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HomeMy WebLinkAbout10-11041 CITY OF:ZEPHYRHILLS 5335 - 8TH STREET (813) 780 - 0020 11041 ANN UAL FIRE (PROTECTION MAINTENANCE PermitNumber: 11041 Permit Type: FIRE PROTECTION MAINTENANCE .ZEPHYRHILLS, FL. , Class of -Work: FIRE - PROTECTION MAINTENANCE Township: Range: Book: Proposed Use: COMMERCIAL ot(s): .Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS :Est. Value: Parcel:' Number: 11- 26 -21- 0010 -16600 -0250 Improv. Cost: ,Date Issued: 10/12/2010 Name: VICHRIS INC Total Fees: 25.00 Address: 5214 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 10/12/2010 Phone: (813)782 -9556 Work Desc: FPM- HOOD CLEAN QUARTERLY- VILLAGE INN • - -'* -7 - �F., 5.0! • I _ _ 1 .. Ina 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 Departments 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 $100.00, whichever is greater. All work shall be performed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." P IT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813- 780 -0041 11:10 AM ZEPHYPHILLS BUILDING FAX No,813 780 - 0021 1104( P. 002 • Ci of.Ze h yrhill$ !C ��o2" Fax- 813 -7B0 -0021 • • • .41:-1-": - 813'-'7130020 tY P , Permit Application ..-. -• • '•'�il:c - _Date Received r � 0 • :Phone Contact for Permit _ Owner's Name .. -w-1• .,.:,1J,rec...72X.i 5 �Cf - . Owner's Phone Number 9 2 £J o' y.2 — I3 / ...._ • Owner's Address to 5 ,J .i .C1.5 4 4.1 1 . " s ) �,'V 6 4 , Fee Simple Name • ' . Titleholder Phone Number • Fee SlmpleMtleholderAddress , k t „ ,, •,_ ,_.: r., M• Job Address r1 Sub "Division 'Parcel # - pi Bio-Hazard Waste Store torage ANNUAL • n FumigationTent ' . . Comm Exhaust Kitchen Hood /Duct in Hezardoue Material (Tier II or RQ Facility) ANNUAL . I I Controlled Bum I I Hood Installation • . El ' Emergency Generator < 30 kw . • .. . = LP /Natural Gas - installation • • n ' Emergency Generator 30 kw • I7 LP/Natural Gas - ANNUAL Sale . • I I Fire Protection Maintenance - ANNUAL I . . '' n • Places of Assembly-ANNUAL . R • . r O_.V 1 ( I I - . ... 1 (Abe 0 ❑ ❑ n Recreational Bum . . • Fire Alarm ' ❑ CI' O L . ED Sparklers . - • Hood Cleaning » " ❑ . ❑ I I r] Sprinkler System Installations . . • • • • • . Hood Suppression • O ❑ • A I • • I IT Standpipea (Sprinkler Sys) • . I • I Fire Alarrh Installation • .. FT Torch Roofing/Tar Kettle . . • • Fire Pumps . El Waate Tire Storage ANNUAL Fire Works • ' • . • . ... - I • flammable ble Application- ANNUAL • ' • . ( Valuation of Project - F --- I Fuel Tanks I I Other: I nrtu ., ... Company Y / N I • contractor • Sig re Fee Current I Y/ N I Addresa 1 • - License # . _I . • ELECTRICIAN Comp Signature Registered YIN I Fee Current I Y/ N • Address I • I• license# I • PLUMBER . Company I Slgnature _ Registered Y/ N I Fee Current I Y/ N 1 • Address I ' ' ' • I •• License # MECHANICAL • company t I Signature Registered . Y/ N 1 Fee Currant 1 Y/ N I Addreaa I I .License # . I . • • OTHER Company • Signature . ' • Registered Y / N • I Fee Current 'I Y / N j Addraes Licence # read � i■ � Directions: Fill aut application completely. Owner & Contractor sign back of application, notarized (Or, copy of signed contraot with owner) • if over $2500, a Notice of Commencement is required .