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Home My WebLink About09-9279 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9279 ANNUAL FIRE PROTECTION MAINTENANCE 4 M r Permit Number: 9279 Address: 6030 GALL BLVD Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL. Class of Work: FIRE - PROTECTION MAINTENANCE Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 03 26 - 0010 - 12800 - 0000 Improv. Cost: fisa �s : ,,. ' ' " ".: Date Issued: 6/24/2009 Name: GALL BOULEVARD LAND TRUST Total Fees: 25.00 Address: 350 HARBOR PASSAGE Amount Paid: 25.00 CLEARWATER, FL 33767 Date Paid: 6/24/2009 Phone: Work Desc: FPM- FIRE ALARM ANNUAL- BEAL'S OUTLET #542- SCH 6/24/09 SCARSDALE SECURITY SYTEMS INC FIRE PERMIT FEES 25.00 } "` V V 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." OUP' 1i 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 ofZephyrhiilsFire• Fax - 813 -780 -0021 Permit Application Date (4,-9.11-0.1 Received ... Phone Contact for rm.. it Owner's Name Ilk 1 ( S l( 1 (P T 5-LE'2. . Owner's Phone Number , Owner's Address Fee Simple Titleholder Name J I Titleholder Phone Number - • Fee SimpleTitlehoider Address �� ^ { ^' a, .,r y. Y i g '` gnmvio .wAR..z..: e.� .,;..1.4.••.;•:• . .x / u :.':v,.x a. .ry l ,,,, —: . #e' ... .. v.. . ...., .w .. .. .:. ,. ..w' t i .I 02 �` €.:3"4. YfEd : ,.. i� .. , ..a... m'. . , . . �.. x, u... „.. .,. •....v.... v,uw 3 Job Address (e 0 3 0 Gl/I G1'ok • . Lot # Sub Division 1 1 Parcel # N p . = a ,., •.�zfr �� _ 1 Bio-Hazard Waste Storage - ANNUAL n Fumigation Tent Comm Exhaust Kitchen Hood/Duct 1 Hazardous Material (Tier II or RQ Facility) ANNUAL n - Controlled Burn 1 1 Hood Installation Emergency Generator < 30 kw 1 1 LP /Natural Gas - Installation Emergency Generator> 30 kw n LP /Natural Gas - ANNUAL Sale Fire Protection Maintenance - ANNUAL 1 ( Places of Assembly- ANNUAL Hwy] lsemi1 on miaml Sprinkler n ❑ ❑ ❑ Recreational Bum Fire Alarm ❑ ❑ a' I I Sparklers Hood Cleaning n ❑ 0 ❑ I Sprinkler System Installations Hood Suppression C ❑ ❑ ❑ 1 1 I Standpipes (Sprinkler Sys) • Fire Alarm Installation 1' I Torch Rooting/Tar Kettle Fire Pumps 1 1 Waste Tire Storage ANNUAL Fire Works Flammable Application- ANNUAL M ( Valuation of Project , 1 Fuel Tanks 1 1 Other: 1 �.. Contractor ' �'�(�Gb�1 Company . ' SdCI cuvre S s s Signature 0 � ) 0 . ' Gi`^ (G Registered Y / N Fee Current Y / N Address 1 1 License # 1 ( • ELECTRICIAN Company Signature Registered Y / N Fee Current 1 Y / N J Address License # PLUMBER Company Signature Registered Y / N Fee Current - Y / N Address 1 1 License # 1 MECHANICAL Company Signature Registered Y / N Fee Current 1 Y / N Address 1 •License# OTHER, Company Signature Registered Y / N Fee Current 1 Y / N Address License # rr"�.")&iTS iel rw,...m,,,,,, —, Directions: Fit 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) 'N rictions" OTICE: The undersigned The undersigned a responsib'Ibty forcomplian e�with any which may be more restrictive than County regulations. _applicable deed restrictions. UNLICENSED 'CONTRACTORS AN e red � be RE enOsedSnBacleo IES: the owner has - hird - :a danc with state and local e regul - contractor ions Ifthe contractors to undertake work, they may contractor is s as not licensed. as required by law, both the owner and contractor may be cited for a misdemeanor p anor vio ation ng under state law. If the owner or intended contractor o County licens D vis on—L c :at r84 8009. for F they are o the , Pasco asc 8009. Furthermore, if the he owner has has hired 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 riot properly licensed and is not entitled permitting privileges in Pasco County. ff valuation of work is $2;500.O0 or more, I of 'the "Florida Construction Lien Law — Homeowner's CONSTRUCTION .LIEN LAW (Chapter713, Florida Statutes,.a : certify that I, the applicant, have been provided with a copy is someone Protection Guide" prepared by Florida Department of Agricure and Consumer the above described Affairs. and prompsean faith to other than the "owner", I certify that 1 have obtain copy deliver it!to the "owner" prior to commencement. that all the information in this application is accurate and CONTRACTOR'S /OWNERS .AFFIDAVIT: I certify applicable laws regulating construction, zoning and land that all work will be done in compliance with all app development. Application is hereby made t pr ior to issuance of a permit and-that installation will be performed to m et t a n d rd or in i has gumme construction, County and City codes, .zoning regulations, and land meet standards of all laws regulating 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. derstand that a separate permit may be required for electrical work, If I am the AGENTFORTHE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I un plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. permit issued shall be construed to be a license to shale with the work a permit prevent authority to ding violate, Officeal from thereafter p permit issued shall become me leaf thereafter requiring aside any provisions r the in plans, construction or violations of any co codes, nor requiring a correction of errors in plans, des. Every issunce, or if work unless the work authorized by such permit is commenced �months after t me. the�workas commenced Anhextension the permit is suspended or abandoned for a period of (6) for p eriod not to exceed ninety (90) days and will demonstrate may be requested, in writing, from the Building Official, justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A'NOTIF YOU ' N MEN N FA RE U T IN YOU CONSULT PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. 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 Subs Subscribed and sworn to (or affirmed) before me this by by WhoWho is/are known to me or has/have produced Who is /are personally known to me or hank has/have produced as identification. produced as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped