HomeMy WebLinkAbout09-8934 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 8934
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 8934 Address: 5327 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 - 13300 -0010
Improv. Cost: giTiada,
Date Issued: 3/18/2009 Name: T HE COUNTRY KITCHEN ON 301
Total Fees: 25.00 Address: 5327 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/18/2009 Phone:
Work Desc: FPM - SUPPRESSION SEMI -THE COUNTRY KITCHEN ON 301 -SCHD WK 16TH MARCH
SECURITY FIRE EQUIPMENT LLC FIRE PERMIT FEES 25.00
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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."
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Ai�
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
Fax-813-780-0021 813. 780.0020 City of'�
Pennit Application
- Phone contectior Perm&
Date Received
_ v
Owner's Mme r . /!✓' Owner's Phone Humber M.1..-1 1_2:42.1 1_94
Oveneee Address i 2 7 47
Fee s Illisbolder Phone , ber I 11
Fee araple'lrehotder 1
Job Address
Sub Division Parcel*
0 ek►# ssard waste ammo -ANNUAL D R inlg�on Tint
0 Comm p drr..c H.ediDvd p Hmeda= $1I W (Tier N arRQ F�►)A$MllAi-
0 ter.n C I Hood ''"Y-
Emergency Generator <301enr iAl ibiedGalnn.Msicn
£ n.rg.norGenarator> 30 tea '-PINelea'.6"'"""tal. a b
Firs Palladian Il1sinMn.&s-MMRJAI. Faces +M1lt11M.
FEB ERE ES c--All
Spdtdder ct a ci Reaardional H
FAlum 0 0 0 =II RPM=
Hood Clewing 0 0 0
Hood Slrppras.ion 0 x 0 Sts �)
Rrs'Jins ition ' ` Ei Tads Roo&W1IrKale
Fbe Pb Waste Ike Maros Al
Fire waiics
l liasnoblo App'adon- ANNUAL Valuation of Project ..
Fi el Teak s
C3 dater: I
b Y/141 Fie Current I Y/144
Adams 1 1 uone � . * I ' I
X17
ELECTRICIAN' - neonned YFN . i Fee Ctaesnt I Y ti. ..I
Address 1 1 Llaar.efi 1
PLUMBER I Company
Signature _ Regletured IliftE.11 ., . Fie Cannot NMI
Adams i 1 Curse* 1' I
1 R.yi.i. d I Y) N I Fee Covent i Y N I
Adams 1 1 *i I
OTC Ca.parr,► s - _ - E• 4 ,
Signature , ,/' d Sr i
1 j' y' Fee Conant
�,
Address /M 1��? ! ' ,04 , INTO >.� i.icense* -
D
FM out application oorapidaly.
Owner & Contactor sign beck d appiodkra admixed (Or, copy of agreed =Wad Mir caner)
Waver $2800.. Haim of CoIeemertier.quied.gische k.Jwoko ur$8000
� 110 -14 days for slier aaWIJ dile Parcel 3- obtained from Properly Tax Moe (l eppratair piscozo'v nom)
•
IOTICE OFDEED RESTRICTIONS: The undersigned understands that this permit maybe•subjecttor`desid'sestrictbns"-
Mich may be mare restrictive than County regulations. The•.undersigned .assumes responsibility fork ompliasce'with any
tie deed restrictions.
JNLICE AND : If - the canner has lrired or - -
»ntractors to undertake work, they may be rec d ed be licensed in accordance with state and laxaI tame ions. if the
=tractor is not licensed as rewired by law, both the owner and contractor may be cited a misdemeanor violation
ender state law. lithe owner or intended. connector are uncertain -as to what licensing drequirements may apply for the
ntended work, they are advised contact the-Pasco County Balding hspectkm Division— Licensing Saciionat 727 -847-
'009. Farther more, if the owner has faired a contactor or contractors, he is advised to have the contractor(s) sign
roriions of the `contractor Moor of this application whichihey will be responsible. if you, as awneraign as the
:infractor, that may be an kudicnon that he is not properly licensed and is not entitled permitting privileges in Pasco
2ONSTRUC ION.LEN IAW (Chaptes713, Stelutes,as.samendid ): If valuation of work Is *2,500 or more, 1
:edify that I, the applicant, have been provided with a copy of the 'Florida Constriction Lien Law—Homeowner's
'rot Lion Guide* prepared by Florida Department of Agriculture a and Consenter Affairs. If the applicant is someone
)ther than the `owner',1 certify that I have obtakred a copy of the above described document and promise in goodinh to
deliver it to the `owner prior to
AFFIDAVIT: I certify that all the information in tits app on is acme and
that al work wit be done in compliance with ail applicaabie laws regulating consttuc ion, zoning and land
development Application is hereby made to obtain a permit to do work and Irlsta'aion as Indicated. I certify
that no work or kadaa'a>ion has commenced prior to issuance of a perntt andthaat all work will be performed to
meet standards of all laws regulating consitudion, County and City codes, coning regulations, and land
development negulaions in the jtalsdiciion. 1 also certify that I understand that the regulattrns of other
- government agencies may apply to the intended work, and that k is my responsthility to identify what actions I
nurst take to be in compliance.
If I am the AGENT FORTIE MINER, I promise in good faith to inform the owner of the permitting canons sat forth in
this prior commencing construction. I understand that a separate permit may be required for electrical work,
plow. signs, wells, pods. * conditioning, tom, or other ketalladons not specNically included in the applicaation. A
permk issued shah 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 pen* prevent the Building Official from thereafter
requiring a correction of emirs in plans, construction or violations of any codes. Every permk issued sin become invalid
unless the work authorized by such pemntt is comrrsnoed volit= six months of permit issuance, or fi work auiViarized by
the permit is suspended or abandoned for a period of six (6) months Marius Rue the work is commenced. An =tension
may be requester', in writing, from the Building Ofic iai for a period not to exceed ninety (90) days and wB demonstrate
justifiable cause for the erdension. If work ceases for ninety (90) consecutive days, the job b considered abandoned.
WARNING TO OAIYIEtt YOUR FAILURE 10 RECORD A NOTICE bF NAY RESULT IN YOUR
PAYNNG TMMCE FOR IMPROVEMENTS TO YOUR PROPERTY. F YOU WEND D TO OBTAIN FINANCING, CONSULT
• Jill, l•A , ., 4 ,,tea �.�r r <.y �"_' _ l.s' t. Vie..
FtwORIDA r (FS i17A3)
DINNER OR MOOT CONFRACION
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tor
Who Iahre poison* know w b me or hemline produced Vasa Wan personelly brown wn b me or bestnve produced
as iderika/oss.
Molar/ Pubic ._ *NW Pubic
Commission No.. Commission No.-
Name of Notary tweet minted or stamped Name &Noisy toped pdoled or slimped