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HomeMy WebLinkAbout09-9836 CITY OF ZEPHYRHILLS 5335 - 8TH STREET • (813) 780 -0020 9836 ANNUAL FIRE PROTECTION MAINTENANCE s» s a w+ 7L fit' 3 "' 7 I:: ' a O tx Permit Number: 9836 Address: 5506 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 - 0256 Improv. Cost: Date Issued: Name: PHIL MOOK ENT.INC Total Fees: 25.00 Address: 1108 W BRANDON BLVD Amount Paid: 25.00 BRANDON FL 33511 Date Paid: 12/03/2009 Phone: Work Desc: FPM- HOOD QUARTERLY- KFC- SCH 12/10/09 d a V IL IN FI= 5.00 nSed V I 2,72 f FIR A _ A� final W 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." 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 -.r. _ _.i r; 1 c'. _•.!: _. Aiv: Ll;•rti tin! LL 011LU1NU ? AqX NO, ti1 ' /•:f1J-Lii! "l1 ;' 00' x;13- yao -oozo City vf.Zephyrhills'Flie!: ...• ..0 90 Fax - 813.780.0021 . Permit Application Date Rouelved . :' •Phone Contectfor Permit i 13 ../ • • � j . r. ,...r a 7wnr'u Nam; C Owner's Phone Number ( $ '� ? ' f 78a g >v;re'e Address • 1 55©(, n1 G- it E1id zc�yr-h I us, . 3wa F yQ _ �ee S�mo!e 7111aholder Name Titleholder Phone Number — 1 L_ F. SimpleTitieholder Address • JobAdeiess 14c' 55 N 0-'141 2 . hid r Zep yrhf )1S /FL 39? Lot'k 1 Sut Divi&or, Parcel # L_JJ Bic- Hazard Waste Storage —ANNUAL ED Fumigation Tent t 7:7 - 1 Comm exhaust . Kitchen ttchen Hood /Duct n Hazardous Material (Tier 11 or RQ Facility) ANNUAL. ED Controlled Bum El Hood Installation = >= tnergency Generator ;4 kw • ,. , a LP/Natural Gas - Installation Emergency Generator > 30 kw . • = LP /Natural Gas - ANNUAL Sale . i 4=1.--- 1 Fire Protection Maintenance - ANNUAL • • . ' Places of Assembly- ANNUAL • 1__.j min I fri es lhe: . Scit 4ed Sprinkler O ❑ . Recreational Burn roe Fire Alarm . ; O ❑ ❑ - 1 'Sparkles; 4a/ )O Hood Cleaning An ❑ ❑ 0 Sprinkler System Installations • 0 gi-oT v) r Hood Suppreaslon [ j 0 0 0 Standpipes (Sprinkler Sys) L_J Fire Alarm - Installation • ,n Torch Roofing/Tar Kettle 1 Fire Pumps - J Waste Tire Storage ANNUAL • • b..] Fire Work'o FlarnmableApplloatlon- ANNUAL ..J Veivatlon of Project Fuel Tanks Fl Other: - s • , .7:11:-actor / • Company .Sipnet,..fre L . • Registered , Y / N 1 Fee Current Y / N • :,•i zss t - 0 %TFiii. : T• MI it£t%11111111 . License.* .. 1 _.LirC "rl:rClArll 1"L Company _ slyru:rti.,d Li�'I�Slcn �. ac t s : q�.Z� Lazy Law t)Nff -!3 Registered _ Y / N J Fee Current L Y / 7 1 N Address r -- ---- ). � 33Co1 1 License #, j 1 V. FLU.ABER f • .. . • . Company ._ r;na ,rre 1 Registered —I FFN 1 Fee Current I Y / N J Address [ . , License # 1 M iCNANICALf . ' Company _ S!gh8lure Registered Y 1 N fFee Current 1 Y'/ N r - Address r'T 1 License f! �� gri-I R Company . ' .:•;.1a — Registered - 7770 Fee Current T Y / N I AddrnES • License # on ac Goes: Fill out application completely. • Owner & Contractor sign back of application. notarized (Or, copy of signed contract with owner) it over S2300, a Notice of Commencement is requked.(Mechanical work over $6000) Supply two (2) sets of drawinge with applloable documentation . . Allow 10 -14 days for review after submittal date. Parcel # - obtained from Property Tax Notice (http: / /appralser.pascogov.com) VIGIL INC • • Hood & Exhaust CIS Svc. • . P.O. BOX 273767 *'Dripa, F13 . P: 1113.932 -9100 F: 613 -933 . gatoraltthewayt 'aolcom • • " i ;;?; ;rU 09 :2% AM ZEPHYEHILLS Ht1ILDING FAX No. 813-780 -0021 P. 002 • 'NOTICE OF :DEED 'RESTRICTIONS: The undersigned understands that this permit may, be !subjectito'"deed":restrictions which may be more restrictive than County'regulations. The'.undersigned.assumes responsibility tfortomplianco)with any . .applicable deed restrictions. • 'UNLICENSED CONTRACTORS .AND "CONTRACTOR RESPONSIBILITIES: If the owner has - hlred• :a -contractor or • contructors to undertake work, they may be required 'to be licensed in•accordanee 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 vioiation under state law. If the owner or intended contractor are uncertain :as'to what Iioensing' requirements may :apply for the intended work, they are advised'to contact the•Pasco County Building Inspection Division — Licensing Section. at 727 - 847- S009. 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 he Is not properly licensed and is not entitied .privileges in 'Pasco County. CQNSTRUCTION (Chapter713,•Florida Statutes,.as: amended): If valuation of work is $2;500.00 or more, i certify that I, the applicant, have bean provided with. a copy of the "Florida Construction Lien Law -- Homeowner's Protection Guide ". prepared by 'the FIorida.Departrnent of Agriculture and. Consumer Affairs. If the applicant is someone ocher than the "owner ", 1 certify that i have obtained d 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 perrnit to do work and installation as indicated. I certify that no work or installation has.commenced prior to issuance 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 t understand that the regulations of other ..government agencies may apply to the intended work, and that it is my responsibility to identify what actions 1 must to be in compliance. lc I ,am the AGENT•FOR'THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in tills affidavit prior '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 t, 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 uniaass 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 FAILURE TO RECORD ANOTIGE 0F COMMENCEMENT MAY IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH yq_BLENDgR OR AN ATTORNEY BEFORtizECO &DING YOUR NOTICE OF COMM_. CE ENT. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT _ CONTRAGTO •A Subscribed and swom to•(or affirmed) before hie this Subscribed and sworn to (or a / ed) b - o e m= 1 by . t V r+ isisiere personally known to me or has/have produced w • Who Islare personally known to me or has/have produced . as Identification. • as identlfleatIon. • • Notary Public . Notary Public . Gurranission No. . _ Commission No. ..-- Name or Notary typed; printed or stamped Narne of Notary typed, printed or stamped • • • • • • • • VIGIL, INC. City of Zephyrhills 12/1/2009 09542 7270 Licenses and Permits KFC 25.00 0903 Checking bank of KFC 25.00