HomeMy WebLinkAbout10-10888 CITY OF ZEPHYRHILLS
5335 - 811H STREET
(813) 780 -0020 10888
ANNUAL FIRE PROTECTION MAINTENANCE
: 3`°T 3 77
Permit Number Address: 5841 GALL BLVD
Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL.
Class of Work: FIRE - PROTECTION MAINTENANCE Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number:
Im rov.
p . Cost: 4 s ��;74:77:77:77777=214M
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Date Issued: 9/03/2010 Name: ARTS DONUT SHOP
Total Fees: 25.00 Address: 5841 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/03/2010 Phone:
Work Desc: FPM- SUPPRESSION SEMI- MARI'S DONUT SHOP
1 Y ,0 4 .,° x �
H `NA • A •U PM IR P RMI E 25.00
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- A AN inal
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 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
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813-7804020 CRY of ZePhYrtgRa FilgitIrz:. F=413-780-0021
Pertnit Application -
Dots ReesIved -l----: • r ' - Phone — & - naict . for Permit
Owner's Name - 11271:11;1"40111,111111A.17M; Dallies Phone Numbrir 1 1 1 - I
Owner's Address 11P-1.41/1re — _ ZAT.Z.4frAIP.ME .416-4.v4161alliglir- -atel f.
Fee Simple Titleholder Name Titleholder Phone Number 1 I
Fee SImplefilleholdsr Address
.
Job Address 1 Lot ft
Sub Division I Parcel 0
' &
El Bio-Hezerd Waste Storage - ANNUAL J Fumigation Tent •
ED Comm Exiseust Kitchen Hood/Duct ED Hazardous Wade! (Tier II or Ft0 Fecility) ANNUAL
0 Controlled Bum ED Hood instalation
Ernergway Generator < 30 kw
ji
Emergency Generator ). 30 kw
Firation Makeenance -ANNUAL
EEO ES PEI LLA:a• Ei LP/Nitural Gas-insieliation
LPINsturat Gas4NNUAL Saki
e Probation
El Places of Assembly-ANNUAL
Sprinkler 0 0 0 Recreational Burn
Fire Alma 0 0 0 Sparklers
Hood Cleaning 0 0 0 Sprinkler Spam habitations .
• . •
Hood Sappington 0 d ir 0 Standpipes (Sprinkler Bye) .
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Fire Norm kistaation - Ei Torch Rooting/Tar Katie ,
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Fire POWs , — " -.
Fire Works
• Famish', Application- ANNUAL .
1 1 Vtduadon of Project
Fuel Tanks
11111 61 - •
AMP NIMAINIANIIIMIIIIIN
Cant/odor =741141111 . • conitany P7izi:V71 ,ZY LifAr"ArlIVA - -041 10 4
Sidman IIEFAMPIINIMIIIIMPrea . _ Regkilm• itikilv Iraall
Addrms VI ;fe,' 1 z 74Per , I VV.411111111111k:X3147142A111111 . wenn* ize
ELE - Company
Signature R•gistered Y/N Fee Gwent Iliffialli -
Address I &
. ‘, ., License # 1
PLUMBER Company
Signature Registered Y/N Fee Current I Y / N
Address 1 Ucense # 1
, ..
mEcHANiel Compam/ I
Signate Reprieved Y / N ‘ I RIB cum* I, Y / N
Address 1 License I/
OTHER
I • . Compeny
Signature Ftegisiered I Y / N . 1 Fee Current 1 Y / N I
Address I License 0 1 ,
Direcams: - . '
Omar # Oorrirecior leill0.010M4 .' -4 0 *Pod obltmoi %Net oallad
if over 12300. a Notice ,, , , work oar 85000)
Swart., Masts of . - ) •
AIIcw 10-14 days for ilflasublfraal data. • t- 4 Parcel ft - obtained from Property Tax Notice (litadlappnalser.pascogov.com)
'NOTICE OF:DEED RESTRiCTIO 'understands:.that this permit maybe seMd" ns»
which may be .more •restrictive'thannOoi i regulations. 'The:undersignied .assumes responsibipty, Npmpliamie wfh any .
applcabie-deed nWtticttons.
'UNLICLNItED 40 CTORS NDMONTRAt;TOR :RINSPONSIBItITiES: • if -the owner fia hilaed .a contractor or •
contractors to undertake work, •they may be required to be Licensed in accordance with state and .locai'reQulations. lithe
• contractor Is not licensed as requked law, both the owner and col for may be cited -for"misdemeanor violation
under state law. if the owner or intended canfrlwetor are uncertain as to what Iicensing.'requirernents may apply for the
intended work, they are advised to contact the -Pasco COUMy Build Inspsatlon Division -- Licensing seclion.at 727847
8009. Furth encore, If the owner has hired 8 contractor or 'contractors, he is advised to have the ,cor>tr or(s) sign
porticos of thet`40fOrector Block" of this application for which they "w►>fl be responsible. If you, :write owner 'sign as the
' cOntrattor, that may be an indication that fhe is not properly aloensed and Is •:not endtl to .pe itting prtuileges • In Pasco
County. •
• CONSTRUCTION .LIEN LAW (Chapter713, Florida 8tatutss,.0 amended): If valuation of work is $400.00 or more, I
certify I, the applkaaht, have been provided with a copy of the 'Florida Construction Lien Law Momeowner's
Protection Guide• prepared by the 'Florida Department of •Agdsul ere and Consumer Affairs. .
other than the'o wner', I certify that I have obtained a copy of the above described document and promise in . • e --fifth to
deliver it to the 'OWner' •prior to commencement.
.CONTRACTOR'S/OWNER'S AFFIDAVIT: ' I certify that all the information In this application Is accurate and
that all work will be done in compliance with all applicable laws regulating construction, zoning and land
development. Application is hereby ode to obtain a permit to do work and installation •as- indloated. t certify
that no work or Installation has commenced prior to issuance of a permit andthat all work will, be performed to
meet standards of all laws regulating construction, County and City codes, .zoning` regulations, and land
development regulations in the jurisdiction. I also oily that I understand that the regulations of other
. government agendes may apply to the intended work, and that It is my responsibility to idenl fywhat actions I
must take be in compliance.
If I am the AGENT FOR THE OWNER, I promise In good faith to inform the owner of the permittin c.enditions set forth In •
• this affidavit prior to commenting construction. I understand that a separate permit be requ 'for `eriectri all work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not spedlically Included inthe- application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel; alter, or
set aside any provisions of the technical oode s, nor shall •Is$uanoe of a permit prevent the Building 0E1(041 *DM- thereafer
requbing a own of errors in plans, construction or violations of any codes. Every permit Issued *hall beck invalid
unless the work authorized by such permit Is commenced within six months of permit issuance, or If work.authorized by
the permit as suspended or abandoned for a period of obi (8) months after the time the work 1s commended. An Tension
may be regt d, in writing, from the Building Official for a perked not to exceed ninety (90) days and will demonstrate
01014fortheedansion. V work ;e Les for ninety (90). days. their* Is considered ndoned.
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WARNING TA OWNER: YOUR F ;l TO wow A 'NOTI OF C OM NI IBNT'MAY RESULT IN YOUR
PAY1NGe -, .i To y P. CONSULT
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