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Home My WebLink About09-9094 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9094 ANNUAL FIRE PROTECTION MAINTENANCE _.. A w ` Permit Number: 9094 Address: 5931 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: Improv. Cost: Date Issued: 5/05/2009 Name: ACCENT Total Fees: 25.00 Address: 5931 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 5/05/2009 Phone: Work Desc: FPM ANNUAL FIRE ALARM FOR ACCENT MARKETING - SCHEDULED 5/6/09 ..::' �. ADT SECURITY SERVICE, INC FIRE PERMIT FEES 25.00 C OS/ FIRE e . - 6bf> 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." r. P T• 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 -813 -780 -0021 Permit Application Date Received ^ ,S P ' Pho ne Contact for Permit 4 2 8' Owner's Name I 'Y hn- Mary »Z`er,(j I Owner's Phone Number I $'/3 1 I7P5 I 1°?‘ /7 ,rners Address 10' C / d 61- ecD AA (Box /, 7a hi FZ 3310S g yoya Fee Simple Titleholder Name I Titleholder Phone Number I 1 I I Fee Simple Titleholder Address Job Address 16 6 Gall f3/ v d, Ac C en r Ma Ke r/ o Lot # Sub Division Parcel # I n Bio- Hazard Waste Storage - ANNUAL n Fumigation Tent (7 n Comm Exhaust Kitchen Hood/Duct n Lf - - Hazardous Material (Tier II or RQ Facili ) ANNUA( 0 -/ n Controlled Bum n Hood Installation 5 n Emergency Generator < 30 kw n LP /Natural Gas - Installation n Emergency Generator> 30 kw n LP /Natural Gas - ANNUAL Sale n Fire Protection Maintenance - ANNUAL n Places of Assembly- ANNUAL Itlin371 'Semi, WA Other Sprinkler ❑ ❑ ❑ n Recreational Bum Fire Alarm / M ❑ ❑ ›It i J n Sparklers Hood Cleaning ❑ ❑ ❑ n 9 n 7 I I n Sprinkler System Install 'ons 7 iJ Hood Suppression ❑ ❑ ❑ I I n Standpipes (SprinklerS s) n Fire Alarm Installation n Torch Roofing/Tar Kettle / n Fire Pumps n Waste Tire Storage ANNUAL ) ''! n Fire Works I Flammable Application- ANNUAL I .4 I Valuation o roject Fuel Tanks 0 Other: I Contractor Company Signature Registered Y/ N I Fee Current I Y/ N I Address I I License # I I ELECTRICIAN Company Signature Registered Y/ N 1 Fee Current I Y/ N I Address ( I License # I PLUMBER I I Company Signature Registered Y/ N I Fee Current I Y/ N I Address I I License # I MECHANICAL Company Signature I Registered Y/ N j Fee Current 1 Y/ N I Address I I License # OTHER Q Company 1 y` e L U Signature L_ ll/le _ I v /G�3 C Registered IoI� Fee Current Vaal Address I 5701 Al 14 re rS j/p. my A, rt.. 3 34 3 a License # 1 4: eD OV /a 3 I Directions: �" i 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 (httpi /appraiser.pascogov.com) • NOTICE OF DEED RESTRICTIONS: The undersigned ns. The undersigned at assumes pepermit sponsib responsibility forrcompl a an which may be more restrictive than County regulations. -applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has - hired - a -contractor 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 ply 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 permitting .privileges in Pasco County. CONSTRUCTION LIEN LAW (Chapter713, Florida Statutes,- — mh n ): If f Const of n work ei $ ,500.00 or o e , 1 certify that I, the applicant, have been provided with a copy of 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 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. t f am affidavit the AGENT F comme commencing OWN co R, truction. I in good derstand faith that ainform separate permit may be required for conditions electrical work, t affidavit prior to comme plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. permit a s a a ny p i io consth technical codes, nor shall issuance of a permit p not as event the Building violate, Official from thereafter requiring set aside any correction of r the shall become invalid unless t a correcti t h of errors in plans, ermit is violations any codes. commenced within six months of permit issuance, or work authorized by unless the work authorized abandoned period such p m a pb r is es ted, spend in d or g, from the Building Official for a period not to exceed t n nety days and will demonstrate may justifiable cause re au see se f or the i h e eaten 90 consecutive days, the job is considered abandoned. justifiaauoh extension. If work ceases for ninety ( ) WARNING TO OWNER: YOUR FAILURE TO YOUR PROPERTY. NOTICE IF YOU INTEND TO OBTAIN FINANCING, NG CONSULT PAYING TWICE FOR IMPROVEMENTS WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) CONTRACTOR OWNER OR AGENT Subscribed and sworn to (or affirmed) before me this Subscribed and sworn to (or affirmed) before me this by by Who islare personally known to me or has/have produced Who is/are personally known to me i has/have dentifi identification. produced as identification. as icati Notary Public Notary Public Commission No., Commission No. Name of Notary typed, printed rinted or stamped Name of Notary typed, printed or stamped