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Home My WebLink About09-9416 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9416 ANNUAL FIRE PROTECTION MAINTENANCE 77 .tea e Permit Number: 9416 Address: 6429 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: 03- 26 -21- 0020 - 00000 -0030 Improv. Cost: y= -fin Date Issued: 8/12/2009 Name: WALGREE Total Fees: 25.00 Address: 6429 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 8/12/2009 Phone: Work Desc: FPM- SPRINKLER ANNUAL- WALGREENS RUNAU •MANY IN FIRE - ERMIT E 25.00 (°3(-- , D . Z FIRE A CEPTAN inal , ,F 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." 1 P -21 ". 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 ' 613-78o -0020 City of Zephyrhills Fire q lid Fax- 813 - 780 -0021 Permit Application Date Received 81112 Contact fo / ( Phone Conr Permit Lp 3 I I (tQ (0 . _ 530 Owner's Name 11i(13re-lrn. Owner's Phone Number I I I I I I Owner's Address (04 51 c 11 ?AO. 33r1411. Fee Simple Titleholder Name Titleholder Phone Number I 1 I Fee Simple Titleholder Address ,' 2u s ' ', . Ax 'r' t< ..v.' . i ,.ifs ' , a' ue, <,.,...U.a .R,. z, -; Job Address (Awl Gall e2wd . 3354t Lot# Sub Division Parcel # I . , ,;, R .. , ,..,.,.: , a.x . � ... e 4o t ;'o �` . ., t . :a.e,,,mm e �x,,, awr � =,euweeozg, '. c... .. ?4- , ;% - Krei.mae ..a' .,. mw —,-mss i� :mnim .;;:._..,, , ;.... v a':. mt::,,mw:4 .,,�. mwa x y , ...a .,�:xe ,��.haa Bio-Hazard Waste Storage - ANNUAL I I Fumigation Tent I Comm Exhaust Kitchen Hood /Duct n Hazardous Material (Tier II or RQ Facility) ANNUAL El Controlled Bum I I Hood Installation I — I Emergency Generator < 30 kw [ 1 LP /Natural Gas - Installation I Emergency Generator > 30 kw J 7 LP /Natural Gas - ANNUAL Sale Fire Protection Maintenance - ANNUAL El Places of Assembly- ANNUAL IUtrly) 'Semi' LW Uther Sprinkler I ❑ ❑ '% l I I I Recreational Bum Fire Alarm n ❑ ❑ ❑ I I Ii Sparklers Hood Cleaning I ❑ ❑ ❑ I 1 [ ] Sprinkler System Installations Hood Suppression ri ❑ ❑ ❑ I I I Standpipes (Sprinkler Sys) I-I Fire Alarm Installation I-I Torch Roofing/Tar Kettle fI Fire Pumps I Waste Tire Storage ANNUAL n Fire Works n Flammable Application- ANNUAL I n Fuel Tanks I Valuation of Project I] Other: I Contractor I ,,------ Signature { �,�� I Company J Registered Y/ N I Fee Current I Y/ N Address I I License # ELECTRICIAN! I Company Signature Registered Y / N I Fee Current I Y / N I Address I I License # PLUMBER I I Company Signature Registered Y/ N J Fee Current I Y / N I Address I I I License # MECHANICAL' I Company Signature Registered Y / N J Fee Current I Y / N Address I II License # OTHER I I Company Signature Registered Y/ N 1 Fee Current I Y / N . Address I ....,.. License # Directions...aM ....w _ ,__ .k•:: _r . r .., <... 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 htt //a ( p: ppreiser.pascogov.com) which NOTICE may be m D RESTRICTIONS ore restrictive than County regulations. The undersigned this ssumes responsibility for mpl a any which my be m Y 9 applicable deed restrictions. UNLICENSED CONTRAS CONTRACTOR b q�edO be RESPONSIBILITIES: eedaccodance with state and localeegulations contractor or Ifthe contractors to undertake Y contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor l vif o latt he under state work, law. If the r they are owner vised to intended contact the Pasc contractor o County Buiillding requirements Section at 727-847 - intended 0 9. Furthermore, he is advised to have the contractor(s) sign 8009. Furthermore, if the owner has hired a contractor or contractors, 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 not properly licensed and is not entitled to permitting privileges in Pasco County. CONSTRUCTION LIEN LAW (Chapter713, Florida Statutes, a ofin d e ): I valuation of on r i $ ,500.00 or o e , 1 certify that I, the applicant, have been provided with a copy is someone other tha thn the own n er", I c c e by he t rtify t hat I have obtained a copy of the t above described docum and promise in faith to other tha "oer ", I e 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 ent will li done in cation is her eby yl made to obtain a permit to do work nd regulating construction, zoning indicated. I certify development. Appli met ee t st annd a rd s in all la laws sa e g 9 u atin n constructions of a d City permit codes, zoning regulations, performed nd land m at adrd o all la g that I understand that the regulations of other development regulations in the jurisdiction. I also certify 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. If I am the AGENT FOR THE OWNER, promise iunde�stan faith d that a inform sepah at permit may be permitting conditions ed for electr electrical set I forth in work, this affidavit prior to commencing construction. plumbing, signs, wells, pools, air conditioning, a gas, or other to proceed with the work and not as authority to violates canc el, i alter, or permit issued shall be construed to be a lice P r e q tr i n e any correction of o ohs in plans, construction or a violations of any codes. Every t perm t issued shall become invalid unless the e cor k authorized of error in c lans, unless m it work suspended o b such permit ls commenced period of six (6) within onths after the time the is commenced. An h extension may permit is es ed, in d or abandoned P l demon may be requested, in writing, from the ek se eO (90) days, the job i iod not to exceed ninety de ed ab nedstra e justifiable cause for the extension. If work WARNING TO OWNER: YOUR FAILURE TO PROPERTY. IF YOU COMMENCEMENT TO OBTAIN FINANCING, NG CONSULT 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 Subscribed and swom to (or affirmed) before me this Subscribed and swom to (or affirmed) before me this by -_ by Who is /ar e 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