HomeMy WebLinkAbout10-10230 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10230
ANNUAL FIRE PROTECTION MAINTENANCE
E a s p AN t ' *4' _ . ' ° is
Permit Number: 10230 Address: 5841 GALL BLVD
Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL.
Class of Work: FIRE - PROTECTION MAINTENANCE Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number:
Improv. Cost: .1 r :L 7 4 a a7 7 ii > rs a0 r"
Date Issued: 3/10/2010 Name: MARI'S DONUT SHOP
Total Fees: 25.00 Address: 5841 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/10/2010 Phone:
Work Desc: FPM- SUPPRESSION SEMI- MARI'S DONUTS -BY THE END OF MONTH
„ ? 'T- 9az'°" : W s"Vsp a V<; ,e _' .tea`;T' .. >.e• 4V`an
HE - . A E•UIPMENT FIRE PE 25.00
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FI A - AN E 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." Or
P IT 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 FiIIMIcrr," Fax-813-780-0021
Permit Application - •
oat. R•alked - - Phone contact for Pwmit L j j r..... „)
Owner's Name - lEINVIKIVNINNIIMPIMMIirillir07111111 Owner's Phone Number 1 1 I ' I
owners Address I Ili FITAIM Mr4A EPTall I di 9:1 v e r _.AIWIIENIV-■ 4 4 I 1 I I FI P.X4? 11 OFA
Fee Simple Titleholder Name litlehoider Phone Number I 1 1
Fee SimpleIlleholdsr Address .1 I
Job Address Lot #
Sub Division Parcel 0
E Elio-Huard Waste Storage - ANNUAL El Fumigation Tent •
El Comm Exhaust kitchen HoodlDuct Hazardous Material (Tier II or RO Faclity) ANNUAL
ED Controlled Bum E=I Hood Installation
Emergency Generedor <30 kw
ji
[J LPINtutal Gas•Instalation
Emergency Generator > 30 kw LP/Natund Ges4NNUAL Sale
Fire Protection Maintenance - ANNUAL
effl EM9 Effi 112--.A. i
Places of Assernbly-ANNUAL
Emketer i 0 0 0 Recreational Bum
Fire Akan 0 0 0 Speklms
Hood Cleardne 0 0 0 Sprinkler System Installations .
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Hood Suppression 0 ,II( 0 Standpipes (Spilnider Sys)
fike Minn Instalstion El - Torch Roolng/Tar MM.
-
Rre Purnm . — " -. Was The Storage ANNUAL '
Fire Works , •
Returnable Application- ANNUAL .
1 .1 Valuation of ProJect
Fuel Tanks
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AVM BIMMINNI 61/1111,1 -,1,,,,,-
corivittit ilrimPPlim
IIIMIIIIIIIIIIM Chrl‘tonY Erf 4 .01i Lifir-firM1, - --"CrAik l rA
&Polhill 11116■11/11111MLftmebirra RhOistwed ItillialliaLli
Address 11:45 ,-..- .,;„ 5,51 fitifitrAr - -411.: - '7 4 11011101C,w - 7,47,4 4 .10A111 . LIC. 1 1 :9 " filrirk''..41 70 114 ,4 7. 0 . e !PiZiep J .9 ,
ELE - Company
Signature 1111111111111.1.11111111111111= Registered Y / N Fee Current Wiailall
Address I ' ''' 1 license * I
PLUMBER Company
Signature I Registered I Y / N I Fee Current I Y / N I
Adckess I 1 License it I I
mEcHANIcAl C
Reglolened [ Y / N J Fee Cubist I Y/ N 1
Address l 1 License ft I I
OTHER , Company 1 I
Signature Regletenid Y / N F
• OS Dumont L yip, 1
_________I License 0 I
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bineidions: •
Omer 0 *lower ;.' . • - • 14011/0"4. noteifild - . " . waned Cordiald with her)
0 ovatli2800, a Nobel . - - . . , ,,,,,,,,. ,„__ , i , : work akar $5000)
SIMPIV Masts of . . . ,._. .'"
Alva 10-14 days for -1101014001100401s. ' l' 4 Parcel # - obtakted from Property Tax Notice (htmllappraleer.pascogov.com)
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'NOTICE OF DEED RESTRICTIONS idersigned `understands .that this permit may .be:aubj eelc!':aastrictions"
which may be more • restrictive '.thanIOoiin'tWregulations. The:undersigned.assumes responsibility plianceiwlth any .
419PlIcabledeed rwt tcUons.
'' • , uNLICEP1 EE'! ietiNTEACTORSAlftriCONTRACTOR :RESPONSIBILITIES: • •If' - owner - has M[ad-aracontractor -or • • •
contractors lo undertake work, they may be required lo be licensed In accordance with state and .Iocal•regulations. if the
• contractor Is not licensed as requireed by law, both the owner and contactor may be cited for a misdemeanor violation
under stale law. Nitre 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 Buiding Inspection 'Division -- Licensing Secaon.at 127-847 -
8009. Futheamore, if the owner has hired :s contractor or contractors, he Is advised 'to .have the .contractor(s) sign
pardons pf. thiu liar Block' of - this application for which •they will be responsible. If you, as -the owner sign as the
' contiebbor, that May be an indication that •he is not properly is ed• and Is not entttied•to - permitting :privileges in 'Pasco
Canty.
• CONSTRUCTION .LIEN LAW'(Chapter713, glorlde StatutrS1.aeamera d): If valuation of work is 52,500.00 or more, l
certify L the applicant, have been provided wlth a copy of the 'Florida Construction Lien Law - Homeowner's
Protection Guide' prepared by'the 'Florida Department of Agrivutiure 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°falth 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 Clty codes, .zoning regulations, and land
development regulations in the jurisdiction. I also car that I understand that the regulations of other
. government agencies may applyto the intended work, and that it Is my responsibility to Identify-what actions I
must take be In compliance.
if I am the AGENT FORTHE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be regUtred fo'r electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specify included In the' application. A
permit issued shah be construed to be a license to proceed with the work and not as authority to violets, cancel; alter, or
set aside any provisions of the technical oodes, nor shall 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 within six months of per eft issuance, or if work authorized by
the prrmf is suspended or abandoned for a period of six (0) months after the time the work Is commenced. An extension
may be requesteci, In writing, from the Building' Official for a period not to exceed ninety (90) days and will demonstrate
tor ' the r etension. 'F work team for ninety (SO) consecutive days, the job- Is considered abandoned.
wARNN ¥OUR t ;URE TO RECORD A 'NOTICE QF':CQlME NCEMENT' MAY RESULT IN 'YOUR
PAif'IN e TO YOUR PROPITC. r:, CONSULT
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I. NDIARY Pl. littit) A1400
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