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09-8937
CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 8937 ANNUAL FIRE PROTECTION MAINTENANCE . fit' ^.7 7,77,;15;:c a. e Permit Number: 8937 Address: 38433 SOUTH AVE Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL. Class of Work: FIRE - PROTECTION MAINTENAN •E Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: Improv. Cost: Date Issued: 3/18/2009 Name: NESSELHAUF, JOHN Total Fees: 25.00 Address: 38433 SOUTH AVE Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 3/18/2009 Phone: Work Desc: FPM -SEMI SUPPRESSION - SEAFOOD MARKET - SCH WK OF 23rd MARCH SECURITY FIRE EQUIPMEN LLC F IRE PERMIT FEES 25.00 1 e\ o 1 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." 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 Zephyrhills Fire- Fax . Permit Application /ate Receives 1 Phone Contact for Pam* 1" ----- 1 1 1 ----- hnrnees Name t5aStiffidd—hikerfei J Owner's Phone Number Ii-12 1 4>Isz MEM )wner's Address I c VW:33 ,....SOU 14 ,p4 Vt 'se Simple Titleholder Name Titleholder Phane Number 1 1 1 1 , ee Simple Titleholder Address I I ob Address Lot # I ;ub Division Parcel # I ri Bio-Hazard Waste Storage - ANNUAL r Fumigation Tent fl Comm Exhaust Kitchen Hood/Duct ni Hazardous Material (Tier [for RQ Facitity) ANNUAL El Controlled Bum ni Hood Installation 1 - 1 Emergency Generator <30 kw ri LP/Natural Gas-Installation r --- 1 Emergency Generator > 30 kw . LP/Natural Gas-ANNUAL Sale ri Fire Protection Maintenance - ANNUAL r---1 Places of Assembly-ANNUAL VIM r [Ell timer Sprinkler El 0 0 0 ri Recreational Bum Fire Alarm E 0 0 0 1 1 1 1 Spenders Hood Cleaning 1:D 0 0 0 1 1 r1 Sprinkler System Installations Hood Suppression /gf 0 XI 0 1 1 r Standpipes (Sprinkler Sys) r - i Fire Alarm installation 1 I Torch Roofing/Tar Kettle Fire Pumps Waste The Storage ANNUAL Fire Works Flammable Application- ANNUAL r---i 1 I Valuation of Project El Fuel Tanks r Other: I I Contractor • Company I Signature Registered YIN J Fee Current 1 YIN I Address I License # I ELECTRICIAN' . Company I Signature Registered Y/N I Fee Current I Y/N I Address I Ucense # I PLUMBER Company I Signature Registered Y / N I Fee Current I Y / N I Address I I license # I MECHANICAL Company I Signature Registered Y/N j Fee Current 1 YIN I Address I I License # 1 / OTHER Company 4 . ..2..S. - Signature , Registered MEI Fee urrent Waal Address was c) „,,,f License # 62 — ..., PAIS Z Directions: 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 (http://appraiser.pascogov.com) IOTICE OF - DEED RESTRICTIONS: The undersigned understands that this permit maybe-stthject=.to'`deaid'xesirtctions Mich may be more restrictive than County regulations. The assumes nesponsibitity far'cormliaaawa pith any Ippticable deed restrictions. 1NLICENSi D CONTRACTORS AND -. CONTRACTOR : if the owner has trired or - - :ontracbots to undertake work, they may be required to be licensed in accordance wth state and iocal If the ontractor is not licensed as required by law, both the owner and contractor may be cited a misdamea or violation wider state law. If the owner or untended- contractor are uncertain .as to what licensing - requirements may apply for the ntended work, they are advised contact the -Pasco County 8ttidtrtg inapection i Sedion_at 727.847- 3009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the or(s) sign )ortloons of the `contractor Bloch' of this application whichihey will be responsible. tf you, as owner as the : ontractor, that may be an indication that he is not onoperly licensed and is not entitled permuting privileges in Pasco ONSTRUCTION .LIEN .LAW (Chapter 713, - Florida Statutes, as- amended) if valuation of work is $2,500.00 or more, 1 xwtify that 1, the applicant, have been provided with a copy of - the 'Florida Construction Lien Law—Homeowner's p rotection Guide' prepared by/he Florida Department of Agriculture and Consumer Airs. If the applicant is someone oher than the `oMrner", I certify that I have obtained a copy of the above deserted document and promise in good - faith to idtver it to the `owner" prior to - COCA .AFFMAViT: I certify that al the information in this appiication is accurate and that all work will be done in compttance with al applicable laws regulating construction, zoterg and land developmenL Application Is hereby made to obtain a permit to do work and installation as uhdcated. 1 certify that no work or won has commenced prior to issuance of meet standards of all laws regulating construction, County and Cdy codes, zoning reghdarions, and tend development reggdatirsts in the jurisaction. 1 also certify that i understand that the regulations of other government agues may apply to the untended work, and that it is my resp©r ity to !den* what actions I must take to be in compliance. If I am the AGENT FORThE OWNER, I promise in good fath to *inn the owner of the permitting conditions set forth in t is prior lo commencing construction. I understand that a separate permit may be requasd for elect work, per, signs, wells, pools, air conditioning, gas, or other irons not spedllcalty included in the applcaiion. A permit issued shall be constmed to be a license to proceed with the work and not as authority to violate, cancel, ate, or set aside any provisions of the teclulcat codes, nor shad issuance of a permit prevent the Building Official fraln thereafter requiring a correction aferrars in plans, construction or violations of any codes. Every perrrft issued S become invalid unless the work antinatithd by such permit is commenced vithin six months of petrrdi issuance, or if work authohized by the permit is suspended Or abandoned for a period of six (6) morons alter the tkae the work is commenced. An extension may be requested, in writing, from the Bullring Owl for a period not to exceed ninety (90) days and wN demonstrate justifrabie cause for the . If work ceases for ninety (90) consecutive days, the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A 'NOME - OF MAY RESULT N YOUR PAY TWICE FORIIIrROYEMENTS TO YOUR PROPERTY. F YOU NTB4D TO OBTAIN FINAiNCING, CONSULT A FLORIDA JURAT (F.S.117A3) Subscribed OR and � to (or 1) bermemeWs Streolbed and mown b far maned) betas me tits Who is/are personally known to and or hasihave produced Who islae per eonah kilowatt* tp me or has/have produced as idealisation. Notary Public Notary Public (boom No, Cononission No.- Nome of Notary typed: pad or stamped Name of Notary typed, printed or starry