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HomeMy WebLinkAbout09-8985 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 8985 ANNUAL FIRE PROTECTION MAINTENANCE mka. � 4 tg .�.t k^ m �v+�o- r � �� a+& a»� �ea �• Yv �� i .. Permit Number: 8985 Address: 6848 GALL BLVD 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: 02- 26 -21- 0010 - 00900 -0020 Improv. Cost: � Date Issued: 4/06/2009 Name: ZEPHYRHILLS CINEMA 10 Total Fees: 25.00 Address: 6848 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 4/06/2009 Phone: Work Desc: FPM- ANNUAL FIRE ALARM- ZEPHYRHILLS CINEMA 10 - SCH 4/6/09 THE HARTLINE ALARM CO.,INC. FIRE PERMIT FEES 25.00 V ':12;77r: rw 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 -78O -0020 City ofZephyrhillsFire- Fax - 813-780 -0021 Permit Application Date Received Permit Owner's Name ZC /) y e I.: `!S OA t•• eb Owner's Phone Number 8V115 -J j t }- Owner's Address b � / �'r Q � V �/ Z,e�� y r ;AM S I r C Fee Simple Titleholder Name Titleholder Phone Number Fee Simple Titleholder Address I :T „.e 1' A LX }7J' PVkwk ate i ...: �.. �,... '�re. "?' t.mzwb�u; ' w «.,.. ' ' �f .� ,.. »:..,: :.0 .., i. _ ..:,.. . ”. rNN„ I':% �'. �t�. �Ffi%:. Sr .°i,.u'�':r .,. ,.,�,a ..n.�w...,. v.,........F�r . ..a.,: .�. u.-..r .,...,...«.� ,,. .. ,. Lot* Job Address Sub Division - Parcel IT Bio-Hazard Waste Storage - ANNUAL n Fumigation Tent Comm Exhaust Kitchen Hood /Duct I Hazardous Material (Tier II or RQ Facility) ANNUAL n - Controlled Burn 1 Hood installation Emergency Generator < 30 kw n LP /Natural Gas - Installation I Emergency Generator> 30 kw I I LP /Natural Gas - ANNUAL Sale Fire Protection Maintenance - ANNUAL I I Places of Assembly- ANNUAL J L.ttrlyl JSemi I pZ71 'Littler : 6 Z Sprinkler n ❑ ❑ ID Recreational Bum 1 Fire Alarm ---7 ❑ ❑ 2(J Sparklers Hood Cleaning n ❑ ❑ ❑ J Sprinkler System Installations Hood Suppression I ❑ ❑ ❑ J J Standpipes (Sprinkler Sys) f] Fire Alarm Installation I' Torch Roofing/Tar Kettle Fire Pumps I Waste Tire Storage ANNUAL Fire Works Flammable Application- ANNUAL Valuation of Project Fuel Tanks n Other: I Contractor i t Company Signature jt ( Registered _ Y / N Fee Current I Y / N Address 1 1 License* 1 ELECTRICIAN Company Signature Registered _ Y / N Fee Current Y / N - Address I License # PLUMBER Company Signature Registered Y / N Fee Current Y / N I Address I I License* 1 MECHANICAL Company Signature Registered - Y / N Fee Current 1 Y / N Address 1 • License # I OTHER, Company Signature Registered Y / N Fee Current 1 Y / N Address License # I , e s,,, ..,am.. - ..... Dam 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 ft- obtained from Property Tax Notice (http: / /appraiser.pascogov.com) ‘NOTICE OF 'DEED RESTRICTIONS: The undersigned understands i at this permit may .be su i elianee r w h any which may be more restrictive than County regulations. - The�.un 9 .applicable deed restrictions. UNLICENSED CONTRACTORS AND - CONTRAea O RRE RESPONSIBILITIES: Bac with ate and local ea contractor or violation contractors to und w as tquy may be r q I for the under a is not lie t owner n r or intended by law, the owner certain as t a what licensing quirements may :apply under state law. If the owner or inter Inspection Division — Licensing Section_at 727-847 - intendedi�work, they are advised to contact the Pasco County Building Insp which co y will contractors, responsible. If you, have the owner sign as the Furthermore, if the owner has hired .a contractor or contractors, he is advised to have the coiteraecs° (s pasco in p009. lication co to r , the "contractor that may b Block" of this app licensed and is not entitled permitting .pri i 9 contractor, ay be an indication that he is not properly 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 Ilcant is someone and Consumer Protection Guide" prepared by'the Florida Department of A of the described Affairs. and promIf the in good faith to other than the "owner ", I certify that I have obtained a copy deliver it'to the `owner" prior to commencement. that all the information in this application is accurate and that CONTRACTOR'S/OWNE will be don in AFFIDAVIT: I certify licable laws regulating construction, zoning and land that all work will li done in compliance with t i app permit and that all work will be performed to development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify met ee t standards rd s of inofa la laws regulating has gummen construction, County p City codes, .zoning regulations, and land e d prior to issuance meet adrd all la 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 g° conditions set forth in must take to be in compliance promise in good faith to inform the owner of the permitting this i affidavit the AGENT commencing HE OWNER, I p application. A vit rior to commencing construction. I understand that specifically be for electrical work, this plumbing, prior gas, or other d d violate, n cancel, alter, A plumbing, d shall wells, pools, air to be conditioning, 9 se a s issued an ro i io construed c o i s a l odes, nor shall issuance of a permits not as event the Building halt become invalid requiring aside any provisions errors in plans, construction or violations of any the technical codes, codes. Every permit issued requiring a correction of er work authorized by such permit is commenced within six after the of permit t issua n commenced. authorized extension unless the (90) days e nd will demonstrate by m a p r is suspended ed, in or g, from the a period for period not to exceed ninety ( G a ) may be requested, in writing, from the Building gp 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'NOTI YOU INTEND *COMMENCEMENT M I RE U TCONSULR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDAJURAT (F.S. 117.03) CO��y -FOR pWNHR DR AGENT Subscribed and sworn to (or affirmed) before me this Subscribed and swum to (or affirmed) before me this b by Who i' s/are personally known to me or hasaSade identification. Who i s/�personally known to m as dentification Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped