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Home My WebLink About09-9995 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9995 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 9995 Address: 6834 GALL BLVD STE 101 Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL. Class of Work: FIRE - PROTECTION MAINTENANCE Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 02 26 - 0010 - 02400 - 0010 Improv. Cost: 4 • v, , I_ r..ttiitti • . _.,. Date Issued: 1/14/2010 Name: ZEPHYR PLACE LLC Total Fees: 25.00 Address: 1135 S. PASADENA AVE STE 327 Amount Paid: 25.00 S. PASADENA, FL 33707 Date Paid: 1/14/2010 Phone: (727)504 - 0256 Work Desc: FPM - ANNUAL FIRE SPRINKLER FOR CICI'S PIZZA - SCHEDULED 1/14/2010 ,�•� � 'a t• .it 7 .� ��4 �,e ,� � ?' . - '�� f . ��ru. �g .. F �..•.•�4� 'r'�. � : ''�.. �.'. i ,•. �..a��: a i:;0 0::i AAA FIRE 'R• I• V IN Fl P RMIT FEES 25.00 `(/ /I V iii - I't tw r C. . ��.. - €,'r 2t. ��ih ,e ! .< €f ,m ::$ $e w k s'8 i• ..' .. ;, `°"A y it y Tk s" � - \ a 'y = 66 FIRE ACCEPTANCE 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 $100.00, whichever is greater. All work shall be performed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." ifriP Ari 410S, P " IT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813- 780 -0041 813- 780 -0020 City of Zephyrh)Us Fire- Fax- 813 -780 -0021 Permit Application Die Received FA — ,► - Phone Gatacrior Permit Owner's Name 1 R kt a. r 1 tot r fk7 I o prone Number 1 11 1 I Owner's Address a I Fee Skmla Titleholder Name 1 I Tillehokler prone Number I 1 1 11 Fee Slmple'T1Baholder Address 1 -- -..- -- 'KV1 --q .rzR'4aia A�$ '-••t Rwl.E":_r.:wwv. ' o azarz.oreary-a:„q^ ^G4 ? , : °' .', f!' -. rf? £Ryt?.e.3.:. 41:,:3iansak. , VOt ch44.:1 w _.. ..,., . _ .lob Address • $ • ct 1 G ► e • - A r s GC; 1 6 19 Zz_c... Lot # / D Sub Division - Parcel* I . - - - -_ —.. . 4 - : AP / , 0 ED Bio-Hazard waste Storage - ANNUAL. r] Fumigation Tent : ANNUAL ❑ Comm Exhaust 10tchen Hood/Duct ED Haaandous Material (Tier 11 or RO N Facility) ❑ Controlled Bum fl Hood installation f ` 0) 9 U / /' /I El Emergency Generator < 30 kw LP/Pbt rai Ges-M an ! p Emergency Generator> 30 kw ED LPMeUral Gas-ANNUAL Sale ,� / (� �Fre Protection Maintenance - ALaaWAL ❑ Pietas of Assembly - ANNUAL CJ 4 ' ® ®® - 3 Sprinkler D 0 0 I n Bum Fire Alarm ❑ 0 0 0 l 1 D Smolders /.- _-....' Hood Cleaning ❑ 0 0 0 1 1 0 Sprinider System Hood Suppression ❑ 0 0 0 1 1 n Standpipes (Sim Sys) ❑ Fie Alarm Installation 0 Torch Roofing/Tar Kettle Fie Pumps I l waste me Stamm ANIttUAL ROI Works I _j of Project Fuel Tanks IIIII Other: ■ Contractor O � �A�'+� y r a wire -c ‘..1 C,r[MAP Signature Pr/ t 4 \ "-------- Registered Y / N Fee Current Y / N Add=- ;50e - 6c..A) tislea)t° 4 . `TT 7L 1 . License* _ .. Ii`b 1. a- 7e) a0ei>o071 ELECTRIC r Company Signature Registered I Y/ N I Fee Ghent 1 Y/ N 1 Address 1 1 License* 1 I PLUMBER ComPerry Signature Registered Y / N Fee Current 1 Y/ N 1 Address 1 License* 1 1 MECHANICA9 Company Signature Registered I Y/ N 1 Fee Cunard 1 Y/ N 1 Address I (\ a # 1 I OTHER I Oplibk■ „ �1 _ bdt j - rdwrzorsiza x !r „Ai ve - 1+V ` w Y / N Fee Current Y / N • --- mr-Yamw - raragyi // License 11":1 E . fa , r . All out application completely_ Owner & Contractor sign back of application, notarized (Or, copy of signed contract vrtih owner) ff over $2500. a Notice of Commencement is regrired.(Mechericai work over $5000) Supply two (2) sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. Parcel * - obtained from Property Tax Notice (help: //appraiser pascogov.com) NOTICE OF:DEED RESTRICTIONS: The undersigned ui.., .tand. ..iat this permit maybe subject :to - "dead °:restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for-compliance-with any .applicable deed restrictions. UNLICENSED CONTRACTORS AND `CONTRACTOR RESPONSIBILITIES: If the owner has - hired - :a- contractor 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 Binding 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 which wit 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. If valuation of work is $2;500.00 or more, I CONSTRUCTION LIEN LAW (Chapter713, Florida Statutes, -as aided) certify that 1, 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'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 to issuance of a permit and all work will be performed to that no work or installation has commenced prior - meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that 1 understand that the regulations of other government 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 I am the AGENT FOR THE OW inform the I promise in good faith to info the owner of the permitting this 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 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, 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 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 A 'NOTICE OF 'COMMENCEMENT MAY 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 • R NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 7.l)3) UIIYV �. OWNER OR AGENT AI k 7 • _ . ~ - > -- ,• • - • - - j • ., to (or affirmed) be me this - and swum to (or affirmed) me , ��[ � ■ f � � J t)l / L SO , 1. 01 . by �l1•1i _ II — ...1. • are persorray known to me or baslhave produced Who islet persorrely Imow to me or : ve • A as identificalion. ./V1 tat _ as identification. r i i Jo i' .% as • J. /1t Notary i G leh (a&) e2 Notary Public • mission No. Commission No. J, 1 a.) 6 4 t 1 e.-emie..a5 . A, /1004 p ir_liNgle__115 Name of Notary typed, printed or stamped Name of Notary typed' or stamped ' -r UNDAR1CHARDS r Commission DD 8085"8 _ `' _ ,Mid, !► 2 r L- errrvatrrni��rwa �k <` B�/,da.tlyrFibi.ar:�eh9esAM