The URL can be used to link to this page

Home My WebLink About10-10356 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 10356 ANNUAL FIRE PROTECTION MAINTENANCE At at Permit Number: 10356 ® 7�= ; }. .. 3 4 4 ; - Address: 6042 GALL BLVD M ,g 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: Improv. Cost: Date Issued: 4/14/2010 ° tx '� 1 Name: MCDONALD'S Total Fees: 25.00 Address: 6042 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 4/14/2010 Phone: Work Desc: FPM- HOOD QUARTERLY- MCDONALDS- SCH 4/14/10 . 7 _ NJA VI I_E P R I x,77 Is m 25.00 ( 16) F R A • AN 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 a inspection shall be charged double permit fee ty pgrea final per day of operation or a minimum of $100.00, whichever is greatete r. All work shall be performed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." -Aug mow 1 P IT PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION OFFICER CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813- 780 -0041 • 813 -780 -0020 City of.Zephyrhills Fire. Fax -813- 780-0021 Permit Application Date Received Phone Contact for Permit Owner's Name e- s �c_/� S gloAftAkS Owners Phone Number 1 I 1 l Owner's Address Fee Simple Titleholder Name Titleholder Phone Number Fee Simple Titleholder Address care .l�$a.vNkr+z�L,"Ixi"�^trxik'# // mF 4 Z C / �� .a.sCk &9'h ry.v hs-i NAB �i4LL r ` `. J) - Job Address ( `J �/ Lot # Sub Division Parcel # _. $'44) . n Bio -Hazard Waste Storage - ANNUAL n Fumigation Tent FT Comm Exhaust Kitchen Hood /Duct n Hazardous Material (Tier II or RQ Facility) ANNUAL FT Controlled Bum n Hood Installation n Emergency Generator < 30 kw n LP /Natural Gas - Installation n Emergency Generator > 30 kw n LP /Natural Gas - ANNUAL Sale n Fire Protection Maintenance - ANNUAL n Places of Assembly- ANNUAL lUtnyl !Semi Other Sprinkler D ❑ ❑ ❑ n Recreational Bum Fire Alarm n ❑ j ❑ ❑ I I n Sparklers Hood Cleaning I ► 11 ❑ ❑ I I n Sprinkler System Installations Hood Suppression E] ❑ ❑ ❑ I I n Standpipes (Sprinkler Sys) Fire Alarm Installation n Torch Roofing/Tar Kettle Fire Pumps n Waste Tire Storage ANNUAL Fire Works Flammable Application - ANNUAL 1 1 Valuation of Project Fuel Tanks fl Other: Ar ...0/ Contractor Signature _��i� Company -1t` / Registered Y / N Fee Current Y / N Address / License # ELECTRICIAN Company Signature Registered Y / N ] Fee Current I Y / N Address I I License # PLUMBER Company I Signature Registered Y/ N I Fee Current I Y/ N Address I 1 License # MECHANICAL Company Signature Registered Y/ N 1 Fee Current I Y/ N J Address I I License # OTHER Company ;S, ' tie. / flf Signature Registered IMAM Fee Current ,,�Q Address ' ffl License # Directions: � .. __ • �. _ : �-3 .> . »,,._. 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 submittal date. Parcel # - obtained from Property Tax Notice (http: / /appraiser.pascogov.com) NOTICE OF DEED RESTRICTIONS: unt regulations. The undersigned assumes responsibility esp nsib Ibty for compliance with any which may be more restrictive than County applicable deed restrictions. UNLICENSED CONTRACoTOR CONTRACTOR to be RESPONSIBILITIES: esedaco dance with state and local regulations. If be contractors to undertake they co t a s not lie the owner n r or required intended contractor h are uncertain as to what licensing requirements may violaion under s law. If the a w v er or intended wor they are rmore, if the o owner contact ha hired ea Pasco contractor County he is dvised to Division—Licensing have he contractor(s) s gn 8009. Furthehe wr portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner si as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges County. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as am end orida valuation of on r i $ ,500.00 or more, I certify that I, the applicant, have been provided with a copy of is someone Protection Guide" prepared by the Florida Department of Agriculture theabove described document Affairs. and prom faith th to other than the "owner", I certify that I have obtained a copy of deliver it to the "owner" prior to commencement. CONTRASIOWNER'S don e in compliance iance with all pplicable the information this application is on, zoning accurate and land that all wl be done in co development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify o that no work or installation has commenced prior to issuance of and City codes, that all zoning work r will b ions, performed to m standards of all laws regulating construction, County tY g regulations in tp agencies may apply jurisdiction. on a tended work, and that its my responsibility to e identfy t what actions I grnment y must take to be in compliance. forth in If I am the AGENT FOR THE OWNER, I p tion1Se in that inform permit may be required ed for conditions electr eel work, this affidavit prior to commencing construe application. A plumbing, d shall wells, pools, air to be a conditioning, ce se to p oceed the work and not sc specifically to d violatee cancel, alter, or permit a s issued an provisions construed t r e g h any rect of r the in plans, n al construction or of any codes. Every t perm t issued shall become invalid unless the a correcti authorized of errors in unless m it work is suspended or abandoned for permit is a period od of six (6) m after the time the work is commenced. An extension the permit pended r bor s and may be requested, in writing, from the Building (90) days, the job is opine ed ablandonedstra e justifiable cause for the extension. If work ceases WARNING TO OWNER: YOUR FAILURE TO RECORD TIF YOU INT TO OBTAIN N FINANCING CONSULT PAY TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) CONTRACTOR OWNER OR AGENT Subscribed and swom to (or affirmed) before me this Subscribed and swom to (or affirmed) before me this by by Who isjare 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