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Home My WebLink About10-10369 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 10369 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 10369 ,. �� , Address: 5709 6TH ST 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: 4/15/2010 Name: SK SOMBUTMAIL LLC Total Fees: 50.00 Address: 5835 MARIE DR Amount Paid: 50.00 ZEPHYRHILLS, FL. 33541 Date Paid: 4/15/2010 Phone: Work Desc: FPM- SEMI SUPPRESSION /HOOD- BUTCHES SEAFOOD- SCH 4/26/10 u- TYFRE si 'M N LL I' - =MIT 25.00 IR P RMI E S 25.00 C /v �� mss• €d wq zti, FIR A E 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." 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 813278b -0= City of Zephyrhills Fire. . Permit Application Fax-a-13-780-002i Date Received Phone Contact for Permit Owner's Name OM 1 I Owner's Phone Number I Owner's Address I S7v9 f s.id6� 7� 1 I Io G �+U Fee SimpleTitleholder Name I I Titleholder Phone Number I I 1 1 1 I Fee Simple Titleholder Address I ::,:.G;mt.:."uVae"i2xaAbx'�'mr x. ,:,F°kv°.y [a.1sz+d .A.,7r.,a'�.a.�,.. .hr;`•:.. _ I _; �.. a.:.,, .3......::, .:;:: ..,- sn.p „�:.W3,sa .±•'- ��s+ ..?fit; x. #.e�:� °�.m °w�?* ;W w ✓� Job Address I I Lot# I Sub Division Parcel # n Bio- Hazard Waste Storage - ANNUAL n Fumigation Tent n Comm Exhaust Kitchen Hood /Duct n Hazardous Material (Tier II or RQ Facility) ANNUAL n Controlled Bum n Hood Installation n Emergency Generator < 30 kw n LP /Natural Gas - Installation n Emergency Generator> 30 kw = LP /Natural Gas - ANNUAL Sale n Fire Protection Maintenance - ANNUAL n Places of Assembly- ANNUAL �utrryl 'Semi) (� I I Uther Sprinkler ❑ ❑ ❑ Recreational Burn Fire Alarm n ❑ ❑ ❑ 1 l n Sparklers Hood Cleaning ❑ X ❑ 1 I n Sprinkler System Installations Hood Suppression ❑ jil ❑ I ( LJ Standpi 7 pes p'pes (Sprinkler Sys) Fire Alarm Installation n Torch Roofing/Tar Kettle Fire Pumps n Waste Tire Storage ANNUAL Fire Works Flammable Application- ANNUAL I Valuation of Project Fuel Tanks n Other: I Contractor ,- Signature I Company I Registered Y/ N j Fee Current I Y/ N I Address I 1 License # ELECTRICIAN' Signature ELECTRICIAN' Company Registered Y / N ] Fee Current I Y / N j Address I ( PLUMBER License # Signature I I Company I Registered Y/ N I Fee Current I Y/ N Address I I License # MECHANICAL' I Company Signature Registered Y / N j Fee Current 1 Y / N j Address 1 License # OTHER 1 W Signature ( Company \ / e C! ? L r 4 1 Re �J/ N / Fee Curiefl (D' N Address Directions: _ License # , C 0 c2S3`ok, GX , /. 20'0 ! 0 Fill out application completely. Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner) tf 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: The undersigned The undersigned ass responsibility for:compl a t w'th any which may be more restrictive than County regulations. applicable deed restrictions. UNLICENSED CONTRACTORS e AND y CONTRACTOR rb E a d accordance If the with o and local d :a contractor th or contractors to undertake work, they co der t a is not tic the owner n r or intended ded the owner and contractor uncertain as to what licensing requirements may apply for the under s law. If the advised or Int 8 9. work they are the ow owner has hirede Building a contractor orcontractors, he s advised to I have the cont actor(s) 84 sign p009. Furthermore, if the owns 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 to permitting privileges in Pasco County. 500.00 or more, CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, .a o me d "Florida ): If valuation of work Law—Homeowner's certify that I, the applicant, have been provided with a copy other ppliDepartment the °owner", I certify that it to the "owner" prior to commencement. - CONTRACTOR'S/OWNER'S don e in AFFIDAVIT: with all pplicable taws information egul ting zon zoning accurate and land that all work will be done in that o no work or inst ih n has commenced prior to issuance of a permit andinstallation allt work will be certify that wok installaio land meet standards of all laws regulating construction, County and l c ity codes, t ons g e u la t io s o o development regulations in the jurisdiction. I also certify that 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 affidavit the AGENT FOR THE promise in good permit may be required ed for conditions this affi electrical work, this davit prior to commencing construction. I understand that a plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. set aside an y p i s io construed ns of the tech be nica l license odes, nor shall issuance of a permit prevent the Building Official from thereafter set asde any proviiol codes, requiring a correction of errors in plans, construction or violations of six per Every i work become authorized by unless the work authorized by such permit the permit is suspended or abandoned for a period of six (6) months after the time the work da s e nd will An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A 'NOTICE COMMENCEMENT OBTAIN t MAY NANCINGT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF OU INTEND 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 is/are personally known to me or has /have produced Who is/are personally known to me i has/ have produced as identi fication. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped