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Home My WebLink About10-10312 CITY OF ZEPHYRHILLS 5335 - 8T1-I STREET (813) 780 -0020 10312 ANNUAL FIRE PROTECTION MAINTENANCE 777:=7,11L11;A:VMq : "TN, LAV 11A3 Permit Number: 10312 Address: 6848 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: Improv. Cost: _� °�� .:,_ Date Issued: 3/31/2010 Name: ZEPHYRHILLS CINEMA 10 Total Fees: 25.00 Address: 6848 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 3/31/2010 Phone: Work Desc: FPM - ANNUAL FIRE ALARM FOR ZHILLS CINEMA 10 - SCH 3/31/2010 HE HA'TL N ALA •., . - PERM! 25.00 e, 6 - (( -16 ' _� ++ma�yy -( z*.' ° �. g �E `� � ?� a ��r.. Z t �'.'.1.. ?. y� " \A.F:4 J �.., 'Jias.�i �a �q > .F �. a.o Fl A CEPTA 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 $100.00, whichever is greater. All work shall be performed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." fraP ICY P "I" IT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813- 780 -0041 . 313-780 -0020 City ofZephyrhilis'Fire :.. Fax -813- 780 -0021 Permit Application Date Received 31 - 20/4 Phone Contact for Permit 1 Owner's Name �f "iia„ Ate } t:,4__ fj 10., o,, r7peiy 7.4 G. — . Owner's Phone Number I , G 75- j Owner's Address % ' nI • .5c , %c NGaj /X MJQAR S / Z . �'$�, �' " Fee Simple Titleholder Name Titleholder. Phone Number J Fee Simple 'Titleholder Address I Job Address AO, , fi t= Lot# Sub Division Parcel # n Bio-Hazard Waste Storage --ANNUAL n Fumigation Tent • Comm Exhaust Kitchen Hood /Duct n Hazardous Material (Tier II or RQ Facility) ANNUAL n Controlled Burn n Hood Installation • n Emergency Generator < 30 kw n LP /Natural Gas - installation n Emergency Generator> 30•kw n LP /Natural Gas - ANNUAL Sale Fire Protection Maintenance - ANNUAL Places of Assembly- ANNUAL r y' emi ®' gam / (� 5 l Sprinkler n ❑ DI . ID ® n Recreational Bum Fire Alarm Ea ❑ ❑ r I I Sparklers - Hood Cleaning n ❑ ❑ ❑ I I I I Sprinklersystem Installations Hood Suppression = ❑ ❑ ❑ .) I n Standpipes (Sprinkler Sys) n Fire Alarm Installation n Torch Roofing/Tar Kettle M Fire Pumps ' n Waste Tire Storage ANNUAL Fire Works Flammable Application- ANNUAL ( Valuation of Project Fuel Tanks in other: l Contractor / Company � +1:--42- f} )cir•- CO »,/ Signature rl� f - . Registered Y /.N 1 Fee Current /Y / N 1 Address 1 I License # EFt, ov/dd L ELECTRICIAN Company . Signature Registered Y / N j Fee Current Y / N I Address 1 I License* 1 I PLUMBER Company Signature Registered Y / N Fee Current I Y / N Address 1 I License # MECHANICAL • Company Signature Registered Y N j F ee Current Y N Address I I • License # I I OTHER Company Signature Registered Y / N Fee Current I Y / N _ Address License # .�.:. W., , • -nom Directions. 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 submtttal date. Parcel # - obtained from Property Tax Notice (httpl /appraiser.pascogov.com) • • 'NOTICE OF:DEEDRESTRICTIONS: The .undersigned understands that this permit maybe•subject.to- "deed °;frestrictions which may be more restrictive than County regulations. The•.undersigned assumes responsibility: for:compliarsnelwith any . .applicable deed restrictions. 'UNLICENSED CONTRACTORS AND - CONTRACTOR "RESPONSIBILITIES: If owner has - hired - :a - contractor or - contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited a violation under state law. If owner or intended contractor are uncertain .as to what licensing - requirements may :apply for the intended work, they are advised contactthe•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. CONSTRUTION .LIEN .LAW (Chapter713, Florida Statutes ,.:as :amended): If valuation of work is '$2;5010.00 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 good faith 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 1 must take-to be in compliance. If I am the AGENT FOR THE OWNER, 1 promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. 1 understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air 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 set 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 may 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. WARNING TO OWNER: YOUR FAILURE TO RECORD ANOTICE 'OF 'COMMENCEMENT MAY 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. FLORIDA JURAT. (F.S.117.63) OWNER OR AGENT CONTRACTOR Subscribed and swom to (or affirmed) before me this Subscribed and sworn to (or affirmed) before me this by Y Who is/are personally known to me or has/have produced Who 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