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Home My WebLink About09-9613 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9613 ANNUAL FIRE PROTECTION MAINTENANCE €M x17 „i ,7: ,x:01 & "'. Permit Number: 9613 Address: 6056 GALL BLVD Permit Type: FIRE PROTECTION MAINTENANC 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: 03- 26 -21- 0010 - 11300 -0000 Improv. Cost: Date Issued: 10/05/2009 -r Name: MCDONALDS USA, LLC Total Fees: 25.00 �'!!c „�,n Address: 6056 GALL BLVD Amount Paid: 25.00 11 �o ZEPHYRHILLS, FL. 33542 Date Paid: 10/05/2009 N' ' Phone: Work Desc: FPM - SUPPRESSION ANNUAL- MCDONALDS- SCH TO COMPLETE BY END OFMONTH :1 "7: 7;7777 • ;7777 t,r' k.,q 1 tr HERNA■D• - AF •UIPMENT FIR PERMI FE 5.00 - ,v7 11' 14 4, I t < 4 4E. �,.�'�',`�&'s,�; ,rz-,s� 1 � .. .., 9 7f ..8 '; », n ..., 4" I A = TANCE 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." riPP 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 . 1f9&/3. 813-7804020 City of Zephyrhilis filrllticfn Fax-813-780-0021 Permit Application • Date Received = ` 1 1 ____I • ' Phone Contact for permit 1 H I t J Owners Name ... - Domes Phone Number 1 1 I ' 1 owners Address • # 5 • = r i F ' 2' ' l — ' •41 - AY � Fee Simple Titleholder Name 1 I Titleholder Phan Number 1 i I Fee Sl npW flhi olderAddress I I Job Address 5.49/1C4' .49/ 1 .�- -- lot 0 Sub Division Parcel ❑ Rio-Hazard Waste Storage - ANNUAL ❑ Fumigation Tent • ❑ Corm Exhaust Kitchen Hood/Duct ❑ Hazardous Material (Tier 11 or RO Facility) ANNUAL ❑ Controlled Bum ❑ Hood trnteflabon Emergency Generator < 30 kw LPnr twit Gas -Iron Emergency Generator > 30 kw LP/Natural c3as -i�a UAL sale Fire Protection M nc. - ANNUAL ❑ Places of Assembly NNUAL r� 13EM ES Eff.1 0.-zall R Sprirdd.r 0 0 0 wa.ation Bum 0 (� i 9 Fire Airm 0 0 0 _ Spulders 1 Hood Clearing 0 0 0 SprinldsrSwim Installations • . Hood Suppression 0 0 A Stadpipes (SprM+ der Sys) • Roo Al Aarm YrteNation _ _ Ei . Are Rooting/Tar Kettle , e Pumps - ' Was Thre Storage ANNUM. Fin Woks Rem** Application- ANNUAL 1 I Valuation of Project Fuel Tanks rc a 1 " K b r W4 I'DIFEA § 1 q E I III I II II II I I I I I II III _ _ ftellillil OEN Addle** Vap? ,r,, ' ci4�®F ®.�r -! ' :air All Mom* r A "1 e.T.01 ",9 s:: n ; Sig Signature Sig Y/ N F« Current I Y/ N 1 - _ Address [ ; r License * I I ..:.. .:.. Company PLUMBER Registered I Y/N I Fee Commit I Y /N I Address I License e I I mEcHAtecA Company I RegbNrsd l Y/ N I Fee Cun.nt L Y / N 1 Address I 1 License F I [ OTHER Signeture [ N Registered Y / N • Fee Comet Y Fhti,outi,p o Mon ., O.nsri'C j #' 04'41004 s60 �) If ow $2800, a Notice ,� 4 work ) Supply two (2) sob of , Alba 10-14 days for aMrss i date. . 4`. 0 - obtained from Property Tax Notice (httpd/appealwr-ascogov-com) Parcel 'NOTICE OF DEED RESTRICTIONSfIrftirilhdersIgned understands that this permit may.beaubjet eeid"arestrictions" which' may be more Testrictivelhan The:undersignedassumes responsibilitylopoompliaracemith any .applicable deed restrictions. 'UNLICENSED ' CONTRACTORS "XND''£ON 'RACTOR :RESPONSIBILITIES: • If - the owner - haschkathaftcontractor or - • contractors to undertake work, they may be required to be licensed In accordance with state and local . 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 law. .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, 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 application . for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that be is not properly licensed and is not .entitled•to'permitting : privileges in Pasco County. CONSTRUCTION LIEN LAW (Chapter713, Florida Statutes,asamended): if valuation of work is $2,500.00 or more, I certify that 1, 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 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 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. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other Installations not specfflcally 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 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 (6) months after the time the work Is commenced. An extension may be requested, In wrtting, from the Building Official for a period not to exceed ninety (90) days and will demonstrate judeflable cause for the extension. 'tf work ceases for ninety (90) co • m , a days, the job is considered abandoned. WARNING TO OWNER: Y F AILURE TO RECORD A 'NOTICE 'OF 'COMMENCEMENT MAY RESULT IN YOUR PAYING-TWICE FOR ROVEMENTS TO YOUR PROP1EY, IF YOU`- 44 : " 7 N FINANCING, CONSULT W ets. '..s :. �� Vw s � ''." �, , g rind ' OR w ok a z ( .s.147.03) OWNER OR AGENT rJ 1._ s,;e.e •iii =s cera rd3 + a, m. WNo ISMS peraortray known ba or hl*hftw Producod = Islam y or .. ° . as Identification. " > as IdentMcstlon. • � �/ �, ' /e � Putt Notary Public �/► ® / 1J / ®VJ/1 a Notary Commission No. Gonwniss on No. � 1 Name of Notiiiviti, gifted or stamped Name of Notary typed, parted or stamped 4. FRANCIS Sp At o n �" MY COMMISSION # 1)D844182 PJCPIRES: De*thtlr.-t2, 2012 I .lOO.3 OTARY Fl. Navy Chase MA& Co.