HomeMy WebLinkAbout10-11009 CITY OF ZEPHYRHILLS �✓
5335 - 8TH STREET
(813) 780 -0020 11009
ANNUALFIRE PROTECTION MAINTENANCE
:.. »B^° °•s� .a.4 •:,, , '' ;44 s tea,=a'
Permit Number: 11009 Address: 7449 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- 0160 - 00000 -0020
lmprov. Cost: b. . ,
Date Issued: 10/12/2010 Name: S RESTAURANT
Total Fees: 25.00 Address: 7449 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/05/2010 Phone:
Work Desc: FPM -SEMI HOOD CLEANING FOR SONIC RESTAURANT 44" lc
2:
A _ _ E final
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." arriPP
•°S
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 Zephyfiills file^_• Fax- 813. 780.0021
.. q . Permit Application - • •
Date Received 1 ( - .Phone Contact for Permit
_ _
Owner's rrr 1 1 I
rs Name - - ' / / 1 . I� �� � -' t /J Phone umbor
taM+•rs Address �.f�.�'�� ,i/ /l/ /L/�T I.�J /i /i0� _ y !�'!
Fee Simple T eholder Name Titleholder Phone Number I 11I
Fee SimpNTlretrolderkickers
tot N
Job Address i
Sub Division Pare. J
BIo.Flmrd Waste Storage - ANNUAL El Fumigation Tent •
ED Comm Exhaust Kitchen Hood/Duct ED Hazy ous Materiel (Tier is or RO Facility) ANNUAL.
a Bum =I Hood installation
Eme gem y Generator < 30 kw
Emergency �j LPrtdsturai oas -lrssW atiOfl Sidi( f
EMI 113!23 MI Ltx-ii Generator > 30 kw I 1 ��� fie• /�
a Places d AssenmbhaAN NU O
Fie Protection Mai kmance - ANNUAL. J
SpOnider u G p p — Recreational Bum
Fie Alarm 0 0 0 Sperms
Hoed Cleaning 0 0 0 SpelniderSystem kutalislions — •
Hood Suppression 0 )( 0 Standpipes (Satna.r Sys) ' . '
Fke /Arm Installation - _ _ Touch Roolkip/iar Kidd.
Fie Pumps - Waste Tie Storage ANNUAL
Fie Watts
Ftintm.we Application- ANNUAL- ) I Valuation of Project
Fuel Tanks
.. - AWNAaurNIars ®®.r p' d. �r� d 4 J w✓ - i
COrtiiibik ® ® ®® cart°«" /f� 7 .#�'Ta ® a
Sign tree 1b1r ['tip !7
... o 17 1,47.. r . . _ Lour dg. : : = � ` ., .,o. ,p 17.E s7. s ;
Address r��0�.` /��.
Sig Registered Y / N Fee Current 1 Y / N
Acidness ., ti r „ License
PLUMBER Company 1 _ I
Signature I Registered Y / N j Fee count I Y / N I
Address License
R.gi$M,d [ Y / N J Fes Cummi I, Y / N
MIE�CtiANM
Sigrratue .'.
Address t License tN I I
OTHER
Company
Signekare Registered I Y/ N• I F,. Currant 1, Y/ N
License
PM at appMoltLlen _ • -` . , ,
OwmrA'Call eLor p JaF: , r 4.r Id Or.'A- .4- ' signed
emir 15000) owner)
II over .at�Otlbe ' z, r
0-14 days for cNterairL Wl d.M. .` ° ' 1- obtained 'from Property Tax Malice 010 �y,P �)
'NOTICE OF SEED RESTRICTION�f",idersipned ',understands filet this permit ma y .be:au weed "zreatrictions"
which may be more•restrictive thanTOOlintfregulatlons. The:undersigned assumes responsibility, pgpmpilamcewtth any .
applicllke -deed restrictions.
. 'UNLICENSED iCO 1 ►CTORS34'N'D7U 4 s1CTOR :RESRONSIBILaTIES: • If - the owner - har.Mpd .a Airntractor or • • •
contractors to undertake work, they may be required lo be licensed in accordance with state and .local if the
• contractor Is not licensed as required by law, both the owner and contractor may be cited - for a -misdemeanor violation
understate - law. if the owner or intended -contractor are uncertain as to what licensing •requirements may apply for the
intended work, they' am advised to contact the• Pasco County Building Inspection Division --Licensing Section.at 727 -847-
8009. Furtherelors, if the owner has *hired .a contractor or contractors, he Is advised to .have the .contractor(s) sign
portions- of the `for Blois" of this application for which they will be responsible. if you, .as the owner •sign as the
con actor, that may be an indication that he is not property licensed and is not -entltled•to'permitting : privileges in •Pasco
County.. •
• CONSTRUCTION .LIEN LAW (Chapter713, Florida. Statutas,asasnend): if valuation of work is $2,500.00 or more, l
certify - that I, the applicant, have been provided with a copy of the 'Florida Construction Lien Law—Homeowner's
Protection Guide' prepared by the Florida Department of ApriOutiure 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: 1 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 and-that 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. I also car that 1 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 be in compliance.
if 1 am the AGENT FOR THE OWNER, 1 promise In good faith to inform the owner of the permitting conditions set forth In
this affidavit prior to commencing construction. I understand that a separate penult may be required'` far electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically induded 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; alter, or
set aside any provisions of the technical codes, nor shall Issuance do permit prevent the Building O fidal from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit Is vommenced vklthM six months of permit issuance, or If work authorized by
the permft.is suspended or abandoned for a period of *hi (8) months after the time the work is commenced. An extension
rnaybe_requested, in writing, from the Building Official' for a period not to exceed ninety (90) days and will demonstrate
,triatifiliblealarsetor theektensiori. if work ceases for ninety (9) conseeutWe days, the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A'NOTICE OW, CW, COMMEINCEINENT RESULT IN 'YOUR
PAY x' TO YOUR P 1!r TO . ";, F W r • CONSULT
• ! L ' `°
, )
1d $$ idsnUfcation.
• Nodri► Rte _�' /.® ���1i Notary Pubic
Conviliadon NE►,. ; .. commission No,
Name orNoirktiiiit, p or 'Atwood Name orNotsc r*iii d ixtriti d or stunned
. 11 ► CIS dt a .
cotamissfON #use' : •
telltig(4061006042, 2012'
�r n• ,