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Home My WebLink About10-10197 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 10197 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 10197 Address: : 5931 GALL BLVD Permit T ype: 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: 10 26 - 0020 - 00000 - 0050 Improv. Cost: Date Issued: 3/04/2010 N rw ame: ACCENT Total Fees: 25.00 Address: 5931 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 3/04/2010 Phone: Work Desc: FPM- FIRE ALARM ANNUAL- ACCENT- SCH END OF MARCH AD S CURITY - VI E, IN ''Y FIRE •E'M E S 25.00 .. t -1\ (34 � v ID FRE E TAN inal 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 $100.00, whichever is greater. All work shall be performed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." / P T IT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 81HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813- 780 -0041 813 -78C )020 City of.Zephyrhills Fire. l d 1 q 1 Fax -813- 780-0021 Permit Application �J Date Received • Phone Contactfor Permit Owner's Name ��JJ��/�� — ,rV1 �/� `� _ � =21 Owne `' ` �• t�� t � 1 temoc LT? Owner's Phone Number 1 I I 1 1 ner's Address I ?Ca BOK 17'702 # W$ Q/ qv : �f ` Fee Simple Titleholder Name I ` I I Titleholder Phone Number I I 1 1 Fee Simple Titleholder Address I Job Address I 5'73/ 3/ 34et ioD 2 f /?7ciij(((j P/ 3 / _ o # Sub Division I _ Parcel # � • - (� � 041,24,z .. V VCdtl•CA� b Bio -Hazard Waste Storage - ANNUAL n Fumigation Tent n Comm Exhaust Kitchen Hood /Duct n Hazardous Material (Tier II or RQ Facility) ANNUAL n Controlled Bum n Hood Installation n Emergency Generator < 30 kw n LP /Natural Gas - Installation n Emergency Generator> 30 kw n LP /Natural Gas - ANNUAL Sale Da Fire Protection Maintenance - ANNUAL n Places of Assembly- ANNUAL IUtriyl ISemiI WA Other Sprinkler ❑ ❑ ❑ n Recreational Bum Fire Alarm ❑ ❑ 1 I n Sparklers Hood Cleaning ❑ ❑ ❑ I 7 Sprinkler System Installations Hood Suppression n ❑ ❑ ❑ 1 I I I Standpipes (Sprinkler Sys) n Fire Alarm Installation n Torch Roofing/Tar Kettle n Fire Pumps n Waste Tire Storage ANNUAL Fire Works I Flammable Application- ANNUAL I ( Valuation of Project n Fuel Tanks In Other: I Contractor / de Company r:1�= 7L j LA 5 ■ Signature 4 L) Registered Y / N Fee Current Y / N ' • Address 1 541 ( l-v„ - ta 4ci . 7.4 I _ License # ELECTRICIAN Company Signature Registered Y/ N I Fee Current I Y / N j • Address I I License # I PLUMBER Company Signature Registered Y/ N I Fee Current I Y / N j Address I I License # • I MECHANICAL' Company Signature ` Registered Y/ N J Fee Current I Y / N I Address I 1 License # I OTHER I Company Signature I Registered Y/ N J Fee Current I Y/ N Address I I I 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 l /appraiser.pascogov.com) • `NOTICE OF:DEED RESTRICTIONS: The unde r this perm be for:compl a�� e�with any which may be more restrictive than County regulations. The undersigned .applicable deed restrictions. UNLICENSED CONTRACTORS AND -CONTRACTOR RESPONSIBILITIES: If the owner has hired or contractors to undertake work, they may be required to be licensed in accordance with state and local 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 .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 not properly licensed and is not entitled - to permitting privileges in Pasco County. CONSTRUCTION. LIEN LAW (Chapter713, Florida Statutes, -a " Florida : If valuation o f r i $ ;500.00 or more, I 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. If I am the AGENT FORTHE OWNER, truction! I in good faith to derstand that a inform separat permit may be equ permitting ired for conditions electrecal work, this affidavit prior to commencing con plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. se a s a an y p i io construed technical codes, nor shall issuance of a permit p not as event the Building violate, Official from thereafter requiring asi any correction r the to shall become invalid unless t a correcti t h of errors in ch plans, ermit construction s violations of six a months of permit issuance, or work authorized by unless m t is es work pended o o b ndch p may permit requested, ted, in d r g, from the Building i Offic al (6) period the time ninety days and will demonstrate may be requested, t writing, from justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. ULT IN YOUR WARNING TO OWNER: YOUR FAILURE TO RECORD ' T�F YOU INT TO OBTAIN 1= NANCSNG, C ONSULT 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) OWNER OR CONTRACTOR and savor to Subscribed and swum to (or affirmed) before me this Subscribed and swum 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