HomeMy WebLinkAbout10-10227 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10227
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 10227 Address: 7449 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: 34- 25 -21- 0160 - 00000 -0020
Improv. Cost: 4(14 6.711;' 7 7777 771Ergr VirMA41,
Date Issued: 3/10/2010 Name: SONIC RE
Total Fees: 25.00 Address: 7449 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/10/2010 Phone:
Work Desc: FPM- SUPPRESSION ANNUAL- SONICS- BY END OF MONTH
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H - A i • - & A •UIPM I - RMI E S 25.00
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FI A 'TAN 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."
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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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City of ZephyrhflIs Fir.* -3 ?^ Fax- 813 - 780-0021
813 -780. - Permit Application • • •
Date Received . • 1 I • • Phone Co Permit 1 ( 1,,, J
Owner's Name • • - -, 1 Ownws P
� hone Number 1 1 1 '1
Owner's Address
Fee Simple Titleholder Name • TMNtwlder Phone • 1 1 1 • I
Fee SknpN'I1tleholder' [
Lot d
Job Address
Parcel 0 J •
Sub Division ,
Sta./4 errd Waste Storage - ANNUAL • a Futigation Tern •
o Comm Eataust Kitchen Hood/Duct El Hazardous Weds, (Tier 1I or RO FacMMy) ANNUAL
o Bum o Hood installation
Emergency Generator < 30 kw R LPnraarrai
ji
Emergency G .n�ator > 30 kw LP r>M Gas iyttNUAL Sal.
Fire Protection Melamine - ANNUAL a Places of Assembly- ANNUAL •
IMO IHE EM r'I-L-01
0 0 0 _ Recreational Bu
Fire Mom 0 0 0 _ Sparklers
Hood Cleaning 0 0 0 _ ' m
� �n .
Hood Supa e•Mon 0 0 0 • Standpipes (SptirlderSys) ,
Fie AYinn Motion _ Torch RoolinWrar Kettle . -
Fire Pumps - • R Waste Tire Storage ANNUAL
Fire Rentable Re.b Valuation d hloject
nrtrble Application -Ar ANNUAL .�
Fuel Tanks
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.1611,161.‘0 �.�.�... Colrain', I�� "..7� "�/Kill - ��.1.1 � ° � `i, I IIIM
ContactiOr _ y „mo w ..m -� • .. ,.: .
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Address V�J�1�.�` ,����.�'. ° ®�'.,. ����"/� ,�..
ELE Comp.nY
Signore Registered Y / N F.. Cu er t
Address
PLUMBER
Company Signature Y /,N .1 r Current 1 Y N I
Address I License I
mEcHANicA9 Company 1
Registered L Y / N I FM Cursed Y/ N 1
• Address ) license N I .
OTHER L Company
Signature Registered Registered Y/ N' 1 F. Calla I , / N 1
As '14 - Or.• , = e red cor teraetwith own.r)
a
If over $20110. a Witte, • , z work over $0000)
Au ►� (dam for . , a ' # - obtained from Property Tax Notice (Ntp Pikrer-paeoogoV.c
Aker 10-14 days for =isttbllilltM •... a a:. " .
-
'NOTICE OFDEED RE STRtCTIONSt . 1d Y t14 glpdaeid"aseatrictions"
a�rsigned understands this permR ma .beau
which may be more The .undersigned assumes responsibility nopmpitacce , with any
ap$ b$A deed restrictions.
'UNLICENSED is iCTORSAI D"'L*IQ 'ACTOR :RESPONSIBILITIES: - •if - the "owner - haLhirad ;a- contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and .local•regulatlons, tf the
contractor is riot 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. Furthe mom. , if the owner has hired a contractor or contractors, he Is advised to have the .contractor`s) sign
Porticos .of et. ? e tractor Block" oPthis appikationfor which they wit be responsible. If you, as -the owner sign as the
contr>littor, that may be an indication that ne Is not properly lisentied and Is not .entitled - to permitting .privileges in Pasco
Cont. y
CONSTRUCTION .LIEN LAW'(Chapter713, Florida Statutas,.as amended): ft valuation of work is $2,500.00 or more, 1
certify that 1 the applicant, have been provided with a copy of the 'Florida Construction Lien Law-- Homeowner's
Protection Guide' prepared by Florida Department of Agriculture and Consumer Affairs. If the applicant Is someone
other than the 'owner, I . certify that I have obtained a copy of the above described document and promise in goodialth to
deliver it to the 'owner* prior to commencement.
CONTRACTOR'S /OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and
that all work will be done in compliance with all applicable laws regulating construction, zoning and land
development. Application is hereby made to obtain a permit to do work and installation as :indicated. I certify
that no work or installation has commenced prior to issuance of a permit and all work will be performed to
meet standards of all laws regulating Construction, County and City codes, .zoning regulations, and land
development regulations in the jurisdiction. I also certify that I understand that the regulations of other
. government agencies may apply - to the intended work, and that It is my responsibility to identify what actions I
must take to be in compliance.
if I am the AGENT FOR THE OWNER, I promise In good faith to inform the owner of the permitting conditions set forth In
this aifidavit prior to commencing construction. I understand that a separate permit may be requtred` for 'electrical work,
plumbing, signs, wells, pods, air conditioning, gas, or other installation not specifcldy included in application. A
permit issued shall be construed to be a license to proceed with the work and not as authority violate, cancel; after, or
set aside any provisions of the technical codes, nor shah is$uanoe 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 idthin six months of permit issuance, or If work authorized by
the permlt is suspended or abandoned for a period of sbi (8) months after the time the work Is commenced. Anextension
they he requested, In writing, from the Building Official for a"period not to exceed ninety (90) days and will demonstrate
aaussl r the *tension. If work 0411180$ for ninety (110) consecutive days, the Job is considered abandoned.
•
WARNING T4 OWNER. YOUR FIMLURE TO RECD A ^NC11'ICE OF COMMINCEMINT MAY RESULT IN YOUR
PAY ,- 4 a TO YOUR PRll�' Y, I T® n � , CONSULT
f •yr. r...ut .03)
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as Ids lit tlan. • as Identification.
Notary Public �.�! . 4r. o .d � ilk Nosy Public
eginvalssionNo. s... Ooramtsslon No,
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Name of[���� D� Nam* or
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comOsi**courisz
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