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Home My WebLink About09-9777 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9777 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 9777 Address: 5610 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 - 05700 - 0255 p ' ' 4 ... Im rov. Cost: �� .�:.� � ..:��„ __�, �d _ . ..; �. � � ��. � . Date Issued: 11/19/2009 Name: BURGER KING Total Fees: 25.00 Address: 5610 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 11/19/2009 Phone: Work Desc: FPM- SUPPRESSION ANNUAL- BURGER KING- SCH 11/19/09 HE A - RE . A RE PE 25.00 1 Z Z .� : atl ekt 3' �t ., a ra r a ��... x�. a dd . .`� 1y� „v;�6a dS„ �` 1�:: ;,� -, x... .SV m�� ...?z „ :`w Fl ` A AN E 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 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- 7360020 City of ZephyrhillS fiAdtIcrn Fax -813 -780 -0021 Permit Application Date Received _ —1 ____I Permit 1 I 1 ___(_l Owners Name .. . r_mre�'. lift %Gillimpo Owners Phone Number _ Own.rs Addmes !MICJ ilreA �.. ��:�s'I��l__J r r Fee Simple Titleholder Name L Titleholder Phone Number MI 1 I Fee SlnipieTNlehoWM'Addnae I I Job Address Lot Sub Division Parcel e E Bio.Hezard Waste Storage - ANNUAL a Fumigation Teat • 0 Comm Exhaust Kitchen Hood/Duct nW C) Hazardous Me Cher ll or RO Facility) ANNUAL o Conbelled Bum o Hood M EMI MI .. R Ev»tgen y Generator < 30 kw LPnVatuel G patlon Emergency Generator > 30 kw LP/Natural Gas�1}NNUAL Sale Fire PmMctlon Maintenance - ANNUAL a Piaoas of DUAL Swinw.r 0 0 0 R.a..tl«al Scan Fire Aar, 0 0 0 — Sp•*+•re Hood casino 0 0 0 _ SpriniderSystam k.1 I.tlone . Hood spa 0 0 0 — Standpipes (Sprinkler Sys) Fire Akem kr tdetlorr _ Torch Rooting/Tar Katie ' tare Pumps - - Waste Tire Storage ANNUAL Fir. wort valuation of Project Flammable Appieatlorr- ANNUAL 1 • ' Fuel Tanks ® Chef: costa idor ® co ra" / ®r✓ :4427 :J.:Z - 11FAIL APA!A Sign ae l�0 _6►T� _ - f•d •d [t r [!?`iii Addrep 1,4170. ' ` � .11'17Airo _ : . > ®'''' a1J'' FAIII .. _ um * : " : ° : . 01.0' F.ff 9 ; ELE Con y Signature Regi.tered Y / N F.. Cu mi ' Address I I License ft I PLUMBER Signature I Registered Y N Fee Current I Y/ N I I Address License e I I I Coe eny I 3 Regawed L Y/ Nj Fee Covent j Y/ N Add ess I # I I OTHER I , Company Registered L Y/ N• I F« Owed I Y/ N I I s MO** ---1 Lio ms #. I bier tl ons: Omer & ro W d (i 'r:o of sighed om tract w th ow er) If aw ply two (2):sen $2dO0 a Notice E1err �!rllffr d ( work dc over $5000) Supa 01 AMow 10.14 days forrevlow.Nteasubn I; date. ' -. e . obtakad from Property Tax Notice (tRtpdhpPraN.r.peecrecw.00m) NOTICE OF' DEED RESTRICTIONSIMISKIhdersigned understands that this permit may .be:sutjq eed':restrictions" which may be more restrictive than' OounWregulations. The :undersigned .assumes responsibilitylppopmplIatxce with any applicable deed restrictions. ... , UNUCENSED .CON RACTORS aIND CONTRACTOR :RESPONSIBILITIES: - • f - the owner .0 . wntractor nr - contractors to undertake work, they may be required to be licensed In accordance with state and .focal'regulatfons. tf the contractor Is not licensed as required by law, both the owner and contractor may be cited - for a 'misdemeanor violation under state law.. tf 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, tf 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 owner sign as the contractor, that may be an indication that be is not properly licensed and Is not •entitied'to permitting ;privileges in Pasco County. CONSTRUCTION LIEN LAW (ChapterT13, Florida Statutes,.as;amended): If valuation of work is $2,500.00 or more, 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 wtth all appllcable 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. 1 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 must taketo 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 specifically included in the application. A permit issued shall be construed to be a license to proceed wtth 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 sic months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (8) 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 cause for the exxtension. 'g work ceases for ninety (90) consecutive days, the job is considered abandoned. WARNING TO' OWNER: YOUR FAILURE TO RECORD A 'NOTICE 'OF 'COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR TO YOUR PROPERTY, IF YOU. TO 0 FINANCING, CONSULT .S AHgH ..... ��'e e �..I "?� .d 3, �an Yh.`..�Y�� '�Y�l'i "%"-i ^ ' .u, J. d u w.. , ,11, 1 1 ,1. ii ` d.3 1"9 .i JU .S. 11 .03) me or OWNER a Nw...a Subearibed and om (orefirrnid)' m this g '�d ®.�. '. ;44 / Aft krXmii ' per3iNy loom to MOW' produced u ideMlfieatIon. • u identification. NOVO • S/ Of ..,o14,1024111 Notary Public CottunislionNo. Commission No, Name of Netily'Velid Meted or stomped Name of Notary Vpsil:printad or stamped ' FRANCIS SP' 00 MY COMMISSION # D0844782 EXPOS: Decotiba' 2012 I .IDbmcgARy F: Newry Diem* Amos ' CO. HERNANDO FIRE it SAFETY EQUIPMENT CO, INC. 1109 PONCE DE LEON BLVD. BROOKSVILLE, FL 34601 Phone: 352 - 796 -4433 1- 800 - 330 -6230 Fax: 352 - 796 -5679 hernandofiresafe((.bellsouth. net City of Zephyrhills November 18, 2009 5335 8 Street Zephyrhills, FL 33541 Dear Sir or Madam: Raymond K. Ferguson, President of Hernando Fire & Safety Equipment Company, Inc., authorizes David Lamoureux to apply, sign and pick up building permits in the City of Zephyrhills from this date through November 17, 2009. State License # 43750500011988 Sin - :ly, .- Ray 0 nd K. Fergu v . Pres • ent The f egoing e tru nt n o and bscribed before e t his / day of OY 200 by / . j • & ( ) who i / Y s personally known to me or ( ) who h s produc \ as identification. 'C.....- # 111#4.4 NOTARY PUB/ / .. ` PERLAZZA j MY COMMISSION # DD844782 ° 0,,c EXPIRES: December 12,2012 I- 800.3NOTMY FI. Notary Discount Auoc. CO. Celebrating over 25 Years of Fire Protection Services in the State of Florida And 18 years as an Authorized Ansul Fire Equipment Distributor