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Home My WebLink About10-10635 CITY OFZEPHYRHILLS r/ 5335 - 8TH STREET (813) 780 -0020 10635 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 10635 Address: 37411 EILAND BLVD -4 ' PermitType: 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: 03- 26 -21- 0010 - 05300 -0000 Improv. Cost: „,vrogpAra -. maw ar: i -�; ,�� Date Issued: 6/23/2010 Name: GOLDEN HEALTH SERVICES INC Total Fees: 25.00 Address: 2424 CURLEW RD Amount Paid: 25.00 PALM HARBOUR, FL 34683 Date Paid: 6/23/2010 Phone: (727)781 -5885 Work Desc: FPM - ANNUAL HOOD SUPPRESSION FOR WESTWINDS ACLF • 1 =M =MI 25 .00 ( V Alt • IR A - TAN - 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.” jr4 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 813.7800020 City of Zephyrhills fhl!!tT2^ Fax•813- 780 -0021 Pemnit Application Phone Contact for Pemrit cafe Reoelwd - - - - -- - -- -- . Owner's Name .. - r r _ _ ., . . 7.A i' Owner's Phone Number ( '1 • Owner's Address tI : �� _ �/s/Li �t r : 1�� Fee Simple Titleholder Name Titleholder Phone Number I I Fee ShapleTMeholdsrAddams 1 , I Job Address WY - -- _ �/�4E4 IP ! I I I I I I I I I I I I I 111 I I I I I I I I I I I Lot# — Sub Division Parcel # 0 Bio Hazard Waste Storage - ANNUAL a Fumigation Tent • E3 Comm Exhaust Kitchen HoodlDuct a Hazardous Material (net 0 or RG Faddy) ANNUJJ4 L- =I Conecled eum o Hood 6ns l9an Generator < 30 kw InstaNation E ry LPJN�hsal Gas-Installation nrOrgen y Generator > 30 kw R I.PJWa4rral (3tMlMtUAL sale. 706 � Fir. Protection WarMsnance - ANNUAL a of At• i Spin/der U 0 0 0 Ramadan* Bum Fire Alm 0 0 0 _ Sp.rKders Hood cle.rrkw 0 0 0 SpitridetSyslom Uraadstions . Hood Suppression 0 0 Standpipes (SSpdnids(Sys) • • Fat AMnn Yaa'atlon -- _ Torch Rooling/Tar Kettle ' Fire Pumps • — - • Waste Tire Storage ANNUAL . nonviable Application- ANNUAL j • I Valuation of Project Fuel Tanks ® s ' ca +i ® CCI WO R Y V ®: "1 67 3 iMfi ®1►. A Signature Mb7 Etll1t "� k g� Addi.sa N' :� _; , ir �/•irale. _ ® r14 AIII .. Uo.rw# " 0 .. ,� . ",� 1:: 3 , ELE - Germany Signature Registered Y / N F Curr.at 1111111ffitall • 1 Address . , N • License # I PLUMBER Conaany I . Signets. Registered LY N'. Fes Current 1 Y / N I License Si 1 mEctiAme,A9 Comply R sand I Y/ N I F.. covert I Y / N I Sian.ewe .. • I 1 " I trans. # OTHER Company I Signature Registered Y1N•1 Fee Omar* 1 Y / N I ucens r . 1 Direction 0.nsr ` ' q f ': ` slg d..onel wl r h owner) if over .»50tk a Nodes .. , : ;.. .. $50 wori mar 00) Alm 0- d tor : 1 v o Parcel #- aMakMd'from Property Tax Notice (trt�Ihppraaerp.eoopoYcan) 'NOTICE OFDEED RESTRICTIONS 1''1 EihdersIgned `understands =that this permit may .be sutdgcs dasid ";xraadrictions" which .may be . more •rester Ictive than'Ooirtftrregulations. The:underslpnsd .assumes responsibilityleircpmpliaacwwfth any applk lbia.cNeed reetetctions. ' • 'UNLICENSED 1:014 CT'ORS' D£OH1 1CTOR :RESPONSIBILITIES: - •if -the owner - hmohtrad actor nr . • 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 for a •misdemeanor violation under state law. if . the owner or intended •contrector are uncertain alto what licensing - requirements may apply for the intended work, they are advised to contact the •Pasco County Building inspection Sec tion.at 727 -847- 8009. Fudhernaor~e, If the owner has hired :a contractor or contractors, he is advised to have the .contractor(s) sign pons of the- ' or Block' of this application for which they wtil be responsible. If you, as the owner `sign as the contractor, that may be an indication'ihathe is not properly licensed and is not.entltied•to permitting :privileges in 'Pasco County. CONSTRUCTION LIEN LAW (Chapter 713, Florida. Statutes,.asaimen d d): tf valuation of work is $2,500.00 or more, l certify' that I, the applicant, have been provided with a copy of the 'Florida Construction Lien Law- Homeowner's Protection Guide' prepared bythe Fk>rida Department of Agriculerre 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 goodlalth 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. Appiicartion is hereby made to obtain a permlt to do work and installation as indicated. I certify that no work or installation has commenced prix to issuance of a permit and that all work will be performed to meet standards of all laws rogue 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 I must take-to be in compliance. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in tills affidavit prior to commencing construction. I understand that a separate permit may be requlred for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other Installations not sped rlty Included in the application. A pemtlt 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 permlt prevent the Building Official from thereafter requiring a correction of errors In plans, construction or violations of any codes. Every permit Issued shall became 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 sus ((I) months after the time the work is commenced. An extension me6! be rid, In writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate Cause-'Ibr'the extension. 'If work ceases for ninety ) consecutive days, the job is considered abandoned. WARNING TO Nl : ' YOUR 14U‘URE 10 RECORD A NOTICE OF CQMIONCEMENT MAY RESULT IN YOUR PAY' p T O YOUR PR Il` a TO F 4 t ., CONSULT , + d A.'. ..' S• a.v.,�:r .., � ... .. �a.a :'1 ®MIP -: � � • v r' ''tip'. • Y'F aif�y Vi7 Edirit SUWeetit (0104g. Rte- ... as rd . —• as Identification. Gabon. Notify P c -, ®' ,f 40 ..„,thirdwictrim Notary Public: 0011111 11111110f440 Commission No., - , a or limped Ne o1 Notary' sd °ptirard or saariip.d Name of No��• rot.. as Qty r r' op mosa.,cQ?ARY FItid10340o*.41db■FA " - .