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Home My WebLink About10-10919 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 10919 ANNUAL FIRE PROTECTION 'MAINTENANCE : ..,.,.r e.»., uA '�<?.."..,�`.2.c,...vsw9.. = � 742' GALL t.m.. .. . 5 ,. , maa.. ta� .�.�,+....�'�,�.�ia. -..t : <.. ..<. r.... Permit Number: 1 0919 Address: 2 BLD Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL. Class of Work: FIRE - PROTECTION MAINTENAN •E Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel'Number: 35- 25 -21- 0010 - 07200 -0011 Improv.Cost: Date Issued: 9/13/2010 Name: K- MART Total Fees: 50.00 Address: 7422 GALL BLVD Amount Paid: 50.00 .ZEPHYRHILLS, FL. 33542 Date Paid: 9/13/2010 Phone: Work Desc: FPM- ANNUAL FIRE ALARM /SPRINKLER - KMART V Lk z- t - A - 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." oriPP 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- 780-0020 City of. Zephyrhills Fire Permit Application Fax-813-780.0021 0021 Date Received Phone Contact for Permit Owner's Name M Gf ,�/ Owner's Phone Number Owner s Address 7/ 2 .Z 6A L L L / Fee Simple Titleholder Name = Fee Simple Address Titleholder Phone Number Job Address Lot # Sub Division Parcel # ri Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent n Comm Exhaust Kitchen Hood/Duct Hazardous Material (Tier II or RQ Facili ANNUAL Controlled Bum a tY) n Emergency Generator < 30 Hood Installation ri Emergency Generetor> 30 kw =^ LP /Natural Gas - Installation E l Fire Protection Maintenance - ANNUAL i�J LP/Natural aces of ssembl Gas-ANNUAL -ANN Sale c�tny Semi Places of Assembly-ANNUAL �i I cal Other Sprinkler Q 0 0 g S' 1 Recreational Burn Fire Alarm ® 0 0 T IJ Li El Hood Cleaning 0 0 0 u ❑ ❑ � Sprinkler System Installations Hood Suppression 0 0 0 Standpipes (Sprinkler Sys) n Fire Alarm Installation Fire Pumps Torch Roofing/Tar Kettle n Fire Works = Waste Tire Storage ANNUAL n Flammable Application- ANNUAL Fuel Tanks Valuation of Project Q Other: Contractor s _. Signature �� ! v Company NW l� �� Address / Registered Waal Fee Current Wiall ELECTRICIAN License # Signature Company Address Registered Y / N Fee Current EMI PLUMBER License #. Signature Company Address Registered Y / N Fee Current MEM MECHANICAL License # Signature Company Address Registered Y / N Fee Current WM OTHER License # Signature Company Address Registered Y / N Fee Current Y/N Directions: " License # Fill out application completely. -_ , ._.. , Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner) If 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 ttP� PP h //a raiser.pascogov.com) ( which NOTICE may be more r e STRICTIONS: The strictive�than County -regulations. ula ons. The undersigned assumes-responsibility-for compliance "deed" with any which my more re applicable deed restrictions. UNLICENSED CONTRACTORS :AN � bON gRAe to be licensed 'RESPONSIBILITIES: i acodance w the owner has ith state and local regulations. If contractors to undertake work, as k re quy may I ola the contractor is not licensed as required by law, both a or uncertain as to what licensing t eequ� requirements may app yiolati for under state law. If the owner d r intended con intended work, they are the o r has hiredea County contractor Building he is advised to Division—Licensing have he contactors) sign p orts Furthermore, if the owner has h application for which they will be responsible. If you, as the owner sign as the portions of the "co b Block" of this that he 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, I CONSTRUCTION LIEN LAW (Chapter713, Florida Statutes,- ofine amended): If valuation of n work $2, Law--Homeowner's certify that I, the applicant, have been provided. with a copy Itcant is someone Protection Guide" prepared by the Florida Department of Agricure and Consumer Affairs. If the above described document and promPse in good faith to other than the "owner", I certify that I have obtained a copy of th deliver it the "owner" prior to commencement. ion is accurate and CONTRACTOR'SIOWNER'.S AFFIDAVIT: I certify thaall laws r egu s zoning and land that all work will be done in compliance with all applicable 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 ad permit a codesnd that t all work r will be e t o meet standards of all laws regulating construction, County development regulations in the jurisdiction. ended work, and that it is my understand responsibility toeidenfify regulations what actions t government agencies may apply t I to th y must take to be in compliance. forth in If I am the AGENT FOR THE OWNER, I promise in understand that permit may be requged for rm the owner of the permittin work, this affidavit prior to commencing conditionio as, or other installations not specifically included in the application. A it plumbing, e d s ll be wells, pools, air to be air license c e n g perm any y p o construed c o s a des, nor shall issuance of e work a permit p not as event the Building violate, e Official fro thereafter r requiring aside any provi sions of the technical co ruiring a correction of errors in plans, construction within six a months of per Every pss u o issued work become authorized bn the permit the work o such permit is commenced the permmit is suspended pended or r abandoned for a period of six (6) months after the time the work is commenced. An extension from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for t he extension. may be requested, aten sion. If work ceases for ninety ( 90 ) consecutive days, the job is considered abandoned. t WARNI NG TO OWNER: YOUR FAILURE TO RECORD A NOTICE PAYING-TWICE INTEND COMMENCEMENT N FAY MAY UL IN Y CONSULT PAYINGWICE FOR IMPROVEMENTS TO YOUR WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) CONTRACTOR OWNER OR AGENT before me this Subscribed and swom to (or affirmed) before me this Subscribed and sworn to (or affirmed) by Who is/are personally known to me or by Who isly�o rea�personaliy known to me or has/have produced as identification Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed. Printed or stamped