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HomeMy WebLinkAbout09-9367 (2) CITY OF ZEPHYRHILLS S C 5335 - 8TH STREET (813) 780 -0020 Pe -- . s e (9367 ANNUAL FIRE PROTECTION MAINTENANCE ea , / _ /, B• Permit Number: 9367 Ad r : 7246 GALL BLVD ' a 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: 35- 25 -21- 0010 - 07200 -0000 Improv. Cost: ° _ a 7 k Date Issued: 7/23/2009 Name: ZEPHYRHILLS RETAILS LLC Total Fees: 25.00 Address: 7246 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 7/23/2009 Phone: Work Desc: FPM- SPRINKLER QUARTERLY -PARIS NAIL SALON -SCH 7/27/09 RODA FIRE SPRINKLERS, INC. FIRE PERMIT FEES 25.00 � � ‘ \o • `( /\ 1 • Iv At r .o. ( i. aut �3`f 35 CI! � - l 5 _ / Z `f ' � ( /N'.dk 5-0-09 ..1 9';3 2 yf,ri 4 % /C4 //hacL 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." apPI , Ji� 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. � 3/ 7 Fax- 813- 780 -0021 Permit Application 7 _ _ Date Received , - Z. - do - F. 1 e Z P hone Contact for Permit r �37t t rx s� ;? + eE 446 644 :; M.. , s . ?cas ^nz•.., d r+,a _> _ .. � � a / - - __ ._ •qtr �-. -__ - _ _ ..�a+�. .. '+�a. -�,a�� ,:W,. aw,:.ck...>. Owner's Name 1 I L(„S L I Owner's Phone Number I 1 Owner's Address 12. ,ei-t.4 D j NTh Fee Simple Titleholder Name poil Vtc Titleholder Phone Number Fee Simple Titleholder Address if -4( Job Address 12M L o " 'Nis a , Y b. T o x o n ie.4) S A e Lot# Sub Division Parcel # n Bio -Hazard Waste Storage - ANNUAL n Fumigation Tent n Comm Exhaust Kitchen Hood /Duct n Hazardous Material (Tier II or RQ Facility) ANNUAL El Controlled Bum n Hood Installation ID Emergency Generator < 30 kw n LP /Natural Gas - Installation El Emergency Generator> 30 kw n LP /Natural Gas - ANNUAL Sale El Fire Protection Maintenance - ANNUAL n Places of Assembly- ANNUAL Mg (Semis (i1 Vther Sprinkler ❑ ❑ n Recreational Bum Fire Alarrn n ❑ ❑ ❑ I 1 Ei Sparklers Hood Cleaning n ❑ ❑ ❑ I 1 n Sprinkler System Installations Hood Suppression E ❑ ❑ ❑ I 1 n Standpipes (Sprinkler Sys) E Fire Alarm Installation n Torch Roofing/Tar Kettle Fire Pumps Tire Storage ANNUAL Fire Works Flammable Application- ANNUAL 1 ( Valuation of Project Fuel Tanks Q Other: I I Contractor Company ,.,► r , r - �• !_ — _ _ ' Signature 7��- Registered � � 1 ry , Fee Cuurrre Y / N Address `'L ___ : _ _ r t ■ ism License# Llly'li' �'_►I.��t(Yi;rmi ELECTRICIAN � ��� Company IEN Signature r IM �' Registered Y/ N 1 Fee Current I Y/ N Address r 1 License # PLUMBER Company Signature Registered _ Y/ N I Fee Current I Y/ N I Address I I License # MECHANICAL Company I Signature Registered Y/ N 1 Fee Current I Y / N Address I I License # I OTHER Company I Signature Registered Y/ N I Fee Current I Y/ N I Address License # 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 $5000) Supply two (2) sets of drawings with applicable documentation Allow 10 -14 days for review after submittal date. Parcel # - obtained from Property Tax Notice (http: / /appraiser.pascogov.com) 'NOTICE OF DEED REgTFrICTIONS: The undersigned ons. The undersigned this es espon� bit "bty `�'o�' :co►�ptian e$tw th any which may be more restrictive than County regu la applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: `If the owner hais -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 maybe cited for a "mistieMeanor 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 7.27 -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 Mock ". 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 not properly licensed and is not' entitled to permitting privileges in Pasco County. CONSTRUCTION LIEN LAW (Chapter713, Florida Statutes, a a a d e ): If Const oon work en is $2,500.00 or more, I certify that I, the applicant, have been provided with a copy of is someone Protection Guide" prepared by the Florida Department of Agriculture above described document Affairs. and promPsean faith th to other than the "owner", I certify that I have obtained a copy of the 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 "owner" 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. mise conditions forth in affidavit prior to commencing co plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. permit aside an y shall be construed codes, nor shales issuance of a permit p not as event the Building Official from thereafter set asde any provisions of the technical unless t a correction of errorhe work authorized by s s u such permii{ violations of six months months of permit permit ssuance, ordif shall become invalid work authorized by unless ty sch pe the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. days will An extension may be�requbsted, inrwriting, from the Building Official for a period not to exceed ninety (90) Y justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. WARNING TO OWNER: YOUR 'FAILURE TO YOUR PROPERTY. IF YOU I� ®ItIIMENG O' TAIN MAY ANC NGTCONSULT PAYING TWICE FOR IMPROVEMENTS � F . • MENCEMENT. WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU' NOTI s FLORIDA JURAT (F.S 117.03) 41' - or has/have �_,/�— 16� '�'• this OWNER OR AGEN . CONTRACTOR bsc bed a -wom • • e ubscribed (td swo to (or • l = • • me this t 7 + _ b = T ► -- re e by cl �! ve .1 Whojg(are person - . 1 .-,��• • u ve produced Who Ware personally known to .. = or has/have produced -- as identification. as identification. Notary Public .1 .r , ...op /I 4�, �, ',Votary Public ledif.0.4Pal Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped R' < _ CHERYL A. DUFFEL :3s " 'Y, ?:8(,,, CHERYL A. DUFFELL D ? COMMISSION # DD 730956 A � MY COMMISSION # DD 73095L• \iii „1 Q EXPIRES: November 12, 2011 * ' 17 - * EXPIRES: November 12, 2011 °r 0.° t XPIR S E No d e t be rry Services !pI: Q or F,� � °'eoF f`o�° Bonded Thru Budget Notary Services