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Home My WebLink About09-9630 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9630 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 9630 Address: 6848 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: Improv. Cost: 4017 -E,.,; C ,.. Date Issued: 10/09/2009 Name: ZEPHYRHILLS CINEMA 10 Total Fees: 25.00 Address: 6848 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 10/09/2009 Phone: Work Desc: FPM - ANNUAL FIRE SPRINKLER PERMIT FOR ZEPHYRHILLS CINEMA 10 AAA 1 =EP's ISN V I F1 - 'MI S 25.00 6 v C - q I � , t \ o r A - TAN 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." dear' 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 813 - 780 -0020 ...., .-. _.... S Fite. Fax- 813 - 780-0021 Pemmit Application i _ - Phone Goltacffor Permit Oats mad �Li�� " �1 „_. Owners Name I Qr ivs. ll S Cin( e414Z. -• o 1 Owner's Phone Number 1 D 1 '2?7 117 f d 1 l a 0 Owners Address 4 I ‘ 4 1 t t i f G € . I . 1 81 r • Z e - e L r V W i l t s h r L 3 Ss' Fee Simple Titleholder Name 1 I Titleholder Phone Number I I I I I Fee SimpleTitleholder Address I slob Address 16) q 4 6 Ga. l( g 1 Joi . Z epk r 4 it, It 5 I FL 3 8 5 ci Lot # Sub Division 1 I Parcel # 1 D Bfo- Hazard Waste Storage - ANNUAL Q Fumigation Tent El Comm Co Exhaust Kitchen Hood/Duct ri Hazardous Material (Tier II or RD Factllty) ANNUAL D Controlled Bum . D Hood Instatlatlon D Emergency Generator < 30 k LPndarsal Gum -installation on D D Emergency Generator 30 kw D LPnisa.al Gas - ANNUAL Sate / —9 0 9 Rue Protection Maintenance - ANNUAL D - Places of Assembly-ANNUAL SprWder ❑ ❑ Recreational Bum Are Ahann D 0 ❑ 1 1 D S - / 9h ✓ ° Hood Cleaning D❑ ❑ ❑ I 1 D Sp System ketallations Hood Suppression D ❑ ❑ ❑ ( I n S andpipes (Sprinkler Sys) ' N D Fire Alarm Installation D Torch Roofing/Ter Kettle H e Pumps Waste The Storage ANNUAL Fine Works Raminable Application- ANNUAL -I Valuation of Project Fuel Tanks IIII Other: Contractor CornpanY E WIT ..� it ��i i ice J _ AS S• Signature L t/ l , • Registered Y / N Fee Current Y / N Add IAp, • _ a. _ . 4.0, -. - a license# I 1 4 6 Is a-7 u aoe) =0071 _ ELECTRIC r• Company Signature ( Registered I Y/ N . J Fee Current I Y/ N I Address I I License* I I PLUMBER Company Signature Registered I Y/ N I Fee Current I YIN 1 Address I I License* I I MECHANICALI Company Signature Registered I Y/ N J Fee Current J Y/ N I Address I i - License# I - I OTHER , ,, A G -. Company ETA I mot, CW ! , A1 ve J i. Registered Y / N Fee Current Y / N . _..- t Ir f•Ar• PMSECTIZ,,, . 7 /! • License # P. $ : , . . it • r . ' ir cv lO a. ... - r..: :i*SY.i ^. ........._ ..a'c4'..- ..Yi'x.'Y�'..... -.. ,_.;...':".'_. -NRl , -- 5., Las+J18L/' ...w.�s es c,.... : - F^�PF'. - ✓. s.c... �..+. .. t - .._T p.rii- .ia'vC.a Dir@eCt .._._ Fill out application completely. Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner) If over S2500, a Notice of Commencement is re work over $5000) Supply two (2) sets of drawings with applicable documentation Allow 10-14 days for review alter submittal data. Parcel # - obtained from Property Tax Notice (Mipliappra pascogov.eom) 'NOTICE OF: DEED RESTRICTIONS: The undersigned .hat this permit maybe subject :to - "dead °:restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility forcompliancowith any applicable deed restrictions. UNLICENSED CONTRACTORS AND `CONTRACTOR RESPONSIBILmES: If the owner has - hired - :a =contractor or contractors 1 9 undertake work, they may be requWed to be licensed in accordance with state and local 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 MI be responsible. If you, as - the owner sign as the contractor, that may be an indication that he is not properly lick and is not entitled permitting privileges in Pasco County. ff valuation of work is $2;500.00 or more, 1 CONSTRUCTION. LIEN LAW (Chapter713, Florida S , as )' certify 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 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'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 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 to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. conditions set forth in If 1 am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting 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 specifically induded 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, constriction 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 FALURE TO RECORD A 1IOT)CE 0F - COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORN BEFORE RECORDING Y' NOTICE OF COMMENCEMENT. FLORIDA JURAT (FS. 17.03) - I64/14. . OWNER OR AGENT i' - �? ` . -' _ « • to (or affirmed) before me this and swum to (or affirmed) b me ■ . / � I c • 50 r1iil • by - 11 , .* v i by O . = re msonally known to me or has/have produced Who is/are r?e!rd2 a bY Io me or ha = ve produced A as idensticaRon. 1' 4_ _ as ikon. // %' % J ._ �. • /. j lei No Park La/t4Y Notary Public • mission No. Commission No. 1tJrna Rie•itilleeaS Name of Notary typed, printed or stamped Name of Notary typed, • t -• or stamped , y r •= Connlreeiott l�D 808626 O 80!628 E July 24,2012 :.,.. amhdau7brrsibmu eg09es70W �,:< s.r+ �arwars7Me