HomeMy WebLinkAbout09-8980 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 8980
ANNUAL FIRE PROTECTION MAINTENANCE
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Permit Number: 8980 Address: 5118 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 - 0010 - 07000 - 0011
Improv. Cost: r W . , _ I °: � ads. ��� .t . .
Date Issued: 4/02/2009 Name: FU GARDENS
Total Fees: 25.00 Address: 5118 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/02/2009 Phone: (813)788 -4586
Work Desc: FPM- SEMI HOOD SUPPRESSION- FUNG GARDENS- SCH WK 13TH APRIL
FIRE FIGHTER, INC. 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." ril•
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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
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.... City of 2ephyr
(' Fax -813- 780 -0021
g1 7so -DD2o Fire permit Application
Phone Contact for Permit 1 gr/ 3 1 9! 6 I6 y6 f.
Dat Received t
Own er s N // Owners Phone Number
Owner's Name f"✓ ' ^ ' 6 r�G
Owner's Address S
6 .g/v i 3351/ 1 1
- titleholder Phone Number
Fee Simple Titleholder Name
Fee Simple 'Titleholder Address 1�s — °".� K ":� r
: .. ,. 6iv6/ 2e X ‘,// G/ 3y > Lot#
Job Address ��� --.4? ��
Parcel #
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Sub Division"
1 C Fumigation Tent
1 Bio-Hazard Waste Storage - ANNUAL
Hazardous Material (Tier II or RQ Facility) ANNUAL
1 I Comm Exhaust Kitchen Hood /Duct j Hood Installation
1 - Controlled Bum C
LP /Natural
Gas - installation
1 Emergency Generator < 30 kw � LP /Natural Gas - ANNUAL Sale
1 � Emergency Generator> 30 kw � places of Assembly- ANNUAL
J Fire Protection Maintenance - ANNUAL
� Icltrlyl ' e
b rm (
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7 � � Recreational Bum
Sprinkler
Fire Alarm 1
1 ID 0 ID I 1 1 Sparklers
71 Sprinkler System Installations
Hood Cleaning El ID CI
o �' 0 I ( Standpipes (Sprinkler Sys)
Hood Suppression 1
1 1 Torch Roofing/ Tar Kettle
1 Fire Alarm Installation I Waste Tire Storage ANNUAL
Fire Pumps
1 1 Fire Works Valuation of Project
1 I Flammable Application- ANNUAL 111111.1111111111111
1 1 Fuel Tanks
Other: 1
Company .I
Contractor l Registered i L Y/ N I Fee Current Y/ N Signature I • Address I 1 - License #
Company
Signature nature 1
ELECTRICIAN Registered Y / N 1 Fee Current i Y / N 1 .
I 1 1
License #
Address 1 .
Company
PLUMBER Registered E Y / N 1 Fee Current 1 Y / N
Signature 1
Address 1 License #
1 Company
MEnature g
ALI I Registered 1 L Y / N I Fee Current Y / N
• Signature I!
-License #
Address 1
OTHER Company
Registered Y/ N 1 Fee Current 1 Y/ N
Signature
Address License #
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 raiser. asco ov.com
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Allow 10 -14 days for review after submittal date. Parcel # - obtained from Property Tax Notice ( p pP P g )
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`NOTICELOF'DEED RESTRICTIONS: The undersigned understands that this permit may -be subjectao - "deed ":restrictions"
which may be more restrictive than County regulations. The•.undersigned.assumes responsibility .for:compliarite'with any
.applicable deed restrictions.
UNLICENSED 'CONTRACTORS AND - ` CONTRACTOR RESPONSIBILITIES: If'the owner has - hired - :a - contractor or -
contractors undertake work, they may be required :to be licensed in accordance with state and local If the
contractor is not licensed as required by law, both the owner .and contractor may be cited - for .a misdemeanor violation
under state law. If the owner or intended contractor are uncertain .as to what licensing requirements may :apply for the
intendedwork, they are advised to contact the:Pasco County Building Inspection Division — Licensing Section_at 727 - 847-
8009. Furthermore, if the owner has hired .a 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 properly licensed and is not entitled - to 'permitting .privileges in Pasco
County.
CONSTRUCTION .LIEN LAW (Chapter713, Florida Statutes,.as:amended): If valuation of work is $2,500.00 or more, I
certify that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law— Homeowner's
Protection Guide" prepared by Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the "owner ", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver itto the "owner" prior to commencement.
CONTRACTOR'S /OWNER'S - AFFIDAVIT: I certify that all the information in this application is 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 permit to do work and installation as indicated. I certify
that no work or installation has 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 I understand that the regulations of other
. 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 am the AGENTFORTHE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I 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
set 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 for ninety (90) consecutive days, the job is considered abandoned.
'WARNING TO OWNER: YOUR FAILURE TO RECORD A 'NOTICE 'OF 'COMMENCEMENT 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.
FLORIDA JURAT (F.S. 117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and swom to (or affirmed) before me this Subscribed and swom to (or affirmed) before me this
by by.
y Who is/are ersonally known to me or has/have produced
Who is /are personally known to me
i has/have produced p as identification.
as identification.
N
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped