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HomeMy WebLinkAbout10-10572 CITY OF. ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 10572 ANNUAL FIRE PROTECTION "MAINTENANCE Permit Number: = ; i',e a. � : . .,. Address: 7643 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: 34- 25 -21- 0010 - 03100 -0000 Improv. Cost: Date Issued: 6/11/2010' Name: CHILI'S BAR &GRILL Total Fees: 25.00 Address: 7643 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/11/2010 Phone: Work Desc: FPM- SPRINKLER QUARTERLY- CHILI BAR I t X -INN LL LP � _ _ F 5.00 �; ,I C (697-„io q/7/ I` A E AN Final « :f_. AVINTAWill 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 $100.00, whichever is greater. All work shall be performed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." driP P A IT PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION OFFICER CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813- 780 -0041 813-780-0020 v City ofZephyrhills - Fira. I Fax -313- 780-0021 Permit Application Date Received � - - - Phone Contact for Pe it Owner's Name S TMPT,FX GRINNELL /C I r j ct l Owner's Phone Number 1 81 3 I I 626 115 4 8 2 Owners Address 4701. Oak Fair Blvd TAMPA FL 33610 Fee Simple - titleholder Name I • - J Titleholder Phone Number ' 1 1 1 1 Fee Simple Titleholder Address i Job Address 1 i (kq 11 r l V �,_ . Z e. Pn �I r h ,115 L-- 3 5 S L I 1 Lot # I Sub Division I "k Parcel # I =:..; �K+.-..^ �' ?.`. ��-.--. a;Y�<.3.r.�-".- .:. °"�r��.c5'3,' <'�.�' : -i0-,. �ta�.e... -�. -sue.. � _ + -" +�i •_$- =-�T^ - ��:,: Pn.�n^�'.rn ', Bio- Hazard Waste Storage - ANNUAL I Fumigation Tent I Comm Exhaust Kitchen Hood /Duct ' Hazardous Material (Tier If or RQ Facility) ANNUAL I. i - Controlled Bum I Hood Installation I I Emergency Generator < 30 kw I LP /Natural Gas-installation • I Emergency Generator> 30 kw ' i LP /Natural Gas - ANNUAL Sale _ Fire Protection Maintenance - ANNU• i Places of Assembly-ANNUAL — „ rai NM' lAnI j !Other Sprinkler r0- - ❑ ❑. I I Recreational Burn Fire Alarm ❑ ❑ O. I • • 1 : 1 f Sparklers • • • . Hood Cleaning I 1 ❑ ❑ ❑ I 1 1 I Sprinkler System lnstallation5 ' 0 -0 Hood Suppression - 1 i ❑ 1 ! 1 i Standprp es (Sprinkler Sys) Fi Alarm lnsfallation __._..... .._:- �_...• I � - .Torch Roofing/Tar Ketfle ' I ( . Fire Pumps I • Waste Tire Storage ANNUAL • I Fire Works - • . . • 1' pP UAL / Flammable A lication -ANN : j Valuation O aluatio of Project ,• Fuel Tanks I . • 1 . Other: I 3v. "i 0 - 1, = '_"`vi.Y- - <2.:.'�- v'.c:::: ysx „ri:'Si's'it�.t a ..^;r .,. �:ac.;Ss ri!�L_ "' 5tt,�z� -.u' _.mss.:, _ '.. • Contractor :mower Signature Company 3 �y7 ',rr 1 ," ' ( Registered Y / N • Fee Current ' Y / N Address i License # ELECTRICIAN , I Company . • . Registered Y / N i Fee Curre � „ , Y/ N- I Signature ., Address I i License # I 1 PLUMBER Company . I , Signature r Registered Y1 N i Fee Current Y/ N : • Address i i License # . I • f MECHANICAL Company • 1 • Signature I Registered I YIN Fee Current Y/ N . Address - 1 i License # I i OTHER Company Signature Registered Y/ N Fee Current I Y / N J Address License # Directions: - - Fill out application completely_ - Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner) ff 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 (httpf /appraiser.pascogov.com) • • • 'NOTICE OF -DEED RESTRICTIONS: The undersigned understaneds't at permit respons bilby for "d nee w any which may be more restrictive than County regulations. - Che.und g _applicable deed restrictions. UNLICENSED 'CONTRACTORS AmD- b be RESPONSIBILITIES: eediaccodance with stae and local�regulations. If the contractors so not licensed as they may contractor is ot lie as required by law, both the owner and contractor may be cited - for :a - misdemeanor violation for the undnd sd tate work, rk, law. t I f the advised or intended contractor ed to contact the aso County Building Inspection Division—Licensing t S coon at 7.27 -847- 8 ed work, they are advis 8009: Furthermore, if the owner has hed which - they le. l responsibee you have as•the own as the sign portions of the "contractor Block of this application for contractor, that may be an indication that he is not properly licensed and is not entitled permitting privileges in Pasco County. 0.00 or more, I CONSTRUCTION N -LIEN LAW (Chapter713, Florida Statutes, -a of the d e d) rid l a Construction of on L en $250 Homeowner's certify that 1, the applicant, have been provided with a copy Protection Guide" prepared by Florida Department of Agriculture i the above and Cnsumer described document and prompse in faith to other than the ' "owner ", l certify that I have obtained a copy deliver it to the "owner" prior to commencement. that all the information in this application is accurate and - - CONTRACTOR 'SiOWNER'S- AFF[DAV[T:� �I certify applicable laws regulating construction, zoning and land that•alI work will be done in compliance with all app 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 and-that zonling work w la ie performed o d t o meet standards of all laws' regulating construction, County tY development regulations in the fo e intended nded work, and that that t is my respons bi(ity to e iden regulations tify t what actions 1 - government agencies may apply must take to be in compliance. IIf1 :am the AGENT FOR THE OWNER, I promise- in good faith to inform the owner of the permitting conditions set forth in .y q.... 7--- this-affidavit prior - -to commencing- consfcuctlon :.C�unde ',stand :tkiai;:a.:separ R erm[t ma -.be re uired for electrical ,work plumbing, signs, wells, pools, air conditioning,' gas, or other installations not specifically included in the application. A p ,. permit issued shall be construed to be a lice es e nor shall issuance of a permiaprevent the Building Official from thereafter codes. set aside any Provisions of the technical codes, , codes. Every permit . issueed. shalt become invalid requiring a correction of errors in plans, construction or violations of any 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 df six (6) months after the time the work is sand d. An extension n may be requested; in writing; from the Building Official for a period not to exceed ninety (90) Y justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO PROPERTY. IF INTEND TO OBT� N FI PAYING TWICE F'O[2,. (MPROVEMENTS TO Y WITH •YOUR LENDER OFD !' C.1u �• ENCEME . AN ATTO' - •BEFORE RECORDING YOUR NOTICE FLORIDA JURAT (F S. 117. ' CONTRACTOR � � . s om to, or rmed) before me this OW R Subscribed and S acid sworn • (Or - • ed) before me this by �_by Who is !a p Wally known to me or haslhave produced Who is /are personally known to rim a Or identificatio n. produced as identification. as i6flcatiri. Notary Public Notary Public Commission No. Commission No. Name of Notary typed; Printed or stamped Name of Notary typed; printed or stamped