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HomeMy WebLinkAbout09-9114 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9114 ANNUAL FIRE PROTECTION MAINTENANCE . . \ki ''` g r T =`; 44 - ' as _ `� . . . :' . � r �, _� � � �� 7` _ Y =' '. 44s Permit Number: 9114 Address: 7446 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: Improv. Cost: Date Issued: 5/08/2009 Name: SYBEA,INC.(ARBY'S) Total Fees: 25.00 Address: 7446 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 5/08/2009 Phone: Work Desc: FPM- SUPPRESSION SEMI- ARBY'S FIREMASTER FIRE PERMIT FEES 25.00 a.... C 0 t • s PT .. . a '' zx \. E ..;.s f_ .. : � a - `- >.• s...s4lt9a e. ,- s -z - ,t ® 3 a a 3 .. s FIRE ACC EACE Final qvt 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." el - /� Aar 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- 780 -0020 City of Zephyrhills Fire. Fax- 813-780 -0021 Permit Application Date Received 0 j S^ 7-ezi �J Phone Contact for Permit fp / 3 ii 75 6 Owner's Name 1 Owner's Phone Number I 1 11 Owner's Address Fee Simple Titleholder Name Titleholder Phone Number 1 1 1 1 Fee Simple Titleholder Address �-7 . _, °. Mrr.�a: tr��5';s;z=.*'� Job Address / 4 / 4 1 & 6,-.2.1/ 13 ". A r"b `3 Lot # 1 Sub Division Parcel # I ',r xrs - ::- �,;,:.•s.�srs �.a:::;.: :ra:,mu =r ,* s ° *,� •>.:•:a w: .Fa,: s a,. =. r_s_ a: xaa� „{.�... w- . < -: I I Bio- Hazard Waste Storage - ANNUAL I I Fumigation Tent El Comm Exhaust Kitchen Hood /Duct I Hazardous Material (Tier II or RQ Facility) ANNUAL ni Controlled Bum ( Hood Installation pi Emergency Generator < 30 kw I] LP /Natural Gas - Installation El Emergency Generator> 30 kw I1 LP /Natural Gas - ANNUAL Sale I Fire Protection Maintenance - ANNUAL Ii Places of Assembly- ANNUAL IUtnyl'Semmi r ""' 1 Other Sprinkler r1 ❑ ❑ ❑ n Recreational Bum Fire Alarm n ❑ ❑ ❑ I I I l Sparklers Hood Cleaning n ❑ ❑ ❑ I I n Sprinkler System Installations Hood Suppression 1 --- ❑ 3d ❑ 1 ( I I Standpipes (Sprinkler Sys) n Fire Alarm Installation (` I Torch Roofing/Tar Kettle I Fire Pumps Ii Waste Tire Storage ANNUAL I] Fire Works F-7 Flammable Application- ANNUAL I 79/OQ I Valuation of Project rI Fuel Tanks ri Other: I W Contractor '-�� " _ •sue `e , . . > Signature I ✓ S I Company m/�/G � /� - F, /'Ylc. 5 ✓ r- Registered Y/ N I Fee Current I Y / N I Address I r f c I !sG L Pict r 4.5 lvL -7-a„,./a____ I License # ( - 7/5/f d( a C.X , I ELECTRICIAN! I Company I Signature Registered Y/ N I Fee Current I Y / N I Address I I License # I I PLUMBER I I Company Signature 1 Registered Y/ N I Fee Current I Y/ N I Address I I License # I MECHANICAL I Company I Signature I Registered Y/ N j Fee Current I Y/ N I Address I I License # I OTHER f I Company Signature I 1 Registered Y/ N . 1 Fee Current I Y/ N I 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 Allow 10 -14 days for review after submittal date. Parcel # - obtained from Property Tax Notice (http / /appraiser.pascogov.com) NOTICE may .DEED "RESTRICTIONS: The undersigned ula g d ons. The undersigned assumes responsibility for:c mpl ace with any which any which may y be more restrictive than County applicable deed restrictions. UNLICENSED CONTRA`C CONTRACTOR ged to be E ce nO sed S!B ac i co E dance with state and local regulationsc If contractors to of li en s they co der t is not lic the owner n r or intended contractor are uncertain contractor may be cited - for a what licensing r qui misdemeanor may violaion under state law. If the owner o they intended 0 0 9. k, m o r are e, if t he oow t ne r has hi edea contractor County or o tors, hel�s Division—Licensing dvsed to ha e he cost actor(s) sign 809. emrhe wr 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 (Chapter 713, Florida Statutes, ,a a a d If Const on r i $ ,500.00 or more, I certify that I, the applicant, have been provided with a copy o is someone Protection Guide" prepared by the Florida Department of Agriculture above described document and prompse faith th to other than the "owner", I certify that I have obtained a copy of the deliver it to the "owner" prior to commencement. and CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the iinformation regulating this ap r pl cti d o is rag u aa t l and that all work will be done in compliance with all applicable that o no work or installation t ha e commenced pr issuance of a permit and' that t all t work will indicated. be performed certify to that wok instio meet standards of all laws regulating construction, County and City codes, zoning regulations, and land developmen a g e e n c ie tions i s may a tppp i jurisdiction. othe tended work, and that it is my understand responsibility to ident ify t what actions I government gnie Y must take to be in compliance. If i AGENT FOR THE OWNER, ru l inform separat permit may be requiired for conditions t a electr cal work, this affidaida vit prior to commencing construction. I understand that a plumbing, ed shall sis, wells, on air o b ' e a lice se to p other the work and not as authority to d violatee cancel, alter, or se a s i a a any rov is io construed to fter set aside any provisions of the technical codes, nor shall issuance of a permit prevent the t issued shall become loyal d requiring a correction of errors in plans, construction or violations of any codes. Every p unless m it work it is suspended o or authorid a b such andone d f f ais period od of six (6) within six months of after the time e the t work is commenced. An authorized xtension the permpended r bd may be requested, in writing, from the Building eOfo (90) days, thejob is deed ab will andoned demonstrate justifiable cause for the extension. If work RESULT WARNING OWNER: FAILURE TY.TIF ICE OF COMMENCEMENT YOU INTEND D TO OBTA N NANC NG CONSULT PAYING TWICE FOR IMPROVE TO YOUR PROPER MENTS • MENCEMENT. WITH YOUR LENDER OR AN ' TT 01 RNEY BEFORE RECORDING YOUR NOTICE OF FLORIDA JURAT (F.S. 117.0 ' / Alle . ,'� CONTRACTOR OWNER OR AGENT Subscribed and swom to (� affirmed) before me this Subscribed and swom to (or a " ed) before m his by by Who is/are personally known to me or has/have produced Who is /are personally known to me or has/have produced as identification. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped