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Home My WebLink About09-9339 • CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9339 ANNUAL FIRE PROTECTION MAINTENANCE A ... :� ,... ` , ,...'. ,: ar 4 " W :.t.. .: r b a ,•.,3 '70 , ..s,. •.. 4E8c Permit Number: 9339 Address: 6834 GALL BLVD BLDG A 101 104 10 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: 02- 26 -21- 0010 - 02400 -0010 Improv. Cost: �' ;.... .. . Date Issued: 7/14/2009 Name: ZEPHYR PLACE LLC Total Fees: 25.00 Address: 1135 S. PASADENA AVE STE 327 Amount Paid: 25.00 S. PASADENA, FL 33707 Date Paid: 7/14/2009 Phone: (727)504 -0256 Work Desc: FPM- SUPPRESSION SEMI- CICI PIZZA- SCH 7/15/09 '41 ,,. a •a : *,, . .y, „�., �G�.. ��', �"1��.. ,^� »a �1 - ��+r� - 4,4 FIRE FIGHTER, INC. FIRE PERMIT FEES 25.00 Sel -vI FIRE ACCEPTANCE � 7 .; �� _ ... .... 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." 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 `c/ q 2 31 Fax -813- 780 -0021 Permit Application l Date Received Phone Contact for Permit f 1 /'� (� :n:3,:.:S..aswa:.8.a'u§?'^"a a.; <a;.+a €=�:s•....::..sr .« r,.�a- ,«t..l.= arraa:�. uwr. =�^ew. .- .,:.�sa.;._ r�«a^a, x u,.�,.::<:- r�,*.�^.� -:•,.. l Y I G ..,. Owner's Name S t1.1a'Vw , 4 _ , (1 .A% Owner's Phone Number l 813 17 8 G 1 CoFY Owner's Address 7 3L( C 3( (/d- Fee Simple Titleholder Name Titleholder Phone Number Fee Simple Titleholder Address 1 I �'a;; `•�' =x- �'�a��:i�.� .s�w.�: � <•.�.;r�.,.s�:� n� =u:3*��.a �.�.�:.:°k�:�- c;1;�t <�. , �.. xi M= .a- :3�ar�s��4'��..�a`v:�^,fi;�`� $ ,;,r:.., „ ��.'! Job Address (0c'3 L/ �� 18I' Lot # Sub Division ( . Parcel # s'ac*aa,�ta„�°i, >:. .. "��ft^': :.ire; � �:r'.:.�:.� +aa�v�:�vF .�;.. ^aat . ..s.;�';�•;ra � .�-�,� ....x-.... �,e,':� as-r, � u , €, fro..'; -, xar ,.� .. ,..c•::c� - .,•:,x••.� .:.,_ ��'. ... El Bio -Hazard Waste Storage - ANNUAL n Fumigation Tent n Comm Exhaust Kitchen Hood /Duct n Hazardous Material (Tier II or RQ Facility) ANNUAL I - 1 Controlled Bum n Hood Installation I - 1 Emergency Generator < 30 kw n LP /Natural Gas - Installation F T Emergency Generator> 30 kw n LP /Natural Gas - ANNUAL Sale Fire Protection Maintenance - ANNUAL n Places of Assembly- ANNUAL ry (J tither ( tither Sprinkler n ❑ ❑ ❑ n Recreational Bum Fire Alarm n ❑ ❑ ❑ I 1 n Sparklers Q Hood Cleaning n ❑ ❑ ❑ 1 1 n Sprinkler System Installations - 7//, -- /O Hood Suppression ❑ 10 ❑ I I I I Standpipes (Sprinkler Sys) El Fire Alarm Installation n Torch Roofing/Tar Kettle El Fire Pumps n Waste Tire Storage ANNUAL n Fire Works n Flammable Application- ANNUAL I Valuation of Project n Fuel Tanks n Other: I I ,� ":'k:S� f' C, 6"'?.*. CYF'. a': xC` i^° ffiaR�eTs, 4i.,:::,°. a€ S�, aix'+ a'%._,"_<:+ 5".*_' 3"..^.° t. 1A 'Hs:.;:?r'r�.�,ez'L';»` °�.&€*, " t5Y' R�.; :'.4 "xt•�n`- ,.^,a`.: +b;d"zS`k#! Via?#' tb '^eiGtiw.',fi`s'Se.,�.+'6.m"Y3:.0 " A',`'k;7s§',': .. .tea Contractor Company Signature Registered Y/ N I Fee Current I Y/ N I Address I I License # ELECTRICIAN Company Signature Registered Y/ N j Fee Current I Y / N I Address I I License # ( I PLUMBER Company I Signature Registered Y/ N J Fee Current 1 Y/ N 1 Address I I License # I I MECHANICAL Company I Signature Registered Y/ N 1 Fee Current I Y / N I Address I I License # I ■ OTHER Company 9Nre. P x, 441 I Signature �' I' , / Registered Y / N I Fee Current I Y / N I Address . e9 . ' Tang ri 1.11111111111 License # • eh ' (Doi ( - 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 OF DEED RESTRICTIONS: The undersigned understands undersigned assumes responsib Iby for compl a with any which may be more restrictive than County regulations. The 9 ned ssume applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired :a- contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. 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 contractor for wh ch they contractors, will to the owneasign as the sign portions of the "contractor Block" of this application y will 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, - asamend " Florida Const valuation on work en is $ 2 ,5 00.00 or o e re, certify that I, the applicant, have been provided with a copy of the 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 it to the "owner" prior to commencement. CONTRACTOR'S/OWNER'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 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. tf i his affidavit am prior to the AGENT F comme nc commencing construction. in understand that inform the owner of the permitting permit may be required for conditions electr cal work, t a commeing plumbing, issued shall be con wells, on ue d conditioning, to be a cese o p other the work and not as authority to violatee cancel, application. A or permit issue sstrd 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 m e work suspended or permit b a ndoned is commenced period of six (6) within onths after the time the is commenced. authorized by extension the permit is suspended or abandoned may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate job is considered abandoned. justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the j A WARNING TWICE IC E FOR IMPROVEMENTS YOUR FA TO YOUR PROPERTY. IF YOU INTEND TO OBTA N F NANC NG CONSULT P AYING P WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT CONTRACTOR and swom to (or affirmed) before me this 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 identification. has/have fication. produced as identification. as ii Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped