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HomeMy WebLinkAbout09-9842 CITY OF ZEPHYRHILLS ,v im 5335 - 8TH STREET (813) 780 -0020 9842 ANNUAL FIRE PROTECTION 'MAINTENANCE t . 5'° ;P r F Permit Number: 9842 Address: 5214 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: 11-26-21-0010-16600-0250 Improv. Cost: , {A , ¢¢ Date Issued: 12/03/2009 Name: VICHRIS INC Total Fees: 25.00 Address: 5214 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 12/03/2009 Phone: (813)782 -9556 Work Desc: FPM- HOOD CLEAN QUARTERLY- VILLAGE INN SCH 12/28/09 ME? ��s�w�:. 9 . ie. yam, ; P ie& • M - IA - VI IN I'E P ` 1 25.00 3 -- 7 0 - ILL-1r3frillgettErrTelany: :1 - 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." vir ArA 1012Y 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 FEB /20 /2007 /TUE 11:10 AI( ZEPHYRHILLS BUILDING FAX No, 813 P. 002 • '813 - 0020 F City of.ZephyrhiI1s ' oo?'• Fax . • :i {: r Permit Application .. -•-• ` • •-•:::X,i; • •:. :: 4, _ 1_ ., • r. , i:.• ..: - Date R ®cad lve /�/ ive • .. ,_..,. ,...n�-,r �� _ .ry ... ,... .•:.,, , _.,... r -Phone Contact for i'armtt • Owner's Name- -._..— - 6ie2�1%y?14.. 1? &n€Ge/CG-S owners Phon® Number ., 't9 y , � Y,z 1 0 (• ....._ Owner's Address . . JWL,vS . Z r (. . Ti�d1�z> >, plc . _,C7 32 2/(' • Fee Simple Name Titleholder Phone Number Fee Simple 7nleholder Address ' • •'r4: 4:'..., .'!%.A.r /..f.:.IrnPa... 7•:. r•.•. L. / t '�'r') / ,• .,... +.i 1���. � 11^ _.:�.. ".Y .- i•. ! 1,:... _i _. .. rxYS�rnY._.. _!._ �.. .)T`..M... Job Address l _ �_ n � � I /! / �. Lot # Sub'Division • /, ,� . / /+ /I o[ rim • / . Parcel # I. Bio-Hazard Waste Storage ANNUAL • 1 • .1 Fumigation Tent ' , n Comm Exhaust Kitchen Hood /Duct I I Hazardous Material (Tier 11 or RO Faculty) ANNUAL . • I Controlled Bum ' I I Hood Installation . • Emergency Generator < 30 kw . • .. . I LP /Natural Gas - Installation • .1 1 • Emergency Generator ? n kw • n LP/Natural Gas - ANNUAL Sale I I net Protection Maintenance - ANNUAL . . I. I • Places of Assembly- ANNUAL • _ I LltrI9l p§mrl IAN I Uther Sprinkler I_ p ❑ ❑ • Recreational Bum, . Fire Alarm '' • I I ❑ Q ❑ F . 1 I Sparklers . Hood Cleaning D `�, -. ❑ . ❑ I I I • I Sprinkler System Installations . ' • • . Hood Suppression Li. Q ❑ • • DI I • • I Standpipes (Sprinkler Sys) ' . 1 I Fire Alarrh Installation . I Torch RoofIng/Tar Kettle . • Fire Pump? . • I 1 Waste Tire Storage ANNUAL Fire Works - . • Flammable Application- ANNUAL • . ( Valuation of Project • 1 1 .Fuel Tanks . ' . . , I 1 Other: Contractor Company --- Signature Registered Y/ N I Fee Currant I Y / N 1 Address I. .1 _– License #_ _n I . - . ELECTRICIAN . ' Company I Signature Registered Y/ N I Fee Current [ Y / N 1 • Addreas I I License # 1 1 ' PLUMBER . - • • • Company I Signature Registered Y / N I Fee Current 1 Y / N 1 Address I • - I License # 1 • MECHANICAL Company • 1 Signature Registered . Y / N I Fee Current I Y N I — Addreae I . 1 .License # . 1 . • - 1 • OTHER • Company I Signature . ' Registered Y / N - I Fee Current 1 Y / N 1 ammt Llcenae # Directions: FIE out application completely. . Owner & Contractor align back of application, notarized (Or, copy of signed contract with owner) • If over $2500, a Notice of Commencement Is required.(Mechanlcal work over $5000) Supply two (2) seta of drawings with applicable documentation ' Allow 10-14 da for review after submittal date. Parcel #- obtained from Property Tax Notice (http / /eppraiser.pascogov.com) • • • °� .. e 20 /2007 /7U3 i : i!:� ,�.':�,�I ZEPiiYR}IILLS PUILDIIJG FAX No, 813-780-0021 P. 00 t4yy4 ��1144 � itiOR.