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Home My WebLink About10-10214 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 10214 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 10214 Address: 5931 GALL BLVD 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: 10- 26 -21- 0020 - 00000 -0050 Improv. Cost: Date Issued: 3/08/2010 Name: ACCENT Total Fees: 25.00 Address: 5931 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 3/08/2010 Phone: Work Desc: FPM- SPRINKLER ANNUAL- ACCENT - SCHEDULE 3/8/10 = .» w g <: Y3 V r ,, m7 , .. AAA - • TION V INC 1 =E - - MI FE 25.00 h 1 .. .a ".': •. ,:..�,,..x.. v, s `° .; s _tnp Hx.,.� e.,a�,, "i'a 1� t aq Vii: FIRE A P ANCE 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." fi P T 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 Phone Contact for Permit `�� g S a o-. -,gin ..�.�. �s , „<,;K,. ,, - _. ,. • , i .a >. - , . MrZR =P: T :O > .AMMO .n . - as r a , Wi t... -.... .,-.. ,,m T� J Owner's Name It t-/ a.Cif le nl r ? 5 , -_7:b Owner's Phone Number f Zi / � 1 le, 171 1 19 3/5” Owner's Address P O O /\ -! 1 'Z 0 7 "r 70 q_ r4- 3 56 • Fee Simple Titleholder Name Titleholder Phone Number 1 J I Fee Simple Titleholder Address '9(/ Gil i3/ I'G( 7 f/L y r`t r //Syr --7L. L5 5 Lot* ^ Job Address S 1 Sub Division Parcel # / d c26 -021- /JO X DoO �r irC Bio -Hazard Waste Storage - ANNUAL I ( Fumigation Tent n Comm Exhaust Kitchen Hood /Duct I I Hazardous Material (Tier II or RQ Facility) ANNUAL I Controlled Bum n Hood Installation Ti Emergency Generator < 30 kw I I LP /Natural Gas - Installation n Emergency Generator> 30 kw n LP /Natural Gas - ANNUAL Sale F ire Protection Maintenance - ANNUAL n Places of Assembly- ANNUAL IUt"yJ !Semi' 1721,ther Sprinkler ill ❑ ❑ 1 1 Recreational Bum Fire Alarm n ❑ ❑ ❑ I 1 I I Sparklers Hood Cleaning n ❑ ❑ ❑ I 1 1 1 Sprinkler System Installations Flood Suppression I ^ I ❑ ❑ ❑ I I I 1 Standpipes (Sprinkler Sys) n Fire Alarm Installation n Torch Roofing/Tar Kettle Fire Pumps n Waste Tire Storage ANNUAL Fire Works Flammable Application- ANNUAL 1 ( Valuation of Project Fuel Tanks • Other: Contractor � � ` „ (// f ,tom, � Company �'FC'AjS ✓C Signature Registered Y / N Fee Current �Y / N Add - ; 5 0 __ 5 (.d. A.) tti'E4 "ie . Tp4 7=L ( License* 1 11 % .9_7 3 00O! =0071 ELECTRIC • N Company I Signature Registered Y / N 1 Fee Current Y / N Address I I License # I I PLUMBER Company Signature Registered Y / N . 1 Fee Current I Y / N Address I I License # I MECHANICAL Company Signature Registered Y/ N 1 Fee Current I Y / N j Address I I License # OTHER • Company L S PFI ignaturz- lA la p y � l� • __. rr- Registered Y / N Fee Current Y / N Adress • cp g /- License # g %� I � r Direction • 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 The this responsibility ibilty forxomplance with any which may be more restrictive than County regulations. he undersigned applicable deed restrictions. UNLICENSED CONTRACTORS ' CONTRACTOR to be RESPONSIBILITIES: eSed accodance w the owner has - hird - :a - ith state and local regulations. If contractors to not licensed undertake work, they may contractor is not lie as required by law, both the owner and contractor may be cited for a misdemeanor l vif o latt he under sd tate work, r law. If the a owner vised to intended the Pasc contractor o County Buldingslnspectioni Division—Licensing mg - requirements Sect on at 727-847 - intended 0 09. Furthe they are advised Furthermore, if the owner has lS a which contractors, he is be to the owner sign as the portions of the "contractor Block of this pp contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I CONSTRUCTION LIEN LAW ( ave been provided that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law— Homeowner's is someone Protection Guide" prepared by the Florida Department of Agriculture theabove described document Affairs. and promPsean faith th to other than the "owner ", I certify that I have obtained a copy of deliver it to the "owner" prior to commencement. CONTRACTOR'S/OWNER'S don e i compliance with all pplicable the information egulatingtconstruction, zon zoning and land that all work will be done in development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify met ee t st annd a rd s in alt l sae g ws regulating n constructions of a codes, zoning regulations, and land m at adrd o all la 9 goveovernmentt a geen c ies m in tp ay apply to t he intended work, and that is myresponsibility to actions I grnment gnies m y must take to be in compliance. If I am the AGENT FOR THE OWNER, I promise n in good that a forth in ° inform the owner of the permit may be req permitting ed for conditions electr cal work, this affidavit prior to commencing construction. plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. , cancel, alter, or permit issued shall be construed to be a license proceed ss awith nce a permitprevent the ding Official from thereafter set aside any provisions of the technical codes, nor shall requiring a correction of errors in plans, construoctmmen violations of six a months of permit permit ssuance ordif shall become invalid authorized by unless permit is suspended work pended or a b by ndoh permit is c may perm ed, in writing, from the d r bandoned for a Building Official for G a period not to the ninety days and will demonstrate may be requested, in B 9 consecutive days, the job is considered abandoned. justifiable cause for the extension. If work ceases for ninety (90) *NOICE OF COMMENCEMENT WARNING OWNER: YOUR FAILURE TO RECORD RTY PROPERTY. YOU INTEND TO BTAIN NG, PAY TWICE FOR IMPROVEMENTS TO YOU RROPE WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YO R NOTICE OF , OMMENCEMENT. FLORIDA JURAT (F.S. 7.03) (�j� ,,. CONTRACT •R wwvvww OWNER OR AGENT ::: c - d s m to or affirmed) before ;fie this Subscribed and swq t�to (or affirms bef � SO10 • 1 by . �n u iv R p • �nally k nown to me or has /have pro uced VVho 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