(Meehanlcal work over 55000) Supply two (2) seta of drawings with applicable documentation . Allow 10 days for review after submittal date. Parcel #- obtained from Property Tax Notice (http / /appraiser.pascogov_com) • • • FEB /20 /2007 /TUE 11:10 AM ZEPHYRHILLS BUILDING FAX No, 813 - 0021 P. 003 ' 74. c YEI'OE+O:F:DEED RESTRICTIONS: The . undersigned:unde�r n.s_�th permit maybe: subject;to - ° deed ":rastrleti rt .Ftr1 r. :. ; ty pl kit ��^svahiChernabe more restrictive than Coun The;, urrdersuied�assumes :re�ponsiblli for com iarrce�.wlthn r aDoiir : - • • • , -:lic -1 :applicable deed restrictions. - `"']JNL]IC.ENSED ;CONTRACTORS SAND CONTR ACTO R;REM:IONS1BILITIES : =',If -the - owner has hired °contractort w,_1,_i^f'- - :contractors -to undertake work, maybe required :to be iicensed.inaccordance with state•and local If.the...r - ::.. contractor is not licensed as required - .by law, both -the owner :and .contractor may-.be cited :a -misdemeanor .vifola the, .under - state law. If owner or intended .contractor Lam uncertain as to what licensing requirements may :app l y' - intended •work,•they are'advised•to contact the Pasco County ;Building;lnspecton -Division— Licensing Sectionat727 = 847 13009. :Furthermore, if the owner has hired :a contractor or: contractors, he is•.advised to 'have - the contractors) sign .portions of the 'contractor Block' of this application lorwhich will be responsible. If you, as'the owner :•sign:as'.the • —' .dcontractor, :that may be an indication : that - he is'not:properiy licensed and is not entitled •to:permitting.privileges in :Pasco .:.-:•,....., - County. . CONSTRUCTION - LIEN - LAW . ( Chapter - 713,' Florlda`Statutes,:a's d e) l a . Construction work Law00 Homeowner's certify that . 1, 'the applicant, have .been provided with a copy o the Protection •Guide" prepared by'the Florida Department of Agriculture Consumer Affairs. If the applicant is . someone. . other than the' "owner ",1 certify that i have obtained :a copy of -the -above described document and in good falth'to deliver it to the owner" prior :to commencement. . r CONTRACTOR'SIOWNER'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 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. 1 .also certify that 1 understand that the regulations of other - government agencies may applyto the intended work, and that It is my responsibility to identify what actions 1 must take•to be in compliance. •If 1 am AGENT FORTHE OWNER,' promise in good faith to inforrh the owner of'the permitting conditions set in this affidavit prior-to-commencing construction. 1 understand 'that a separate permit may .be required for electrical work, • . plumbing, signs, wells, pools, air conditioning, gas, or•other installations not specifically Included in the application. A permit issued shall be construed to be a license to proceed with the work and not as.authority to violate, cancel, after, or set aside any provisions of the codas, nor shall Issuance of• a permit prevent the laullding Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permtt.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 da s and will demonstrate extension may be requested, in iwrtting, from the Building Official for a period not to exceed ninety (90) days cause for the extension: If work ceases for ninety (90) consecutive days, the job is considered abandoned. • "WARNING TO OWNER: • YOUR 'EAIL'URETORECORD'A -NOTICE'OF- COMMENCEMENT MAY =:RESULT= IN-YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH Y. UR L NDER OR.. N A•iTORN Y BEFORE RECORDI :�A` ICE OF . • MM _NCE NT. FLORIDA JURAT (F.& 117.03) . . . • �� \�'� 1. • Subscribed OR AGENT CDNThAC Subscribed an• -'' • (or affirmed) before me thls Subbscribed and to (or affirrlled) before me this by • by p Who is /are personally knoWn to me or haslhave produced Who Is /are p ersonalty as identification. o m or has/have produced . oduc d • as identification- . c ation_ Public Notary Public . • Commission No; Commission No, . Name of Notary typed; printed or'stamped ' Name of Notary typed, printed or stamped .. - p . •