`P__• - �ii!Gr7' • 1 -' N'DTI'GE+O:F;DEED:RESTRICTIONS: The. undersigned.und an0s�that - thls permit may . bersubjectito - 'deed7:r�istrictiprt ti• `f onsibili. lorrcom !arce∎with r ' '' ihiClik -nay'.be'more•restrictive'than Cou nty :regulations _Thewundersigned. assumes -resp 'yi Pi a -- Bppflcable•deed restrictions. ai'oiicat "` i •l,_ • '— itINIi1C•ENSED r- CONTRACTORS AND =CONTRACTOR- RESi3GNSiBIVITIES ^ I f lhe - owner has - hi r e d - rawcontractortcil contractors:to undertake work, they maybe 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 :a - misdemeanor .violation_ under law. If 'the owner or intended contractor Lare uncertaln :as'to what licensing requirements may :apply for the- - - intended work,'they are•edvised'to contact the 'Pasco County•Building ;Inspection -Division— Licensing Section :at 727-47 .SODS. •= F.urthermore, if the owner has hired :a contractor or contractors, he is .advised to have - the Contractor(s) sign as�the ownerslan as .the .portions of the "contractor Block" of this application :for•which'they will be responsible. if you, •=contractor, That 'may bean indication :that he is :not :properly licensed and is not. entitled :permitting - privileges in ,Pasco -Count if va luation •of work is $2;500.00.ar more, a Y CONSTRLICTiON -LIEN -LAW ( ChapterTl3 ,'Florlda`Statufies,as:amende certify •that 'l, the applicant, have been provided with a copy of "Florida Construction Llen Law — Homeowner's 'Protection •Guide" prepared bythe 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 falth to deliver It to the "owner" priorto commencement. CONTRACTOR'.SIIOWNER'S AFFIDAVIT: l 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 o that no work or installation has commenced prior to Issuance of a permit and t work ill be pe ld t o meet standards of all laws regulating construction, County and City codes, .zoning 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 1 must take be in compliance. •If I am'the:AGENT FORTHE OWNER, I promise in good faith to inform the owner of permitting conditions set'forth in this affidavit prior—to—commencing construction. ln oe installations separate not specifically I d l a the applicatlon� plumbing, signs, wells, pools, air conditioning, gas, 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 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 permlf.lssued 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 (13) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official fora period not to exceed ninety (90) days and will demonstrate job is considered abandoned• justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the j • WARNING NTS OWNER: •YOUR ° F TS YO 'NOTICE iF YU INT ND TO OBTA N Fi 'OPCOMMENCEMENT ANC NG CONSU T PAYING TWICE FOR IMP " OVE TS TO O UR PROPERTY. WITH Y• UR L NDE' • - .AN ;I ORN Y BEFORE RECORDING YOUR h e' • E OF • M !� UA E M NT. ip, • FLORIDA JURAT (F.S 1 �� , . OWNNFR OR AGENT /-• p � CONTRACTOR Subscribed and swo ■ •, 'rmed) • : •re me this Subscribed and wom • or a s med) • -fore me s by �� /ho !s /ar*� pen Ily Known to me or has/have produced • Who is/are persohally known I ma or en i a ti produced ' as identification- • as identification- Notary Public • Notary Public • Commission No. Commission IVo: , Name of Notary typed, printed or stamped Name of Notary typed, .printed or stamped - COMMERCIAL SERVICES, INC. 17 8 01 DATE INVOICE NO. COMMENT AMOUNT DISCOUNT NET AMOUNT s " 1 , Payee: ZEPHYRHILLS 11/30/09 * * * * * ** *25.00 PERMIT FEE FOR VILLAGE INN CHOOD CLEANING 5214 GALL BLVD - ZEPHERHILLS FL 33541 TOTAL