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Home My WebLink About10-11074 CITY OFZEPHYRHILLS ✓ 5335 - 8TH STREET (813) 780 -0020 11074 ANNUAL "FIRE PROTECTION MAINTENANCE Permit Number: 11074 Address: 7643 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: 34- 25 -21- 0010 - 03100 -0000 Im rov. Cost: Date Issued: 10/22/2010 Name: CHILI'S BAR -& GRILL Total Fees: 25.00 Address: 7643 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 10/22/2010 Phone: Work Desc: FPM- SPRINKLER QUARTERLY- CHILI'S- DATE BACK FOR SEPT 2010 - - - 25.00 3 ( 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." :1! 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 812 .-30 -0020 City of Zepihyrh Ifs Fire #- / l 01'I Fax - 313 - 780 -0021 Permit Application Date Received Phone Contact for Permit Owner's Name STMPT,FXGRTNNELL Owner's Phone Number - 1 813 1 626 I 15482 Owner's Address 4701. Oak Fair Blvd TAMPA FL 33610 Fee Simple Titleholder Name I - E Titleholder Phone Number I I j I Fee Simple Titleholder Address , :f. ' -. � .� ..- a 1: sc:HAR-.. rev ;...em �,. k r x - , Job Address / t0- q 3 eicil( ( 1VA, �� l r ,� ��. .... .<,__ t. S_�_�, Lot # F Sub Division I Parcel* I n Bio- Hazard Waste Storage - ANNUAL n Fumigation Tent Comm Exhaust Kitchen Hood /Duct n Hazardous Material (Tier If or RQ Facility) ANNUAL I . Controlled Bum I Hood Installation I : Emergency < 30 kw n LP /Natural Gas - installation :. I Emergency Generator> 30 -kw I — I LP /Natural Gas - ANNUAL Sale I Fire Protection Maintenance - ANNUAL I I Places of Assembly-ANNUAL '(.ltrly 'Semi 'A °I! Other Sprinkler _ ❑ ❑. J l Recreational Bum Fire Alarm n ❑ ❑ ❑. j 1. 1 1 Sparklers Hood Cleaning I ❑ ❑ ❑ I I n Sprinkler System Installations Hood Suppression I I p El ❑ I ( a rm Installation 1...-..-: h ` Fire Al Itll I r . f Toach Roofing/Tar • , � 1 ( Fire Pumps • I - I' - Waste The Storage ANNUAL Fire Works :; n ' Flammable Application- ANNUAL I (( aluation of Project 1 V I Fuel Tanks ::; r ; t I Other: • i~ _„-rm « x I <x , , 7i-- -: _ - x'.._. m mr41: z'. : ,-. ?„,mr , r.<.. '?._,... -wsr=.m-r" '' :�.n. ..x, s >. Contractor r ` Signature Company .3 (yri ipb, X6,. e( Registered Y/ N Fee .Current I ' Y/ N j • Address I ;. . License # ELECTRICIAN L Sighature • I..Y /N Address I 1 �' PLUMBER . c� `1 Signature � �c. K— I J / Address I 111 T " 1 R r tyi ' MECHANICAL .-0._ Signature I -‘ r Address I.,.: � r � N I b OTHER �" r I I Signature 1 / N • Address J r < < I - - ". -- Directions • . Fill out application completely. Owner & Contractor sign back of application, notarized (Or, copy of sig If over $2500, a Notice of Commencement is required_(Mechanical wo �^ - Supply two (2) sets of drawings with applicable documentation . ' c t let 14'.. \ - All 10 -14 days for review after submittal date. Parcel # - obtained tto&, , . _ , U I -.corn) • `NOTICE OF =DEED RESTRICTIONS: The undersigned understands that this permit maybe subject'to "deeid 'restrictions' which may be more restrictive than County regulations. The_ undersigned assumes responsibility for:compliarnce with any _applicable deed restrictions. UNLICENSED CONTRACTORS AND be be EC danc e with state and loca{ contractors to undertake work, they may required contractor is not licensed as required by law, both the owner and contractor may be cited a misdemeanorr violation under state law. If the owner or intended contractor are uncertain as to what licensing Tequirements may apply for the intended work, they are advised to contact the Pasco County r or contractors, Building h n advised 'to ivision—Licensin have tghe c oLnfractor(s) 727-847- sign 8 009. Furthermore, if the owner has hired -a contractor 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. CONSTRUCTION N -LIEN LAW (Chapter71 Florjda Statutes,_a a the amended): I Construction of on Lien is $ or mo re , 1 certify that I, the applicant, have been provided with a copy of 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 fy deve[opment. Application is hereby made to o or to issuance of a permit c t and that l a[( t work wi(I performed i fa that no work or installation has commenced pri meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that l 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 l'am the AGENT FOR THE OWNER, i promise in good faith to� inform theaowner it ma permitting m q . u conditions set work -- -affidavit - prior - -to commencing : - construction_... -.[ unde.rstand_t . p aY._.. plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A violat, cancel, alter, or permit issued shall be to be a license to proceed suarnce the of a permit prevent authority Building Officeal from thereafter aside any provisions of the technical codes, nor s become ations invalid requiring a correction of errors in plans, permit is i d l within s x e of permit p sua shall authorized by t mess the work authorized by such p d. An extension the permit is suspended or abandoned for a period of six (6) months after the time the work 0 da s and demonstrate ninety may be requested; in writing; from the Building Official for a period not to exceed , the job considered abandoned. justifiable cause for the extension. If work ceases for ninety (90) consecutive days :.. WARNING IG WIG � FOR IMPROVEMENTS YOUR PROVEM FAILURE O YO R PROPERTY. NOTICE IF YOU INTEND TO OBT 'COMMENCEMENT FINANCING, RESULT ONSO LR PAYING TWICE FOR. CM WITH YOUR LENDER OR AN ATTO' BEFORE RECORDING YOUR NOTICE e' C6 ENCE FLORIDAJURAT (F.S 117.5• A i( ' 1 i . CONTRACTOR �� OWNER sc bed 2AGENT Subscribed and s om to or -" timed) before me this Subscnbed and sworn • (or - t• ed) before me this _ by_ by — Vvho is /are personally known to me or has /have produced Who is/are personally known to ma or dentificahas /have produced as identification. as identification. . Notary Public Notary Public - Commission No. Commission No_ Name of Notary typed; printed or stamped Name of Notary typed; Printed or stamped