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Home My WebLink About10-11077 CITY OF.ZEPHYRHILLS 5335 — 8TH STREET / (813) 780 -0020 110 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 1 1077 Permit Type: FIRE PROTECTION MAINTENANC Address: 5014 GALL BLVD Class of .Work: FIRE - PROTECTION MAINTENAN •E Township: B ZEPHYRHILLS, : Proposed Use: COMMERCIAL Block Book: Lot(s): Feet: ot(s): Bllock: Section: Est. Value: Subdivision: CITY OF ZEPHYRHILLS Improv. Cost: Parcel Number: 11 26 - 0010 20700 - 00A0 Date Issued: 10/25/2010 Name: CHATTERBOX CAFE Total Fees: 25.00 Address: 5014 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 10/25/2010 Phone: Work Desc: FPM- SEMI SUPPRESSION CHATTERBOX .7 ,1 c �� as.s TAY �A� i 'J' "�" Stv`r�Ykz„Yi£"�.5`. cr L ,?: A1 ".5"'° Y '�*'. t k >- ^emy`" 3 „. .,s. sir Chapter 633,r 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 PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION OFFICER CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813- 780 -0041 813:780z0020 City of.Zephyrhills Fire Permit Application • Fax-813-780-0021 Date Received "' .• ..•.... Phone Contact for Permit Owner's Name C.�Iiil��L e�� I � . .� ,..� _ � �,.,....._.........,: Owner's Phone Number cr-1 Mil 2 Owner's Address 1 _ /Y Q,9- .27,. / 7 j Fee Simple Titleholder Name I 1 J I 77tleholder Phone Number 11111111 = Fee Simple Titleholder Address Job Address . .,_. ._ 1 I 1 Lot* Sub Division 1 Parcel # n Bio- Hazard Waste Storage - ANNUAL El Fumigation Tent Comm Exhaust Kitchen Hood /Duct Hazardous Material (Tier II or RQ Facility) ANNUAL n Controlled Bum Hood Installation Emergency Generator < 30 kw ri LP /Natural Gas - Installation Emergency Generator > 30 kw LP /Natural Gas - ANNUAL Sale Fire Protection Maintenance - ANNUAL Places of Assembly- ANNUAL IQtrlyl !Semi, 'Other I Sprinkler ❑ ❑ ❑ ED Recreational Bum Fire Alarm ❑ ❑ ❑ I I I—I Sparklers Hood Cleaning El ❑ ❑ ❑ I I n Sprinkler System Installations Hood Suppression 1 21 ❑ A ❑ I I ri J = Standpipes (Sprinkler Sys) Fire Alarm Installation = Torch Roofing/Tar Kettle rI Fire Pumps Waste Tire Storage ANNUAL I Fire Works n Flammable Application- ANNUAL n Fuel Tanks 1 I Valuation of Project 0 Other: aMitenliNUSEME NESIONMEMENIZEINNIMBUNIENNUMV Contractor Signature Company Registered ) Y / N j Fee Current I Y / N Address I I 1 License # I ELECTRICIAN I Signature I Company Registered I Y/ N _I Fee Current 1 Y/ N Address I PLUMBER 1 License* Signature I Company I Registered Y/ N J Fee Current i Y/ N Address 1 I License* MECHANICAL' Signature I Company Registered Y / N Fee Current Y / N Address I 1 I License* l OTHER Signature \ I Company ;� gip T E swU - Registered mum Fee Current re Address License* • pU Directions: 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 h //a raiser.pascogov.com) ( ttP� PP which NOTICE may DEED RESTRICTIONS County•regu ations. The undersigned assumes it compliance "deed" with any which my be more applicable deed restrictions. UNLICENSED uCONT wo TOR he y mabe CONTRACTOR o be licensed 'RESPONSIBILITIES: S i n B a L ccordance with state and local regulations. If contractors s o undertake u nder t is not licehe owner as r or intendeda the owner and contractor may be uncertain as to what licensing t r e requirements may violaion under s law. If the own Section at 727-847- intended work, they are advised to contact the Pasco County Building Inspection e s advised ed to Division—Licensing have the contractor(s) sign 8009. Furthermore, if the owner has hired a contractor or contractors, 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. 500.00 or more, CONSTRUCTION LIEN LAW (Chapter713, Florida Statutes,- me d e ): I Construction of on r i Law—Homeowner's certify that I, the applicant, have been provided. with a copy of is someone Protection Guide" prepared by the Florida Department of Agriculture above described Affairs. and prom document s faith th to other than the "owner", I certify that I have obtained a copy of the 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 met ee t st annd a rd s in alt l t a sllan ws has regulating om en construction, of a City codes, zoning regulations, and nd land m at adrd o all .a development regulations in the jurisdiction. I also certify that I 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. forth in If i affidavit the AGENT FOR OWNER, construction. understand that a separate permit may be required for promise in o conditions ca this affil work, this davit prior to commencing plumbing, d shall wells, onstr ed be a /cense to s proceed with the work and not as authority included violates cancel, alter, or st a s issued an ro i io be onstru r e q aside any s of e I a r rors ohs in plans onstruct on orviolations of any codes. E ery perm t issued shall become invalid requiring a correction of errors in plans, unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is es in d or , from the Building Official for a period noiot to exceed ninety may (90) days and will demonstrate may be e requested, in the is considered abandoned. writing, justifiable cause for the extension. If work ceases for ninety (90) consecutive days, j WARNING TO OWNER: YOUR FAILURE TO RECORD RN TIE F YOU COMMENCEMENT TO OBTAIN MAY RESULT IN YOUR CONSULT PAYING FOR IMPROVEMENTS TO YOUR PROPE WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT CONTRACTOR and swum to (or affirmed) before me this Subscribed and sworn to (or affirmed) before me this by by Who is/are personally known to me or has/have produced Who is/are personally known to me or has/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