HomeMy WebLinkAbout09-9300 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9300
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 9300 Address: 7446 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: 0 3 _ 777 j
Date Issued: 6/29/2009 Name: SYBEA,INC.(ARBY'S)
Total Fees: 25.00 Address: 7446 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/29/2009 Phone:
Work Desc: FPM- HOOD SEMI- ARBY # 05906- SCH 7/1/09
FIRE PREVENTION SYSTEMS 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." �r
/A 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 1 1 Phone Contact for Permit
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Owner's Name An C 4, i ii d s Owner's Phone Number [' 3 7 l; 78-ii 33 7
Owner's Address '/' G4,rL 8 )0 a- ,90; G4 , ' ,
/
Fee Simple Titleholder Name Titleholder Phone Number
Fee Simple Titleholder Address I
Job Address / 5✓ 6 "j /4,F6 ,6 C ,,. j06 ze7ei' `T..t"GL S FL.. Lot #
Sub Division Parcel #
Z.Z «;'.. .. F .<. .4'R ;Z :...z =Ek z..344 »e...UMPL —444%9G sW: .W,RPI .# is d«' i '": O..1..BS"IMMAIR °G ^ 4.: ,11AVM ?a .e,M s m sir z ...'-2Za'Id` ss c.Azn:%&w"`".. -Re _ , ,tx.4.. ZOM; :'.4, &0 ,., ....1,1 ? 1741- "aN,, :a::w t;.
pi Bio- Hazard Waste Storage - ANNUAL I Fumigation Tent
Comm Exhaust Kitchen Hood /Duct I Hazardous Material (Tier 11 or RQ Facility) ANNUAL
I I Controlled Bum I Hood Installation
I1 Emergency Generator < 30 kw n LP /Natural Gas - Installation
71 Emergency Generator > 30 kw I LP /Natural Gas - ANNUAL Sale /� , �1 /
FT Fire Protection Maintenance - ANNUAL I Places of Assembly- A NNUAL 5 C C! 6O cite%
Iutrl Isemil I�TI tither
Sprinkler ❑ ❑ ❑ Recreational Bum 7"/ - 07 dr)
Fire Alarm s
n ❑ ❑ ❑ I I n Sparklers
Hood Cleaning It ❑ X ❑ I I n Sprinkler System Installations
Hood Suppression L1 ❑ ❑ ❑ I I n Standpipes (Sprinkler Sys)
El Fire Alarm Installation I] Torch Roofing/Tar Kettle
Ii Fire Pumps Waste Tire Storage ANNUAL
( I Fire Works
Flammable Application- ANNUAL ' ` :S/ 5 -� ( Valuation of Project
I i Fuel Tanks
I—I Other: I
..R:z. _..a rkreka , 1a ,r t. Y a.a.::ria N+cwa.Ngitgi �° ..., Rim "WAtze e "reMe ..: eft a. tMig i .'a. K A ... w A R.. th, t._: k i zex w , .e.€;�;a:� s ° uVai ' .c..?' . t - °mmati la
Contractor ^ /f
{/ ..,/�" /C Company
Signature ✓ Registered Y/ N I Fee Current I Y/ N J
Address I 4 1/ 19/20(A-$4/26 1 to I License*
vetffel'ITICTAITN �1
(8 C,? ` _ 7 o / ! 7 /fN I re.... s Company I
° / (0 Registered Y / N _I Fee Current I Y / N
Address I I License #
PLUMBER Company I
Signature Registered Y/ N I Fee Current I Y/ N I
Address I I License # I
MECHANICAL Company
Signature Registered Y/ N I Fee Current I Y / N j
Address I License # I
OTHER Company I
Signature Registered Y/ N I Fee Current I Y/ N I
Address I License # I
Direc cion tions.
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)
which NOTICE
may DEED RESTRICTIONS: be more restrictive than County regulations. The undersigned as assumes responsibility it ty for compliance s
omp) anTceSwith
which y 9
applicable deed restrictions.
UNLICENSED CONTRACTORS CONTRACTOR dto be RESPONSIBILITIES: esedacodance with state and local If
contractors to undertake work, they may
co t a is not lic the owner n r or intended the owner and contractor may be
uncertain as to what licensing t r e requirements n may violaion
under s law. If the ow or is
intended work, they are advised to contact the Pasco County Building Inspection s Dd std to have the co s ign
80 Furthermore, if the owner has hired a contractor or contractors, he
as the
portions of the "contractor Block" of this he application is not prroperly I licensed is not entitled it ed to y ou,
permitting privileges gn Pasco
contractor, that may ay be e an indication that
County.
500.00 or more,
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, -a s ame d e ): I alua ion of
on work $aw— Homeowner's
certify that I, the applicant, have been provided with a copy
Prtectio than n the owner", I c c e by th rtify th at I have obtained Department copy of Agriculture and Consumer
described Affairs. If the
and promise in good o good fa th to
ter tha
te "oner ", I e
deliver it to the "owner" prior to commencement.
CONTRACTOR be d oone i compliance lliiance with all pplicable laws information regulating construction, that all work will consttruct on zoning and land
l bed P
that op work Application ih has commenced prior to issuance
of a permit and that allwork will be performed certify
that no work or installation has co land
meet standards of all laws regul u"sdicfon strl l c a l lso certify d l understand that the e egulations a of other
development regulations in the )
government agencies may apply to the intended work, and that it is my responsibility to identify what actions
must take to be in compliance.
forth in
If I am the AGENT FOR THE OWNER, I promise I in good
understand that permit may be required for i electr c work,
this affidavit prior to commencing constru ction
plumbing, signs, wells, pools, air conditioning, Ce se to oceed the work and not as ority to violates ane or
permit issued shall construed a I P
set aside any provisions of the technical al codes, nor shall issuance of a permit prevent the
t issued shall from
owe lthereafter d
requiring a correction of errors in plans, construction or violations of any codes. Every p
issunce, or if work unless the work authorized by such permit is commenced m after the ti p e the workas commenced An
the permit is suspended or abandoned for a pe riod of six (6)
may be requested, in writing, from the Building (90) consecutive days, theejob ity ablandoneddemonstrate
justifiable cause for the extension. If work ceases Y RESULT
WARNING TO OWNER: YOUR FAILURE TO R RECORD A NOICE OF PROPERTY. IF YOU INT TO OBTAINnFIANANCING CIONSULT
PAYING TWICE FOR IMPROVEMENTS TO YOUR
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03)
CONTRACTOR
OWNER OR AGENT ibed and swom to (or affirmed) before me this Subscr
Subscribed and swom to (or affirmed) before me this 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