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Home My WebLink About09-9998 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9998 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 9998 Address: 6834 GALL BLVD STE 101 Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL. Class of Work: FIRE - PROTECTION MAINTENAN eE Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 0 2 - 26 - 21 - 0010 - 02400 - 0010 Improv. Cost : , 7 , x E .� 7 Date Issued: 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- SUPPRESSION ANNUAL- CICI PIZZA- SCH BY END OF MONTH psi,. � . .�.. � F - EFI H R, IN �: € :. � �., FIRE PERMI F ES 25.00 �� SCL- 3c_r° o FI - E AC E Final :.. ,N .a : 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 - 21 "• 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 Zephyrhills Fire loq (� Fax -813- 780 -0021 Permit Application q (� Date Received ®,rl� O Phone Contact for Permit F Owner's Name Cr l; is �,< Z 2_'- 1 Owner's Phone Number I '3 3 I I7c6o I I /0t` Oner's Address b eh y &w// 0/1/1 335-4z_ 7 I Fee Simple Titleholder Name Titleholder Phone Number I I Fee Simple Titleholder Address ! ;rte s . , F .', ,lx ells i t gfiMgr V , , „w 4 K: ,, :. t ; , ,°> MI i . OMMV « 10,SIaa, ' £ IL m. arMIN R , Job Address 693 (-7 a // /5/v/ 335 2 Lot* Sub Division Parcel # n Bio -Hazard Waste Storage - ANNUAL n Fumigation Tent n Comm Exhaust Kitchen Hood /Duct n Hazardous Material (Tier II or RQ Facility) ANNUAL n Controlled Bum n Hood Installation n Emergency Generator < 30 kw n LP /Natural Gas - Installation n Emergency Generator> 30 kw n LP /Natural Gas - ANNUAL Sale gn Fire Protection Maintenance - ANNUAL n Places of Assembly- ANNUAL Iutrlyl (Semi) WI !Other 1 1}4 ( Sprinkler ❑ ❑ ❑ I Recreational Bum 7j � Y, Fire Alarm no ❑ ❑ i I n Sparklers IAA C Hood Cleaning ❑ ❑ ❑ 1 1 1 Sprinkler System Installations Hood Suppression m ❑ ❑ g I 1 Standpipes (Sprinkler Sys) n Fire Alarm Installation n Torch Roofing/Tar Kettle FR Fire Pumps n Waste Tire Storage ANNUAL Fire Works Flammable Application- ANNUAL 17 I I 5 ( Valuation of Project Fuel Tanks I Other: I Contractor i rc / 9 iv "etc_ I t - = �i� Company /' Signature ___----7-- _.d`�� Registered Y / N I Current I Y / N Address o ( �,, k esse Ca v y d� License* ELECTRICIAN Company Signature Registered Y/ N j Fee Current 1 Y/ N I Address I I License # I PLUMBER I I Company t I Signature Registered Y/ N j Fee Current I Y / N j Address I I License # ! I MECHANICAL! I Company I Signature I I Registered Y _I / N Fee Current 1 Y / N Address I ( License # I OTHER I ( Company Signature Registered Y/ N I Fee Current I Y / N 1 Address License # Directions:2 . ,:: _«; .a,..• w r ,. �a ,.. >:w «. �� : •w . Fill out application completely. Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner) If over $2500, a Notice of Commencement is required (Mechanical 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 htt //a ( p: ppraiser.pascogov.com) which NOTICE may be DEED more e restrictive than County 9 applicable deed restrictions. UNLICENSED CONTRACTORS e AN I D CONTRACTOR e RESPONSIBILITIES: licensed Bac with state and localeegulations contractor Ifthe contractors to not li censed undertake as they may contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation forthe under sd tate work, law. If the advised d or to intended contact the contractor are uncertain County BuiilldingsInspection Division—Licensing i Sect on at 727-847 - 8 009. ed wor m they r are the hired odd ports Furthermore, if the owner of this aplication which contractors, he is advised be responsible. If t you, as the owner sign as the portions of the "contractor ay be Block o hp contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, a same d e o ): If valuation Construction o work $2,500.00 or more, e 1 certify that I, the applicant, have been provided with a copy is someone Protection Guide" prepared by the Florida Department of Agriculture above described Affairs. and promIf the faith th to other than the "owner ", t certify that I have obtained a copy of deliver it to the "owner" prior to commencement. _ CONTRAS/OWNER'S be don iS compliance with all pplicable laws information this egulatingconstruct on, zoning and land that all work will be do that op work Application is sec mm made to obtain a commenced prior to issuance l installation of a permit and that l all t work will b e performed certify to that no work or installation ha land meet standards of all laws regulating construction, County and l uCity od t ons g e u lations, a odothe r development regulations in the jurisdiction. I also certify that 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. If i AGENT FOR THE OWNER, ru ti nl. I in understand that a forth in faith to permit may be required ed for conditions ca e owner of the permitting this affidavit l work, this affidaida vit prior to commencing coast application. A plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the app , cancel, er, or permit issued shall be construed to be a license shall ssua a pe mitp event the ding Off ceal from ther set aside any provisions of the technical codes, nor requiring a correction of errors in plans, construction or violations of any codes. Every p ermit issued shall become invalid unless m the authorid t work pended o b ndc h d f is commenced od of six (6) within six months of after the t me the work is commenced. An authorized extension the permit is es ted, in d or g, from the fBuilding r a p may be requested, in writing, from the easesOforininety period not days, the job is considered ab l andoned demonstrate justifiable cause for the extension. If Nor WARNING TO OWNER: YOUR FAILURE TO YOUR PROPERTY. PAYING TWICE FOR IMPROVEMENTS TO Y IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) CONTRACTOR OWNER OR AGENT Subscribed and swom to (or affirmed) before me this Subscribed and swom to (or affirmed) before me this by by Who is/are personally known to me or has /have produced Who is /are personally known to me or has/have produced ah identification. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped