HomeMy WebLinkAbout10-10277 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10277
ANNUAL FIRE PROTECTION MAINTENANCE
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Permit Number: 10277 Address: 5017 GALL BLVD
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE - PROTECTION MAINTENAN•E Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11- 26 -21- 0010 - 20800 -0010
Improv. Cost:
Date Issued: Name: HUFFMAN CARLYLE & BARBARA
Total Fees: 25.00 Address: PO BOX 251
Amount Paid: CRYSTAL SPRINGS, FL 33524
Date Paid: Phone: (813)783 -8098
Work Desc: FPM- SEMI SUPPRESSION- BARBS RESTUARANT- SCH MARCH 24TH
SE U- -Y = ;CAP N LLC IR - E - IT 25.00
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FIR 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."
sr!
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
813- 780-0020 City afZeph T is Fan-813- 7e0-0021
Penult Application
Dab Received - Phone Conn tiorFdr -
Dances Name ,:�, AVAMPAISIIIIIIMII owrsr'sFlrmieli umber 1P/3 I P3 9
Fee SimpleTilleholdar Warne 1 I TildsidsrPhonsNumber I 11 . 11
Fee slmpieillehote.raddres.
Jcb Address . Lac
Sub Dividon Pared*
0 s - fit. 0 Far ig onTint
0 comExamusikekthen noggegruct p Homed= s Wend Mar II orROFa )ANNUAL ..
o Cartrolad8un - Hoa d
Ennominal Gasrator <30tar 0 LPiNetIn i LEINeanal fibr ANNUAL Ebb
Emonsnoyamessior> Inlay H Fire Protection Yabl annce- ANNUAL . . PleoesetAl eelba`AMIittAL
spwdar ® R Bum
Fie Akan 0 0 0 Simian;
Hood Cleaning .. 0 0 0 1.111111 SpdddirSyneree lendiellons
Hood suppression, 0 X 0 s+le)
Flee Sinn isl•Mb - -. Teeth l_ rKalb
Floe Pumps • Waste Tie Slangs ANNUAL
Fie Wake
Amble ApL.L I - ANNUAL I I Valuation of Pr
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Cr
stprst<se Regained Y/ N Fie count I Y/ N I
Address i
I License#
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taeiprtenid Y/ N i FiQCsrreiit _ YlN I
Address ` -1 Lk * 1 t.
PLUMBER Signature 1
Compan,
Raginned J Y / N. Fie Current
1 - 1 Liars#
MECIAMIICALI
nee Regained l Y/ N 1 Fee Cement I Y/ N I
Adelman 1 I Licenses `
OTHER - CcrePoW E : Srf r.... C .A . a rtcria:
1 .
riagisisad Fie Curvet Y/ N
Address UP e' ��� v ie ►.�+'�SJ 1i75is� Lianse#
Oinedbear
Fa out application comptetry,
If A sign n. ncertesd (Or. ropy of signed contract weer Gamer)
Supply bin (24 reviad.(abotembei wok orerS5000)
sate
Mow 10- 14ds4raioraa ws after aubmilin dela. Parcel IA- °binnedfrom
Properly Tax Nolte (IdgrJappohsr_peseogot►.00m)
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lance or TEED REMICT The undersigned understands that tille.Panait altlY-be
Mich may be More restrictive than County regulations. `with any
amicable restdctions.
iauceREED countAcums AND -COSIRaCTOR REBOONSIBILI1119k - I'the owner hat isbectievonkactor ar - -
aorairaactorstoo undertake work they may be requkedlo be licensed in accordance %AM Oda and loca!`ngulations. Wise
matador is not licensed as requited bylaw, both the owner and. contractor may be cited'for violation
eider slate lOWL ggibe ceaener or intended- cankactar are uncertain.= -to whet U canelag _ may apply for the
mended work, they we advised contact the-Pasco County h orn -Division--Liceneing Secionat 727 -847-
3009. Furthermore, t the comer has faired a confraetior cr cortkaclors. he is advised to have tae aort{rscior(a) sign
portions of the 'boriracior-8bc -.of this aPPYcallon which wit. be fwponaible. V you, smile owner as the
mnfractor, that may be an iaetiaation that he is not properly licensed and is not erattrsd10 pernaling privileges In Pasco
:ONSTRUCI1ON LEN-LAW (Chapter 713,.-Fled s 8taauass,-ae t vet edion of seeks' $Z500.00 or more,1
;may that 1, g applicant, have been provided with a copy of the 'Amide Conitruciion Lien s
'r tection Guide' prepared bylie Florida DDPerl entat Agriculture and Consumer Mf ins. >F the applicant is someone
than the 'owner, 1 certify that 1 have obiaineld a copy of The above donated document and pre. bs in goodiabh to
haver f to the beam ' prior to commenoement
- 1Yff_ Iced* that all the Intonation in this applicaion is accurate and
that all work wi be done in compliance wit all apps bras m+egtI ig .cossebuction, Minksg and land
development. Application is hereby made to °blab a penult to do wait and installation as indicated. i carry
that no work or Instollation has anaisenced pntor ID issuance cis permit end1hat all work wit be performed to
meet standards of all Is regulating constructi County and City codes, zoning reguisions, and land
development regaiallorm in the Imlediction. 1 ate- cerify that t eandeltateed that the regelsiions of other
_ government agencies may b the Intended work, and that it is my responsibility to Man* what actions!
mettles R be in compiles"). th to Worm the caner of the penaraiYlrg conducts setforth in
y t am the AMU' FOR'l'aE 1 promise* good
faith
t is prior - to commencing consenter/on. 1 urdwaterad that a stoma* permit may be smoked for deckled work,
plumbing, signs, wails, pools, air co_ nd�onig gre, other iae6i■Yons not spe ioaiy Intl rded in fire application. A
pernit issued shall be construed to be a kein e * proceed with the work and not as aulhai1 ID canoe!, slier, or
set aside arty peovleiens of the ieeiardoel Codes, shad issuance via pmt parent the Bulking ORidsi from thematter
a comedian den= in thanes. aonetne�on orviolaations et anti codes Every permit issued-ehd invalid
urn work authorized by such pare* is commenced within lb: months of perm9 lemance, or if work authorized by
the p is suspended or abandoned for a period of eth {*-months slier the lase the work is. camawnend. An extension
may be requested, in gip, frcmrthe Metal g Mid for a period not to eacceed ninety (90) days and wi demonstrate
justifiable melee for the a denasian. If work COMM for ninety (90) days. the job Is cmasklmedobaadoned'
.1�11Y`ii®ILT Ill
TO MINE* F � . F YOU =070 mum RIIANi T •
PAYttN6 i f901E
WfillIY+DUR1:E eR t MIlDi'i7E11
OWNER Subscribed and sworn in(oralli gbokosistilis Suboolbsd end sauninewaillomme
_ so es tate �r lip
lreircmee►accsarbaMosrnp�aa ss ideon-
inaot as ide+ -
_ Worn, Pubic
Notary Public
°Dominion N0. - Commission No
Was of Notary orb Name ofNoorrylapsd.a orb