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HomeMy WebLinkAbout10-11260 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 11260 ANNUAL FIRE PROTECTION MAINTENANCE 'du 4.. Permit Number: 11260 Ad 7643 GALL BLVD Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL. Class of Work: FIRE - PROTECTION MAINTENAN •E Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 34 - 25 - 0010 - 03100 - 0000 Improv. Cost: :« Date Issued: 12/06/2010 Name: CHILI'S BAR & GRILL Total Fees: 25.00 Address: 7643 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 12/06/2010 Phone: Work Desc: FPM - SPRINKLER QUARTERLY- CHILI'S T. - .. -. 5.,,, 5 C7 i( ina 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." orIPP Ai 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 313 -0020 City of ZephyrhiltsTira; Fax -313- 780 -0021 Permit Application Date Received Phone Contact for Permit Owner's Name. S TivIPT,FX(zRTNNFJ,T, Owner's Phone Number 813 626 15 4 8 2 Owner's Address 4701. Oak Fair Blvd TAMPA FL 33610 Fee Simple Titleholder Name - ; Titleholder Phone Number f Fee SimpleTitteholder Address . 5.. t � ,..�.- �":�= / _- x a..__ � r .- ....- _ -&� " i - �� 'r'._ 9.ii - ...:..�ti. ,. —.. «.y _.r � � �_s�.... �" Job Address "i lS 1ct(t 9tVA, • 2-€,P q 461iS L 33541 � 1�lii i 'I'S GO( Lot# 1 Sub Division Parcel # • Bio- Hazard Waste Storage - ANNUAL pi Fumigation Tent Comm Exhaust Kitchen Hood /Duct I Hazardous grial (Tier If or RQ Facility) ANNUAL • I .. . Controlled Bum 1 Hood Installation I ? Emergency Generator < 30 kw ! LP /Natural Gas E Generator > 30-kw LP /Natural Gas - ANNUAL Sale I Fire Protection Maintenance - ANNUAL I I Places of Assembly-ANNUAL .. Lip !Semit (Anti ether Sprinkler, NI • ' ❑ ❑, r Recreational Burn Fire Alarm I ❑ ❑ ❑- I1 : 1 ' Sparklers - Hood Cleaning 0 ❑ LI I I I Sprinkler System Installations . _._ . Hood Suppression. - . ) I ❑ . 0 _ .. I I .. ,. " I ..Standpipes (SprinklerSys) • Fire Alarm Installation p. " Torch Roofiig/Tai' Kettle Fire Pumps • • • 1 ----- 1 Waste Tire Storage ANNUAL ::1'.. I Fire Works • • I I Flammable Application- ANNUAL Valuation of Project ` Fuel Tanks I I Other: I • Contractor Company C - i {�lin, •ti 1( Signature Registered Y / N • Fee Current I• Y / N I • Address I I: License f I - ELECT . Company Signature Registered Y 1 N " ` I : Fee Current I Y/ N .. I r Address I" .. I License # " . - 1 . . •PLUMBER - . - - Company " .. Signature Registered Y./ N' I Fee I Y /. N; I: • Address I I License # I 1 MECHANICAL • Company Signature . Registered Y / N Fee Current Y / N . Address I; 1 License # I OTHER • Company • . . Signature - Registered Y / N Fee Current I Y / N _ .I Address License Directions: r"r - - 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 aver submittal date. Parcel #- obtained from Property Tax Notice (http: / /appraiser.pascogov.com) • NOTICE OF :DEED RESTRICTIONS: The .undersigned understands that this permit. may_be'subject to - "deed" :restrictions" which may be more restrictive than County regulations. T he.undersigned assumes responsibility for:compliancewith any .applicable deed restrictions. UNLICENSED 'CONTRACTORS AND - CONTRACTOR RESPONSIBILITIES: If the owner has - hired - :a-contractor or - contractorsto undertake work, they may be required 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 :a "misdemeanor violation under state law. if the owner or intended contractor are uncertain as to what licensing may =apply for the intended work, they are advised contact the Pasco County Building inspection Division— Licensing Section.at 727-847 - 8009: Furthermore, if 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 owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled permitting privileges in Pasco County. CONSTRUCTION -LIEN LAW (Chapter713, Florida Statutes,_as.amended): If valuation of work is $2;500.00 or more, I certify that 1, 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-i °° -obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. - CONTRACTOR 'SiOWN - AFFIDAVIT:- I certify that all the information in this application' is accurate and that .all work will be done in corripliance 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 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. 1 also certify that 1 understand that the regulations of other _ government agencies may applyto the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. • if i am the AGENT FOR THE OWNER l promis - -in good faith to inform the owner of the permitting. conditions set forth in this affidavit prior to commencing construction:_..: I:unde:rstand_ aseparate._perrntt may 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 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 .. ilhless the Work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the p ermit 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 ninety (90) consecutive days, the job is considered abandoned. :WARNING TO. OWNER YOUR FAILURE TO RECORD A NOTICE `OF'COMMENCEMENT MA'{ R IN ;YOUR P4YING FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBT• N FINANCING, CONSULT - 73:r. WiTH YOUR LENDER OR AN ATTO' BEFORE RECORDING YOUR NOTIC a' Ca :- EN CEMENT. FLORIDA JURAT (P.8: I li.I • J E . % -' OWNER OR GENT / W A CONTRACTOR OR Subscribed arid sw orn • (or - • • e before me this Subscribed and s om to or firmed) before me the by .- by Who is /are personally known to me or has/have produced Who is /are personally known to me or hasfhave 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 • •