsibility to identify what actions!
must take be in compliance.
•If 1 am the :AGENT FORTH OWNER, I promise in good faith to inform the owner ofthe permitting conditions setforth in
this affidavit prlorto-commencing construction. 1 understand that a separate permit maybe 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 - technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit.lssued 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 (g0) consecutive days, the job is considered abandoned.
• 'WARNING TO 'OWNER: 'YO R 'FAILURE TO 'RECORD A NOTICE 'OF ^COMME •. CEMENT MAY; Rrl -IONSULR
PAYING TWICE FOR NM'Rr EM ,,,,' 0 YOUR PROPERTY. IF YOU INT; N • 0 OBT • Fl ' '
WITH Y• UR L NDER 91i/' N A ,LC0 : Y BEFORE RECORDING YOUR NAT E OF kiff T.
fi
FLORIDA JURAT (F.S.117 �f rOi , . ��
OWNER QR AGENT � CONTRACTOR
Subscribed and sworn . (or :. n.: •) before me th. Subscribed and s • to (r afflr , d) before me thi
by - ve produced
Who is /are personally known to me or has/have produced Who Is /are p as i ersonally known to me or haslhave pr csuo d
as identification -
Notary Public ..
Notary Public
• Commission No; , , , _ Commission No,
Name of Notify typed; printed or "stamped
Name of Notary typed, printed or stamped
•