HomeMy WebLinkAbout09-8935 CITY OF ZEPHYRHILLS
- 5335 - 8TH STREET
(813) 780 -0020 8935
ANNUAL FIRE PROTECTION MAINTENANCE
"' 77:
Permit Number: 8935 Address: 5347 GALL BLVD
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: 11- 26 -21- 0010 - 12200 -0090
Improv. Cost:
Date Issued: 3/17/2009 Name: GORGES, FELIX
Total Fees: 50.00 Address: 5347 GALL BLVD
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33541
Date Paid: 3/18/2009 Phone: (813)765 -5666
Work Desc: FPM -SEMI SUPPRESSION & SEMI HOOD FOR FLACO'S - WEEK OF MAR 16TH
� . r' r 5- § L n1
SECURITY FIRE EQUIPMENT LLC FIRE PERMIT FEES 50.00
Cy I
3
'Pt c 4.:« § ., Y® £` f$ € � L - k
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."
�i
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 - 7804020 City ofZephyrhille'Flow Fax- 8137800021
'
Perm ft Application
oew Reoira -I i - Phone Coanforr
Owner's Neme r "„ v Owners Phone Harker E
0....e. Add. I s 2 4 7 44 , • e
Fes simgaTlo•rraa.r Hams 7irshold.r Phone Nlrnbsr
= 1 I1
Fax Semplelllilia derAdana 1
Job Ada Lots
Sub UMion Pmeei #
—__ ' RiigslonTent
El Oman Damn Kadin HoodlOnot , a Hazardous Medal (Tier II cur HO Fdly)NINIl/ML
Coma SdHum o Hood insallellon
< 30I LP/Habra llas naliieran ,;
Emng.noy Semn " • 30 tar LP/NM rat a.-;NNw. Sin
Fire Paladin M ..1..— - ANM/AL - Rama d Aseembh,11MNIAL
MtI EMS EMI ,+
Smiadar O 0 0 Rarea lorwl Bum
Are Mem o D a IIIIIIII Wadden
Hood Cleaning 0
Hood Suppresdon o X p Standpipes (aprinid.rS s)
Fire Atom Inelernallon Tads RoaBnyferHello
Fin p Waste The ataup ANNUAL - -
Hie Works
Flammable llppYealion- 111Ni11I►L
1 1 Vaksation of Ptajer:t
Fuel Tasks
Q I .. _ - •• rte >�a.- .z�?_ ...z -.a..
on Signature I I Registered Fee Conant
Address I 1 Limes! . I . I
ELECTRIII1 Camara
1
tlhal Fire Crean MIMI
Address I 1 Lama# l 1
Adder's 1 1 ttauaIP I' - - I
MECHANICAL' ,
I RsgUlered I Y/ N 1 Fns ca.ren f Y/ N
Addams 1 - - - 1 memo # I I
OTI S 4. .+? _ 6 is r o .m;
Slgnelrra ' e I Re ril'ir011 F:eCaret 11111ffial
Address i� CAE" !�'l1�� 1I-�!' i .nl11111111 Lamm # AIIIIIIIII
FN out appioallon =mislay.
Oren i Contractor sign back of apptoaltam noasha d (Or, copy of signed contract vat owned
N over 32800, a Naxos of Comme nosme t to ragdredllischennkelreek over 131000) -
Supply 10-14 nes br Mar aubariad dela Penal #- abdiud from Roma Tax Nobs (I 1 -- ogcw.00m)
IO110E OF"DEED • The undersigned understands that this permit may be re 1c than
Mich may be more restrictive than County regulations. The .assumes nespor tty formo npliaac ewWth any
cppicabie deed restrictions.
1Ht.ICENS® CONTRACTORS AND if - the owner has teed or -
ontractors to undertake wain, they may be required to be licensed in accordance with state and local•raguietons. If the
ontractor is not licensed as required by law, both the owner and contractor may be cried a misdemeanor violation
order state law ifthe owner or iiterded.conractor are uncertain.a as to what licensing - requirements may apply for the
ntended work, they are advised to contact the-Pasco County Building inspection Division— Licensing Sedkrn:at 727-847 -
S009. Furthermore, If the owner has hired a contractor or contractors, he is advised to have - the contractor(s) sign
rorions of the `contractor Block' of this appicaionfor which wit be responsible. it you, as owner as the
=tractor, that may be an indication that he is not properly licensed and is not ertNed permftling privieges in Pasco
;array.
LEN.LAW (Ghmapter713,.Rortda S tes,.asemendid): if valuation of work 18 $2,30000 or more,
entry that I, the appicant, have been provided with a copy of the "Florida Caorieuction Lien s
3 rotedion Guide' prepared bylhe Florida Department of Agrictlkwe and Coneianer Maks. If the applicant is 'someone
Sher. than the *owner*, I eertlfy that 1 have obtained a copy of the above described doannert and practise in goodimlh to
*alive' it to the 'owner prior to
CONTRACTORISIOWNEftrS AFFIDAViT: I canny that all the information im this applicatiOn is accurate and
that all work will be done in compianoe with all applicable laws reguis ding commotion, a zning and land
development. Appication is hereby made to obtain a permit bo do wok and installation as mot. 1 certify
that no wale or won has commenced prior to issuance of a penult andlhat all work will be performed to
meet standards of all laws regulating construction, orn, Count+ and City codes, zoning regubtions, and land
development regulations in the won. I also certfy that 1 understand that the regulations of other
. government agencies may apply to the intended work, and that it is my responsibility to Men* what actions I
must take to be in compliance.
If t am the AGENT FORTME OWNER, I premise in good faith to inform the owner of the perrmittirg oondiions set forth In
this prior to oonnmenctng construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, yam;, pools, air condiNoning, gas, or other ions not specicaiy induded in the appicaiion. A
permit issued shah be consbued 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 shalt issuance of a penult prevent the Building Official from thereafter
requiring a correction of eras in purrs, construction or violations of any codes. Every penult issued shall become kwalid
unless the work authorized by such penult is cdmmenoed within six months of per issuance, or if work authorized by
the pent is suspended or abandoned for a period of six (6) months artier the time the work is co o mmen :ed. An extension
may be requested, in wrung, from the Buffing OMcisi for a period not to exceed ninety (90) days and wit demonstrate
justifiable cause for the edension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
WARNING TO OVNIER: YOUR FAILURE TO RECORD A NOTICE OF ZOININIENCESIENT MAY'RESULT w YOUR
PAYING TWICE FOR tMeRdJr#IENRS TO YOUR PROPERTY. F YOU INTEND 10 OBTAIN FINANCING, CONSULT
.111. l�..; �. - -; �y: �� l�ol:�.:� =i�_. ;�_� i_ .. l i_P: •
F ►JURAT (FS.117.03)
&
a
S L- u OR
Lsd awl to(gra/rraad)twineacstis
Subecrbd suror� b (ar airrnad) before re N bY
%tro Ware paesanalty koala b maw tMMwre produced Who We peraoeally Iowan b ms or baaRrava produced
as ldericaion. - as idea on.
Notary Pubic — MANY Public
Coramieaion lab, - Commission No.-
Nana or Notary Wart pmt ar NomPed Name of Notary typed. Pmt or thawed