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HomeMy WebLinkAbout09-8911 • CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 8911 ANNUAL FIRE PROTECTION MAINTENANCE ASS : 4.11 ;: is 2 4 E s a .�.. i �,"r . " ... c �a , -; I g a 721,', T £ r ; r, ° . E to . Permit Number: 8911 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 -21- 0010 - 05700 -0256 Improv. Cost: Date Issued: 3/11/2009 Name: PHIL MOOK EN T . �� �« T.INC Total Fees: 25.00 Address: 1108 W BRANDON BLVD Amount Paid: 25.00 BRANDON FL 33511 Date Paid: 3/11/2009 Phone: Work Desc: FPM - QUARTERLY HOOD CLEAN FOR KENTUCKY FRIED CHICKEN SCH 3/25/09 -9 PM VIGIL INVESTMENTS INC FIRE PERMIT FEES 25.00 q �.3`E .a£�.• >, r , ....� �- sue`€§._ FIRE ACCEPTANCE Final ...y. ,. __, 3... .. >... „_ __ :.. .. - ._ . -, --•. _ _ .. .. ....... .... ...... ., 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." _ /F P 'T 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 Fax - 813-780 -0021 • Permit 'Application Date Received 7 to • I Phone Contact for Permit 3 /3. AFC 1 813 117 t't 1.3 Owner's Name I 1 O wner's Phone Number Owner's Address 5 LP f ) &1 I 6 e..-eh yr 1 S, hl Ft_ 3 44:149 Fee Simple Titleholder Name Titleholder Phone Number Fee Simple Titleholder Address I Job Address 55b( lV ( t .6)06 2 eph rh'►I ls, FL 3 4-7 -' _1 Lot # Sub Division ' Parcel # (Uti I AINtU 1 1'K0I I Y 1 AX NU 1 IUt) ,n F Bio- Hazard Waste Storage - ANNUAL I n Fumigation Tent El Comm Exhaust Kitchen Hood /Duct n Hazardous Material (Tier II or RQ Facility) ANNUAL n Controlled Bum 1==I Hood Installation Emergency Generator < 30 kw LP /Natural Gas - Installation \ Emergency Generator > 30 kw I I LP /Natural Gas - ANNUAL Sale ,,n/ - Fire Protection Maintenance - ANNUAL Q Places of Assembly- ANNUAL l 361 et '�°� Sprinkler n Recreational Bum "--) mofth Frit Fire Alarm a n Sparklers ® 9!poem Hood Clean /Suppression Q� jJ Sprinkler System Installations r Fire Alarm Installation FT Standpipes (Sprinkler Sys) Ej Fire Pumps n Torch Roofing El Fire Works n Waste Tire Storage ANNUAL ti El Flammable Application- ANNUAL - n Fuel Tanks ' I Valuation of Project in Other: 1 bx ,,i - �_fli'LY�T °49t ,, TtJn.13EkP -,.;i .3h?., .,;.4,N . —z _, .... >.., ,. ,. x.�._,-'r,,._ -_. -• W. < „et >x, v.,. 5�5d. Contractor , Company Signature G , 7 p /L r C (7 , f ( y ir Registered Y / N 1 Fee Current ! Y / KI -- Address WI I / Z i 1 — < c .0._ L 33W tense # ELECTRICIAN I Company I Registered L Signature Y / N I Fee Current I, Y/ N I Address I 1 I License # I PLUMBER I I Company L I Registered Y l N 1 Fee Current I, Y/ N 1 Signature I Address I I I License # I MECHANICAL I Company 1 Signature I Registered . Y/ N I Fee Current L Y/ N Address I I I License # I I , OTHER Company Signature Registered Y/ N ( Fee Current L Y J N Address I License ,,, eas,nsrma ,,,xsa, . «.,x as..., ...u�_,°zr.x_.*. mad <- e •.•. .a ce # I Directions: Fill out application completely. I 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 II Allow 10 -14 days for review after submittal date. .. :. T15 "007 /TlhU 09:22 A141 ZEPHYEHILLS BUILDING FAX Iva. 813 - 790 -0021 P, 1J I • 'NOTICE OF :PEED The undersigned understands .that this permit may.be!subjecttto' "deed "(restrictions • which may be more restrictive than County•regulationa. The:undersigned.assumes responsibility:forcompliance +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•regulations. If the contractor is not licensed as required by law, both the owner and 'contractor may be oited for a :misdemeanor violation under state taw. 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 7'.27 -847- 8009. Furthermore, if the owner has hired as 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 property licensed and is not entitied'to . permitting .privileges in Pasco County. CONSTRUCTION .LIEN LAW (Chapter 713,'Flortde Statutes,.ae :emended): If valuation of work is '$2;500.00 or more, I certify that 1, the applicant, have been provided with.* 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 ", 1 certify that I have obtained 0 copy bf the above described document and promise in good faith. to deliver It to the "owner" prior to commencement. CONTRACTOR'S /OWNER'S AFFIDAVIT: t oertify.that all the Information in this application' I§ 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. t certify that no work or installation hes.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 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 must'take to be in compliance. IC I am 'the AGENT'FORTHE OWNER, I promise in good faith to inform the owner of the permitting conditions setforth In 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 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 s ©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 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 ninety (90) consecutive days, the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD ANOTICE 0F COMMENCEMENT MAY'RESULT IN 'YOUR • PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.- IF YOU INTEND TO OBTAIN FINANCING, CONSULT WWyYQU• LEN• - •RA ATTO = _ • .•; • , t • ; N• • • FLORIDA JURAT (F.S. 117.03) — — -. OWNER OR AGENT ---- -- (' CONTRACT • • to or . -r ' • � ; . Subscribed and swum to•(or affirmed) before me true by ... by -- ve produced (slate AnrsonaTly known to me tome heeced 1Ni1 is /are personalty known to me o< ha6/ita P as /have idend?IcatProduton. es Idont1ication. • • Notary Public . Notary Public • • Commission No, commission No• • Name of Notary typed. printed or stamped ' Name d Notary typed, printed or stamped • • • •