HomeMy WebLinkAbout09-9198 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9198
ANNUAL FIRE PROTECTION MAINTENANCE
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Permit Number: 9198 Address: 7449 GALL BLVD
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE - PROTECTION MAINTENAN eE Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 34 25 - 0160 - 00000 - 0020
Improv. Cost : :
Date Issued: 6/04/2009 Name: SONIC RESTAURANT
Total Fees: 25.00 Address: 7449 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/04/2009 Phone:
Work Desc: FPM- HOOD SUPPRESSION SEMI- SONIC'S #5080
HERNANDQ FIRE & S AFETY EQUIPMENT 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 s pay for the costs o fire
prevention and protection related activities such as inspections, plan review, admini 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."
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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 Zephyrhilisfii@o2^ Fax-813-780 -0021
Permit Application
Date Received - - Phone Contact for Permit
Owners Name - - r A regj , 1 Owners Phone Number ) 1 I 1
I i / y
Owners Address " f I' - �. i d� / = , /
Fee Simple Titleholder Name Titleholder Phone Number
Fee SlmpieTitletolderAddress I
1921111111111•111111111■■• AIM
Job Address 1 ? & Z1 # II 43; 1 Lot* I
Sub Division 1 I Parcel # l
44
❑ Bio- Hazard Waste Storage - ANNUAL ❑ Fumigation Tent
❑ Comm Exhaust Kitchen Hood/Duct ❑ Hazardous Material (Tier II or RD Facility) ANNUAL
❑ Controlled Bum ❑ Hood Installation
❑ Emergency Generator < 30 kw ❑ LP/Nahsal Gas - Installation
n Emergency Generator > 30 kw r-i LP/Natural Gas- 4NNUAL Sale
Fire Protection Maintenance - ANNUAL n Places of Assembly- ANNUAL
Spdnldsr ❑ ❑ ❑ ❑ ❑ Recreational Bum
Are Alarm ❑ ❑ ❑ ❑ 1 1 ❑ sparklers
Hood Cleaning ❑ ❑ ❑ ❑ I 1 ❑ Sprinkler System Installations -
Hood Suppression W ❑ l CI 1 1= Standpipes (SprWder Sys)
E: Fire Alarm installation ED _ Torch Roofs g/Tar Kettle •
Fire Pumps - .. _ ❑ Waste The Storage ANNUAL
Are Works
Flammable Application- ANNUAL I I Valuation of Project
Fuel - , .
1:7-1 I
Contractor Cornpany I
Signature A. . i _Admen.- I Y/ N I Fee Current I Y/ N J
lis
Address II i ¢:� -f lY --.W .PIGS / / ,,, # Company
a�iG G/ig4PO 1 ) ! ' 5,4/1 Registered 1 Y / N I Fee Current Y / N I I
Address I I License # I I
PLUMBER Company I
Signature Registered I Y/ N I Fee Current I Y/ N I
Address I I License it I I
MECHANICAL Company I
Signature I Registered I Y/ N 1 Fee Current I Y/ N I
Address I I License # I I
OTHER Company I
Signature ( Registered I_ Y / N ' 1 Fee Current I Y / N I
Address I 1 License* I I
Directions:
FM out application completely.
Owner & Contractor sign back of application, notarized (Or. copy of signed contract with owner)
Mover $2500, a Notice of Commencement is required (Mechanical work over S5000)
Supply two (2) sets of drawings v4th applicable documentatlon -
Aliow 10-14 days for review after submittal date. Parcel # - obtained from Property Tax Notice (http:/ /appraiser.pascogov.com)
'NOTICE OF' DEED RESTRICTION mdersigned understands that this permit may. be :sublect4oQdeed":restrictions"
which may be more 'restrictive than=Countrregulations. The,undersigned .assumes responsibility jamompliaraae'with any
.applicable deed restrictions.
- UNLICENSED CONTRACTORS-AND-CONTRACTOR :RESPONSIBILITIES: - - If - the owner - has •ilk. . .L.vntractor or -
contractors to undertake work, they may be required to be licensed in accordance with state and .local If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a - 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 .8 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 indiction that he is not properly licensed and is not entitled permitting; privileges in Pasco
County.
CONSTRUCTION - LIEN LAW (Chapter713, Florida Statutes,.as.amended): If valuation of work is $2500.00 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 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'SIOWNER'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
ment agencies may apply to the in ended also
work, and at it is my understand
responsibility toeidentt other
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 specfcaily 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 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
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit 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 cause for the extension. V 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, ND TOO . FINANCING, CONSULT
;
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YO .,1 • ■ r • . T k N u T.
FLORIDA JURAT (F.S. 117.03) , �_
OWNER OR AGENT CONTRA T*' / Subscribed and sworn to (or of rmed) before me this S • y'
Who is/are personally known to me or has/have produced Who is/are • to me or has/ha 1 prod .- .
as identification.
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• Notary Public / /I • �' i ✓ / �� N N . r ry Public
Commission No. Commission No.
Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped
*• CIS SPERLAZZA
MY COMMISSION # DD844782
WIRES: Mamba 12, 2012
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