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