HomeMy WebLinkAbout10-10225 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10225
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 10225 Address: 5506 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: 11- 26 -21- 0010 - 05700 -0256
Improv. Cost:
Date Issued: 3/10/2010 Name: PHIL MOOK ENT.IN C
Total Fees: 25.00 Address: 1108 W BRANDON BLVD
Amount Paid: 25.00 BRANDON FL 33511
Date Paid: 3/10/2010 Phone:
Work Desc: FPM-SUPPRESSt011 QUARTERLY- KFC - SCH 3/18/10
VI IL INV M N IN _ - - - M FEES 25.00
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Fl - A . A 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 $100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE
OF COMMENCEMENT."
P IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813- 780 -0041
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813- 780 -0020 City ofZephyrhilis 'Flt''e : : t Fax - 813.780
. Permit Application
Date Re.& • Phorie ContectiorPermit a�1 ) d .
^
:W;ncr'es Nary; . .l ' , Kt lam . - Own � phone Number , / �
P
•:rte'e Address _ ^ CjrC 5517 (0 (tom F ► 6) - r 2e )h rh (115 F� 3
• Fee 5.1nole l Itlehoider Name Titleholder Phone Number L._
Fee Simple Titleholder Address ( -- •
Job Address K FC — 2 `'"'Ire ht '41, t) s _— Lot #
5ukr bivislc
1 Parcel # . 1
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-ks.� aaata : .
E-J Bio- Hazard Waste Storage -ANNUAL fJ Fumigation Tent
Comm Exhaust Kitchen Hood /Duct . Ej Hazardous Material (Tier 11 or RQ Facility) ANNUAL
•
E . 7 Controlled Controlled Bum El Hood installation
ET Pmergency Generator < 30 kw • .. .. = LP /Natural Gas - Installation
[-] Ernergency Generator> 30 kw • • • . • El LP /Natural Gas- ANNUAL Sale .
Fire Proteetlon Maintenance - ANNUAL • = • Places of Assembly- ANNUAL •
( C'. • t et
e k tG1 Sprinkler O ❑ 0 Recreational Bum
rl '12- Fire Alarm ., ❑ 0 ❑ l • 1 'Sparklers
3) (K J(D Hood Cleaning I1, ^ a 0 0 l Spr$nklerSystem installations •
5 - l p M Hood Supptesslon / A O 4 0 • E Standplpee (Sprinkler Sye) ,
y Fire Alarm Installation Torch Roo1iing/Ter Kettle
•
Fire Pumps Waste Tire Storage ANNUAL •
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Fire Work;
I t Flammable Application- ANNUAL , Valuation of project
L Fuel Tanks
r-7
{� J Other
'c rr acutr Company ..... :
•
Si pr,rltare Registered Y / N I Fee Current Y / N
f,:. • �P0 .gDX - 737r 2 r � Y- 1 f� �3 VW lic en se.* ..r . 1 -
.Ltr14:1CfArl( .. ' Company
Sigewiv L _ Registered Y / N 1 Fee Current L Y / — N - 1
Address C I License #• 1 • 1
PLUMBER • • • Company V
• ._:,gna'ilfd l Registered Fee Current 1 Y / N
Address [ License #
` LCHANICAL Company ��.
Signature J Registered Y / N TFee Current I r/ N j
AdCross ��1 License #
C1THF R Company
;incturc, � Registered - ,I . Lit N Fee Current 1 Y N 1
Adare55 "(I" # I
Fill out application completely.
Owner & Contractor sign back of application. notarized (Or, copy of signed contract with owner)
If over 32s00, a Notice of Commencement le requlred.(Mechenlcai work over $6000) •
Supply two (2) sets of drawings with applicable documentation .
Allow 10 -14 days for review after submittal date. Parcel 0- obtained from Property Tax Notice (http: / /appralser.pascogov.com)
•
Hood
Svc.
P.O. 8 z 2 • F13 .
P: 813-932-9100 F: $13-1133419118 . • •
gate a t .
09:22 AM ZEPHYPHILLS HI.IILDING FAX No. 813-780 -00'21 P 00 . 2
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NOTICE OF DEED 'RESTRICTIONS: The undersigned understands.that this permit may. be !subjectito'"deedrrestrictions
.which may be more restrictive than County'regulations. The.undersigned.assumes responsibility:for compfiance any • .
applicable deed restrictions.
'UNLiCENSEd CONTRACTORS .AND "CONTRACTOR RESPONSIBILITIES: If the owner has - hlretha contractor or
contractors to undertake work, they may be required - to be licensed in.accordanee with state and local If the
contractor is not licensed as required by law, both the owner and . contractor may be cited for a:misderneanor• 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 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 'permitting .privileges in Pasco
County.
CONSTRUCTION LIEN.LAW (Chapter713,•Florida Statutes,.ae :amended): If valuation of work is $2;500.00 or more, i
certify that 1, • the applicant, have been provided with. a copy of the 'Florida Construction lien Law -- Homeowner's
Protection Guide ". prepared by FIorida.Departrnent of Agriculture and. Consumer Affairs. If the applicant is someone
other than the "owner ", I certify that I have obtained a copy bf the above described document and promise in good faith to
deliver It to the "owner" prior to commencement.
CONTRACTOR'S /OWNER'S •AFFIDAVIT: 1 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 perrnit to do work and installation as Indicated. 1 certify
that no work or installation has.commenced prior to issuance a permit and'that all work will be performed to
meet standards of all taws• regulating construction, County and City codes, .zoning regulations, and land
development regulations in the Jurisdiction. I also certify that l understand that the regulations of other
..government agencies may apply to the Intended work, and that it is my responsibility to identify what actions 1
must'take to be in compliance.
I; i ram the AGENT'FOR'THE OWNER, I promise in good faith to inform the owner of the permitting conditions set in
this affidavit print commencing construction. :•I understand that a separate permit may be required for electrical work.
plumbing, signs, wells, • pools, alr conditioning, gas, or other Installations not specifically Included In the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
f 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 the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work Is commenced. An extension
m ay be requested, in writing, from the Building Official for a'period not to exceed ninety (90) days and will demonstrate
Justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
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WARNING TO OWNER: YOUR FAILURE TO RECORD A- NOTICE- OF'COMMENCEMENT MAY "RESULT iN YOUR •
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. iF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH_Y QV_ LENDIR OR AN ATTORNEY Elf FOREECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03)
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UwNI✓rt OR AGIrNT
_ CONTRACTO
;;ut:scribed and sworn to•(or affirmed) before me this Subscribed and swom to (or a "' ed) •efore e this
by
is /are personally known to me or has/have produced • Who Is /are personally known to me or ha sh produced
as Identification. •
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Notary Public . Notary Public
Gcr,,miasivn No. . Commission No.
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Name of Notary typed; printed or stamped Name of Notary typed, printed or stamped
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Jacqueline Boges
From: Kerry Barnett
Sent: Monday, May 10, 2010 2:48 PM
To: Jacqueline Boges
Subject: permit
Permit # 10136, can you check to make sure it was for KFC because I have another permit # 10225 pulled a month later.
Kerry Barnett
Fire Marshal
6907 Dairy Rd
Zephyrhills, FL. 33545
(813) 780 -0041
CELL: (813) 813 - 714 -6326
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