HomeMy WebLinkAbout10-10692 CITY = OFZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10692
ANNUAL FIRE: PROTECTION MAINTENANCE
Permit Number: 10692 Address: 6606 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: 02- 26 -21- 0010 - 05600 -0020
Improv. Cost: A•: 7 : ¢erg ,
Date Issued: 7/08/2010 Name: SO■NY'S BARB -QUE
Total Fees: 25.00 Address: 6606 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 7/08/2010 Phone:
Work Desc: FPM- SUPPRESSION ANNUAL- SONNY'S BBQ
B
1- Fl R , 1 REP - 1 E 25.00
( (°
l
I - E A PTAN E anal
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." 1r
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
A VI V
S13- 7130 -0020 City of.Zephyrhills Fire Fax - 913750 -0021 ,
Permit Application
Phone Contact for Permit " r C I A b(.i 6q
Date Received t p
Owner's Name J cV A rl y 5 - p f3 Q Owner's Phone Number $ 13 7 $ z- y Z7 2
Owner's Address 6 60 (o CT K a 2 L 11 S 3 � • •Fee Simple Titleholder Name Titleholder Phone Number
Fee Simple Address J 1
Job Address r__5 r ' -v Lot#
Sub Division Parcel'#
Bio-Hazard Waste Storage - ANNUAL n Hazardous Material (Tier II or RQ Facility) ANNUAL
•
Comm Exhaust Kitchen Hood/Duct = Hood Installation
Controlled Burn = LP /Natural Gas - Installation
I - 1 Emergency Generator < 30 kw n LP /Natural Gas - ANNUAL Sale
Emergency Generator > 30 kw n Places of Assembly- ANNUAL .
CE Fire Protection Maintenance- ANNUAL n Recreational Bum
• tty 'eml ___ Other
Sprinkler El ❑ ❑ ❑ n Sparklers
Fire Alarm El ❑ ❑ ❑ I I n Sprinkler System Installations
Hood Cleaning 0 ❑ ❑ ❑ 1 1 ' ] Standpipes (Sprinkler Sys)
Hood Suppression. 0 ❑ ❑ / X ) ( Torch Roofing/Tar Kettle
n Fire Alarm Installation = Waste Tire Storage ANNUAL
n Fire Pumps
n Fire Works
n Flammable Application- ANNUAL . 1 357 ( Valuation of Project
Fuel Tanks
Q Other, I I
Contractor _— ��J��Aiii43 Company 2r-. Fytt +r i- L
Signature Registered Y / N I Fee Current I Y/ N j
Address I NG 430x gyp Ze.nd O 'GA 34/bi9 ( license#
ELECTRICIAN Company I
Signature Registered Y/ N j Fee Current . I Y / N
Address I 1 License* I I
PLUMBER • Company
• Signature Registered Y / N J Fee Current 1 Y / N I
Address 1 I License I • MECHANICAL Com
Signature Registered. Y / N _I Fee Current I Y/ N
Address ! 1 License* I I
OTHER Company
Signature Registered Y / N Fee Current I Y / N I
Address License #
Directions:
. Fill out application completely.
Owner & Contractor sign back of application, notarized (O.r, copy of signed contact with owner) .
tr over 52500, 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 trora PrgppCga Tex Notice (11.11c 1appraissr.pascogov.com)
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrnions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICIPRORD CONTRACTORS AND GoHTh*GTOR RESPONSIBILITIES: if the 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 for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the 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 to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILMES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90 -07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of.
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water /Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the 'Florida Construction Lien Law— Homeowner's
Protection Guide" prepared by the 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 that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations the in the j word i ctio that al
certify that I understand that the regulations of other government agencies may apply
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
Department of Environmental Protection - Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
Southwest Florida Water Management District - Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers - Seawalls, Docks, Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental Health Unit - Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agency- Asbestos abatement.
Federal Aviation Authority- Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone "V" unless expressly permitted.
If the fill material is to be used in Flood Zone "A ", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stern wall
construction, I certify that fill will be used only to fill the area within the stem wall.
If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If. use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If 1 am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. 1 understand other that pe may i�nelude f oe or llecttricalon work,
pluming, signs, wells, pools, air conditioning, gas, or
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.
PAYING A N TWICE ORIMPROVEMENTS TO YOUR PROPERTY. T IF YOU INTEND TO OBTAIN ' FINANCING, O SULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03)
CONTRACTOR
OWNER OR AGENT Subscribed and sworn to (or affirmed) before me this
Subscribed and swum to (or affirmed) before me this by
by Who is/are personally known to me or has/have produced
Who israre personally known to me or has/ have produced as identification.
as idenfifiption.
Notary Public
Notary Public
Commission No.
Commission No.
Name of Notary typed. printed or stamped
Name of Notary typed. printed or stamped