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Home My WebLink About10-11034 CITY OF ZEPHYRHILLS 5335 — 8TH STREET (813) 780 -0020 11034 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 1034 Address: 7838 GALL BLVD Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL. Class of Work: FIRE - PROTECTION MAINTENAN.E Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 35-25-21-0010-00700-0000 Improv. Cost: Date Issued: 10/11/2010 6 � � N ame: PRIMERICA GROUP ONE Total Fees: 25.00 6 Address: 3629 MADACA LN Amount Paid: r TAMPA FL 33618 Date Paid: 10/111201 l , ��f P hone: (813)933 -0629 Work Desc: FPM - QUARTERLY FIR ''SPRINKLER FOR PUBLIX • -� 5.0o C)3jL— 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." orPI 1i ICY P T 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 MAR /28/2007/WED 07:20 AM ZEPHYRHILLS BUILDING FAX No. 813 R. 001 813- 7s0 -002o City of Zephyrhllls'Pllie: -• Fax- ale-no -Dorm I; ,� Permit Application ay. • Date Received • 'rm./gar ✓ .Phone r Permit 1 2b 1 Owners Name ( /1 � ` 1 _ Owns?* Phone Number $t�� [Mr Owne? 18 o Address $ l >CJtll d f�Y t � 1t �� 1 PL 3,3,9-11 - • Fee Simple Titleholder Name • • - Titleholder Phone Number [ 1 I. Fee Simple Titleholder Mdress 1 • • Job Address 1 3 8 \ B 1 v d t 7 t e c en kills A F L Lol# - Sub Division , U Parcel # J .: El Comm Exhaust Kitchen Hood/DUCt� Hazard .• I I Fumigation Tent Hazardous Material rer 1I or RQ Facility) ANNUAL • - / ) Controlled Bum Hood Installation / l� 3 ,([ // 0 Emergency • Generator < 30 kw n LPINaturel Gas - Installation ' / - J � ' / •.n 'Emergency Generator> 30 kw -- . 17 LPMatuml Gas - ANNUAL Sale • I >l Fire Protection Maintenance : ANNUAL . n Places of AssemblyANNUAL \, , MO EZEI 11 PST Sprinkler p ❑ Rsoretltlonal aunt T Fire Alarm . Q. ❑ -) I ED Sparklers 1 ^ � 5 i•r f� Hood Cleaning n c . ❑ p [ I FR Sprinider'Syatem Instafations • `�/t •1 � I d ieA 4 Hood Suppression ❑ p (Sprinkler Sys) � n Firs Alarm kiatasation Torch Roormg/Tar Kettle • Fire Pumps . • 0 1 Waists Tiro Storage ANNUAL t I �� 15110 • g Firo Works • • •. • Flammable Application- ANNUAL ) •1 • Valuation of Project Fuel Tanks • Q • Other: - . • contractor V �) Cr.✓ 6r,� -- �mp�Y • t 1YOr1 . =g r, � eg :•. -• , ... Signature V w1�� It��1 Registered Fee Current Address L altars i - . .MR__U s1111 . ... : 1 License j 9 9 66q nOO,2O, a 1 ELECTRICIAN) -'t - ID company ' Signature Registered Y / N Fee currant 1 YIN Address I j License # I • I • PLUMBER . • Company 1 • Signature Registered Y/ N 1 Fee Current 1 Y/ N 1 Address I License # • MECHANICAL I Company 1 Signature Registered Y/ N 1 Fee Current 1 Y/ N 1 I Address I • I • License # . - 1 - OTHER Company I signature Registered • Y/ N 1 Fee Current I Y/ N I Address __ • License* Directions: Fill out application completely. • Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner) - If over 52500, a Notice of Commencement is requlred.(Mechanical work over $5000) Supply two (2) seta of drawings with applicable documentation . Allow 1044 days for review after submittal date. Parcel it obtained from Property Tax Notice (http / /appreiaer.pascogov.com) • • • MAR /28 /2007/WED 07:20 AM ZEPHYRHILLS BUILDING FAX No, 813 P. 002 . 'NOTICE OF:DEED'RESTRICT1ONS: The.undersigned understands•that this permit may. be• subJect :to - "dedd °trestrlctlons "' • which may be more restrictive than Countyregulations. The•.undersigned.assumes responsibility:fortcompiiante +with any . • . .applicable deed restrictions. . •UNUCENSED CONTRACTORS • AND . -CONTRACTOR,RESPONS■BILiTIES: If •the owner has' hired•:a •or.' .. - contractors lo 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 .under stelte law. If'the owner or Intended contractor are uncertain as lo what licensing 'requirements may apply for the intended work, they are advised contact the•Paseo County Building Inspection Division— Licensing Section .at 727 -847- 8009. Furthermore, ff the owner has hired -a contractor or 'contractors, he is advised 'to -have - the contractor(s) sign • portions of the "contractor Block" of this application which 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 entitiedio *permitting privileges in Pasco County. CONSTRUCTION .LIEN .LAW (Chapter 7'13,' Florida Statutes,.as.amended): If valuation of work is •$2500.00 or more, I 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 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 falth to deliver it to the "owner" prior to commencement. . . - CONTRACTOR'S /OWNER'S •AFFIDAVIT:. I certify that all the information In thls 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 commenced prior to issuance of a permit and'that all work will be performed to meet standards of all laws regulating construction, Cpunty 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 apply to the intended work, and that it is my' responsibility to identify what actions I must take be in compliance.. If I am the AGENT 'FORTHE OWNER, 1 promise in good faith to Inform the owner of the permitting conditions set forth 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, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building. Official 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 commenced within six months of permit Issuanpe, or If work authorized by the permit Is suspended or abandoned for a period of six- (6) months after the time the work Is commenced, An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate Justifiable cause for the extension. if work ceases for niriety (90) consecutive days, the job is considered abandoned. 'WARNING TO OWNER: 'YOUR FAILURE TO RECORD A N ICE OF. COMMENCEMENT MAY'RESULT IN 'YOUR ".. • PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER ORAN ATTORNEY BEFORE RECORDING Y OUR NOTICE OF COMMENCEMENT. • FLORIDA JURAT (F.S. 117.03) > / ' ! OWNER OR AGENT, �-- CONTRACTOR G 2 ,,� -- • S and MVO (or r11 and awe �(or affirmed) b* re me is Y i et e ! by ', iaFtntyl JR Who is/ re personally known to me or haslhave produced Who I are pa nreaLkisogwn to me or has/have produced Vi as identification. ti I•R • as identification.. Notary Public /L Notary Public Commission V"l1 Commission No. DO '1 C O MiA-7■ . Vnnn p, MI '6' \(�nee, Name of Notary typed printed r stamped . • Name 'of Notary typed, printed or stamped . • • • • ; x7# • MITZI VANCE i • ■ _ . . OOMM aow • 00913000 0 _ __ MITZI VANCE OCT 09 13 c. nt +< co rissio 00913000 � tee is OCT 09 2013 ' • sO L tniloitat RU wtiwrae CCeim K : . .... .. ..: