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HomeMy WebLinkAbout09-9837 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9837 ANNUAL FIRE PROTECTION MAINTENANCE Permit N 9837 Address: 7631 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: 34 25 - 0110 - 00000 - 0010 Improv. Cost: r ' " '7 Date Issued: 12/03/2009 Name: SUPER WAL -MART Total Fees: 25.00 Address: 7631 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 12/03/2009 Phone: (479)204 - 1063 Work Desc: FPM- SUPPRESSION ANNUAL- MCDONALDS- SCHEDULE FOR BY THE END OF THE MI H `NA •• A • -M N - MI FEE 25 Cj .)-(1 1 2 .22- 0 6 _.% . w . s . ,:.:;� q z '. i i 71 ,4 ^ � � 2 �!.s3 ", .,._ ")'' "&a te �' IRE A AN 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." sriPIP /O 1i 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 /9 813- 780.0020 City of Zephytfipls nil TL+2 ^• Fax - 813-780 -0021 Permit Application • • Date Noshed PhoPermit e Contact for P• - - Own•ra Name .. �I%��4��i _ ,41r.' ,' _ rtfrifelaT/ Owrr Phone Number Owner's Address ` ---- -G.A P... ; ! � � �•r_ ir� • �� Fee Simple Titleholder Name Titleholder Phone Number 1 I 1 1 Fee SimplSTltldoldar Addnes I I Job Address 3 I A t t Lou, Sub Division Parcel # m ❑ No-Hazard Wade Storage - ANNUAL El Fumigation Tent • ❑ Comm Exhaust kitchen Hood/Duct El Hazardous Msted & (Tier 11 or RO Facllty) ANNUAL ❑ Controlled Bum ❑ Hood instabdiot► Emergency ii Generator < 30 kw LP/Natural Gas-Instigation Ustion Emergency Generator > 30 kw LPltisRael Gas 4NNUAL Side Fire Ph:motion Maintenance - ANNUAL Places of Assembly - ANNUAL MEI MEI 12T3 v.4-11•1 SprInIder i 0 0 0 M Reasatlonal Bum Fire Alarm 0 0 0 Stems Hood Clearing 0 0 0 Sprinkler S1 kmalls J S . Hood .8rrppelMa, 0 0 . Standpipes (SOdkle nr Sys) , IIII Fire Atom kndatlatlon - Torch RoolnptTar Kettle ® Reims Res • — - H l Wade Tire Storage ANNUAL S Fire Works . Amenable Application- ANNUAL 1 I Valuation of Project • .. MI Fuel Tanis - • 4 ' ® Company /rl.5:4 4'0411:4: r 1r° COMMON RsgMaad rt { � Addram rt Skinskin ri fi e._.._ .41/11111r9;1 .. mow* it;f le: ", "P Tool ,.--.r s ; S Registered Y / N F.. Current lanai - Signature Addmss 1 I License # 1 fi Si g • ns T ER f L...1 N Fee Current ( Y/ N Registered Address I 'Jeans' # I 1 mEcHmicAll Comperty 1 Registered L Y/N J Roarer* I Y/N sigrratrr• I License ft 1 1 Address I Signature • n f L..... N • F.•Giant I Y/N I PB,out CN. * Maat with owner) OrlaMr S'Carta lvf `� � �. • of Waned oon 11 aver $2000. a Notice work ever MOO) Supply two f d) s f r g :4 # • obtained from Property Tax Notice ( .p ov.com) Allow 10.14 days for .. 'NOTICE OF' DEED RESTRICTIONS{at1"dersigned understands that this permit may .be:subjedAetesd"irestrictions" which may be more •restrictive lhanvOoLmW regulations. The: undersigned assumes responsibilitrippepmpliarace any .applicable deed restrictions. 'UNUCENSED sCONTRACTORS ;AND'LDNTRACTOR :RESpONSIBILIT'IES: - • f - the owner - hars�.l ikad .m . wntractor or - contractors to undertake work, they may be required 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 Sectlon.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 he is not properly licensed and is not entitled permitting ;privileges in Pasco County. CONSTRUCTION LIEN LAW (Chapter713, Florida Statutes,.as.amended): 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 must take 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 with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shaft 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 sbi (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 .jut to cause for the extension. if work ceases for ninety (90) conseeutive days, the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMEPIC MAY RESULT IN YOUR PAYIN CE ,+L -mt RIENTS�TO YOUR PROPERTY, C IF - YOt,t a � .� TO 0 1 FINANCING, CONSULT , J„ Ft JU T' F.S. 1 .03) T S too this u� =�►ofi`"E(� iirliirrli�t!) before _ . OWNER oR A N � w to me or higihava e as Idenelication. as Identification. • Notary Public Ys Notary Putt Commission No. Commission Name of Nosay'typed. Printed atamped Name of Notary typist, prirdsd or stamped • • NCIS SPERLAZZA MY COMMISSION # DD8447$2 ,o EXPIRES: Dreaths 12, 2012 14004NO?ARY FI. Nayuy MM aw% Asada Ca •