HomeMy WebLinkAbout09-9174 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9174
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 9174 Address: 5506 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: 11 26 - 0010 - 05700 - 0256
Improv. Cost: `q .jo f "4 i'' Eti A"5r tiO,r -. Via a'.
Date Issued: 5/29/2009 Name: PHiE MOOK EN
Total Fees: 25.00 Address: 1108 W BRANDON BLVD
Amount Paid: 25.00 BRANDON FL 33511
Date Paid: 5/29/2009 Phone:
Work Desc: FPM- QUARTERLY- KFC- SCHEDULE 6/10/09
VIGIL INVESTMENTS INC FIRE PERMIT FEES 25.00
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( 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."
iTIOS7
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
',=',:2: A! ZEPHYRHILLS BUILDING FAX No. 313-73C-5021
81 3-1M^0020 - City ofZephyrhills"FliV: .... #q (l Fax-813-780-0021
. Permit Application .
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AO! •G rotection Maintenance - ANNUAL . .
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schedokel Sprinkler ' 0 0 0 • Recreational Bum
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hood Gleaning Ill ' 0 0 SPrinkler System Installations
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f — 1 Fire Alarm Installation . . Torch Roofing/Tar Kettle
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; Fire Pumps . Waste Tire Storage ANNUAL •
Firri Work, . .
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FIE out application completely. •
owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner)
it over S2500, a Notice of Commencement ie required.(Mechanical work over 0000) •
Supply two (2) sets Of drawing,' with applloable documentation
Allow 10-14 days for review after submittal dsta. . Parcel # - obtained from Property Tax Notice (http://appralser.paoccgcv.com)
. SloVi. / • . VIGIL Vigil Inc.
Wood G. Exhaust Clearing Service
3 INC.
pa litcs< 27.37137* Re 33688
Offices 813-922-9100mFax:813-932-8988
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i�t0 Bt�ia OF teEEIO•RESTRICTIONS: The undersigned understands .that this permit may. be! subjectito '"deed"'!res'trictions •
which may be more restrictive than County'regulations. The'.undersigned.assumes responsibility for:compiianetewith any
applicable deed re:3trictions.
LINLI oENI HI) :CONTRACTORS CTORS .AND'CONTRACTOR RESP- ONSIBILITIES: If the owner has 'hired' :a contractor or
corltrttot(Mr8 to undertake work, they may be required 'to be licensed in , accordance with state and local'regutations. If the
contractor is n o t licensed as required by law, both the owner .and 'contractor may be cited for a Tmisdemeanor 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 thePasco County Building Inspection Division— Licensing Sectlon.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 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
i;;o u niy.
coNsTRU TIoN.LIEN.LAW (Chapter7l3,.Florida Statutes,.ae.amended): If valuation of work is $2;500.00 or more, i
certify that I, the applicant, have been provided with. a copy of the "Florida Construction .Lien Law -- Homeowner's
Protection Guide", prepared by'the Florida.Department of Agriculture and•Consumer Affairs. If the applicant is someone
other than the "owner", i certify that I have obtained a copy of the above described document and promise in good faith, to
deliver l$ to the "owner" prior to commencement.
CONTRACTOR'S /OWNER'S •AFFIDAVIT: 1 certify.that all the Information in this application le accurate and
that all work will be done in compliance with all applicable taws regulating construction, zoning and land
development. Application is hereby made to obtain a perrnit to do work and installation as indicated. I certify
that rio 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 1 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.
IC 1 cam the AfENT •FOR'THE OWNER, t promise in 'good faith to inform the owner of the permitting conditions set'forth in
thr3 affidavit prior'to commencing construction.: 1 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 is ued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
yet asi e any provisions of the technical codes, nor shall issuance 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
unies the work authorized by such permit is commenced within six months of permit issuance, or If work authorized by
the: perrnit is suspended or abandoned for a period of six (6) months after the time the work Is commenced. An extension
may be requested, in writing, from the Building Official for a'period not to exceed ninety (90) days and will demonstrate
Justifiable cruse for the extension. If work ceases 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 TWiCE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WAIF) MOOR LENDER OR A ATTORNEY BEFORE RECOR ! LG YOUR NQIICE OF COMMENCEMENT.
FLORIDA JURAT (F.s. 197.83)
t ilfkifill OR AGENT CONTRACTO
.; cribnd and swum to (or affirrned) before me this Subscribed and sworn to (or reed) before n is
by _ • _ by
Viru i:rlare personally !crown to me or has/have produced Who Is /are personally known to me or has/have produced .
as Identification. • as identification.
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Notary Public . • — - Notary Public
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� oiriiriission No Commission No.
Nelms of Notary typed; printed or stamped Name of Notary typed, printed or stamped
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