HomeMy WebLinkAbout10-11007 I CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 11007
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11007 Address: 6056 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: 03- 26 -21- 0010 - 11300 -0000
Improv. Cost:€
Date Issued: 10/05/2010 Name: MCDONALDS USA, LLC
Total Fees: 25.00 Address: 6056 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/05/2010 Phone:
Work Desc: FPM -SEMI HOOD SUPPRESSION FOR MCDONALD'S USA LLC
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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." �!
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P .4 " 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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813-780-0020 City of ZephYrhins. V2, Fax - 813-780.0021
Pamtit Application •
Phone Contact for Pemuk • Date Remind �
Owner's Name • .. - r� j 4 A , 40 lMII.x owners Phone Number
owners mamas rTX�%illir G1" 7. :�'!O :G:V'a
Fee Slmple Titleholder Name Titleholder Phone Number f 1 1 1 I
Fee Simploilleholder AddmU
Job Address
Sub Division Parcel
0 No-- lazard Waste Storage - ANNUAL J Fumigation Tent •
0 Conan Exhaust letchen Hood/Duct a Hazardous Motorist (Tier 11 or RO Feebly) ANNUAL.
El Controlled Bum o Hood Instillation
Emergency Genera eor < 30 kw LP/Nitta/al Gas-installation ' / j
ME EEI Ell iLLAII Emergency Generator 30 kw LP/Natural /1 Q
Fie Protection IA:Mis >ance - ANNUAL. Plaoss of /
Salvador i 0 o 0 - Recreational Bum
Fire Alma 0 0 0 Sparklers
Hoed Cimino o o o _ Sprinkler *stern Instil— —e .
Hood Suppression 0 0 Standpipes (Spdr Ss) ,
F i Alan loan Tooth Rooting/Tar K.W.
Re Rave . — - - Waste Tie Storage ANNUAL
Fire Works < •
Remmebie Appticatlon- ANNUAL. ) 1 Valuation of Project
• - Fail Tanks
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sure* two (2) ots of ;.
Aim 10.14 days far aft. sub al.d t. 6 0 • obtained from Property Tax Notice r(fitipl/aPP er vim)
'NOTICE OF DEED RESTRICTIONS RESTRICTIONSMSWIdersigneci understands that thls permit may.be:su aa"; r bictions"
which may be more Testrictive'thanr0ot egulatlons. The undersigned .assumes responsibility, meempliaabs�with any
APPlioableArpd reiaftic Lions.
... 'UN CONTRACTORS :R PONSIBIIaTIES: if =the owner ctor or .. •
contractors to undertake work, they may be required to be licensed in accordance with state and iocaI regulaftons. if the
contractor Is not licensed as required by law, both the owner and -contractor may be cited for a - misdemeanor violation
under state law. ,If She water or intended -contractor are uncertain as to what licensing -requirements may apply for the
Intended work, they are advised to contact the .Pasco County Building inspection Qivisior - Lkasnsing on:at 727-847-
8009. Furthermore, If the owner has hired a contractor or • contractors, he Is advised to .have the •contractor(s) sign
pins of the '±s r 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 iicenaed and is not e to• In' Pasco
County.
CONSTRUCTION LIEN LAW (Chapter713, Florida Statutes :asamsnd.d): If valuation of work Is $2,500.00 or more, I
c e r t i f y that I, the applicant, have bean provided with a copy of the 'Florida Construction Lien Law -- Homeowner's
Protection Guide' prepared by . the Florida Department of Agrietsiture and Consumer Affairs. . If the : optima IS someone
other than the 'owner, I : certify that I have obtained a copy of the above described document and promise in goo to
deliver It to the "owner' prior to commencement.
CONTRACTOR'S/OWNER'S •AiEAVIT: I certify that all the information In this application is accurate and
that all work will be done in compliance with all applicable laws regulating construction, zoning and land
development Application is hereby made to obtain a permit to do work and installation as indicated. 1 certify
that no work or installation has aommrnenced prior to issuance of a permit and°that all work will be performed to
meet standards of all laws regulatinp construction, County and City codes, .zoning: regulations, and land
development regulations in the Jurisdiction. I also certify that I understand that the regulations of other
. government agencies may applyto the intended work, and that it is my responsibility to Identif what actions I
must taketo be in compliance.
If I am the AGENT FORTHE OWNER, t promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. 1 understerx1 that a separate permit , rnay be reqUI111010eigeotrlow work,
plumbing, signs, wells, pods, air conditioning, gas, or other installations riot sped Included In the°epplioation. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
set aside any provisions of the technical oodes, nor shall ls$uanoe of a permit prevent the Building Official from **softer
requiring a correction of errors In plans, construction n or violations of any codes. Every permit issued stud' becor a invalid
unless the work authorized by such permit is commenced vidthin six months of permit issuance, or if work:authortzed by
the permit Is suspended or abandoned for a poled of elk (6) months after the time the work Is commenced. An extension
irm be _requested, In vatting, from the Building Official for a° period not to exceed ninety (90) ;days and will demonstrate
JU : w em for the eXtenelen. if work ceases for bloat" (0) Qaasecutive days, the lob Is c onakiered abandoned.
WARNING TO OWN YOUR ; F A/RE TO RECORD A WOTICE 0 pp F u�,1 SENT MAY RESULT IN YOUR
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gg CONSULT
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Notary Public Commission No. .
Commissio Noy
Name of Mild, Printed or otomPed namae a i+ic>b Ar or std
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