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HomeMy WebLinkAbout09-9001 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9001 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 9001 Address: 6056 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: 03- 26 -21- 0010 - 11300 -0000 Improv. Cost: Date Issued: 4/07/2009 Name: MCDONALDS USA, LLC Total Fees: 25.00 Address: 6056 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 4/07/2009 Phone: Work Desc: FPM - SUPPRESSION SEMI- MCDONALDS- SCH MONTH OF APRIL HERNANDQ FIRE & SAFETY EQUIPMENT FIRE PERMIT FEES 25.00 (C§.6 r i Vt� > �?- . *..�',�' t i•��BS, x ,,,u, . _ '.la 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." ark r.■OVY P 111 "• 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 r • 813- 780.0020 City of Zephyrhills fht8t Fax- 813.780 -0021 Permit Application Date Received Y 1 • ' • Phone Contact for Permit 1 1 I _ LI Owners Name .. Owners Phone Number 1 1 I l Owners Address ♦ 0 • t>: �Z — _ fr. AL r _ IC- `' , Fee Simple Titleholder Name ` 1 Titleholder Phone Number 1 Fee SlmpleTNlshwiderAddress Job Address i i I — - - -- 1 Sub Division Parcel* , a . Q Bio•Hszard Waste Storage - ANNUAL a Fumigation Tent • E3 Comm Exhaust Kitchen Hood/Duct 0 Hazardous Material (11er 11 or RQ Facility) ANNUAL ED Controlled Bum = Hood Installation ED Emergency Generator < 30 kw LP/Natural GasdnsLtlation j ii Emergency Generator > 30 kw LP/Natural Gas- M4NUAL Sale Fire Protection Mair nonce - ANNUAL Pisces of Assembly-ANNUAL MI DEM ® .,_. Sprinider i 0 0 0 Ed Recreational Bum Firs Nam 0 0 0 _ Sp.dd.rs Hood Cleaning 0 0 0 Sprinkler System installations HoodSupvrssion a a k Starx4pes(Sprinid.rSys) . Fire Alarm ktateYtian Torch RooMrg/Tar Kettle • Fire Pumps - . - Waste Tire Storage ANNUAL Firs Works , Fl.msm.bl. Application- ANNUAL ! ( Valuation of Project • Fuel Tanks Mill e diraCIIIIIMINNIAMIN s / Addraea /a®pA : .1�®.® ®.17 - - r' . ► 7,�' ®. Uosnss S ® i 1 1; .W1 4 , .vim. ii ; ELE Company Signature Registered Y / N Fee Current nt 1 Y / N I Address 1 •-' License ft UMBER ComPanY signature i Registered Y N Fie Current 1 Y/ N 1 I Address I Lien. e I I Company RI Sigrease Registered Y / N I Fee CURIUM 1 Y / N Address ` 1 Lions. #t I I OTHER Registered l Y/ N• I Fee Current J Y/ N 1 I A AOKI!' I I License K. I 1 Directions: . MI of r i . of signed contract with owner) OmMri Corrtrss�ter bi �d {Qr, word over S5000) M oer*2l100. a No&. Supply two (2) WI et Mow 10-14 days to -e f tsr swbrattsl date. ., 4 # - obtained from Property Tax Notice (htip //appraiseapaseogov.com) • 'NOTICE OF:DEED RESTRICTIONSIEliderslgned ' understands .that this permit may.besubjeeeed " resstrictions" which may be more • restrictive 'thanvOoiintpreguiations. The.underslgned .assumes responsibilityjescompliai ce'wfth any .appli deed restrictions. 'UNUCENSED .CONTRACTORS ►'ND"ICOINTRACTOR :RESP.ONSIBILRIES: • if the owner - haachired - :a ontractor or • contractors to undertake work, they may be required to be licensed In accordance with state and .local . regulations. if the contractor Is not licensed as required by law, both the owner and contractor may be cited fora misdemeanor violation under state law. .if the owner or intended .contractor are uncertain as to what licensing 'requirements may apply for the intended work, 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 I, the applicant, have been provided with a copy of the "Florida Construction Lien Law-- Homeowner's Protection Guide' prepared by the 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 it to 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 . govemment 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 AGENT FOR THE 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 oodes, nor shall istuanoe 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 sec months of permit Issuance, or if work authorized by the permit is suspended or abandoned for a period of (6) months after the time the work Is commenced. An extension be requested, in writing, from the Building Offcial for a period not to exceed ninety (90) days and will demonstrate use le cause for rt the extension. If work ones 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 TIMOR OMIENTS TO YOUR PROPERTY. IF YOU k e TO 0 F INt , CONSULT d§haa.1 r ru ass an t& � =ov; • . .. - .; i k,11 OR DA d T 11 .03) riAirjr4 OWNER MAGNI aoiindirwsel" ) bafeire ma this 1 .+fi "r�+ fo. "* '-'"" rs • . M wa:IdeflMrlC'a � known b me or hasAae�a produced Wars • fen. as iderffllioatbn. • / ` Punic Nay pffk�ilC /' .r. ... - ® / /® ® /1 a Notary Commission No, Commission No. 1 II Name of Not aitypsr or stamped Name of Notsfy-typed, pflntsd or stamped FRANCIS 4tit COMMISSION it 1 2, 2012 EXPIRES :130201bee =l2, 2412 t .e06,3340TARY F1. Neery Di,aaetAo,eo. Ca