HomeMy WebLinkAbout11-11627 CITY OF ZEPHYRHILLS ��
5335 - 8TH STREET
(si3) �so-oozo 11627
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11627 e Address: 5734 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: 11- 26-21-0010-2600-0250
Improv. Cost:
Date Issued: 3/11/2011 Name: MAGNUSON HOTEL
Total Fees: 25.00 Address: 5734 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/11/2011 Phone:
Work Desc: FPM- FIRE ALARM ANNUAL- MAGNUSON HOTEL
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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 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 ofZephYrhiils�Fi�� Fax-e���ao-oo2�
- i'e►mit ApRlic�ion
Qate Rsc�eivad r--------- .
� Ptwr� Cor4ar.t fo� Perrnit
o,,,,,, Magnuson Hotel p� 813 � 7g2 5527 �
pwnersqddress 5734 Gall Rd Zephyrhills F1 33542
Fee Sfmpfe Tineholdsr Name s a m e TidahoMer Phone Number � !� I��
Foe Simplo Tidehoider Addross _..J _.J
��„y�� 5734 Gall Blvd • Zephyrhills F1 �
Lot #
Sub Division
Parosl #
Q Bio-Hazard Wasee Storag� _ ANNUAL a Fwniga6on T�t
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� Emerse�cr c�raror < so kw LPn�a4,ral c�, .
Er^O�9e C'+�aabor> 30 kw � LP/NtWrai Gas-ANMUAL Sale
� Fire P�tectlon �r�Oe - ANWUAL � Plaoss oF As�ly-AI�INUAL
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L'•lre Purnps
� works w�• �e s� �n�
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�uei Tanks • �� Vaivation of Project
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PLUMBER
Sigrwture �Y
Address
RsDisbsrsd Y/ N Fae C�msnt Y/ N
MECHANICAt, t � � �
Signature �^Y
Regis6e►ed Y/ N Fee Cument Y/ N
Addreae
Licerne �
OTHER
Siprqtture CO�Y
Re�te�ed Y/ N r-ee Caront Y/ N
Addrsss
Dl�scdons:
Lice�e #
Fil out appNcafion c�rnp(�,.
q�� a � � ��� � ��' �PY � �9�d c�itract vvitli ovrner)
SWWY two (2j ssfs of drawinys wi� appifcable ��� � ovar 55000)
Allow 10-14 days fior roviaw after submfltai date. Par�el #- oMalned fiom
. ProPerty Tau ►�o8ce (hCpJ/aPPraiser.Pasco9w•com)
NOTtCE O� DEED RESTRtCTIONS: The undersigned T d� u���� ��� �� g i ��� ��m� � h�any
be more reshictrve than CountY regUlat�ons.
which may '
applicable deed restrictions. �pR RESP.ONSIBN:ft1ES: if the o�wner has fiired ��cornractor or
UNl.ICENSED CONT'RACTORS AND - CONTRI►
to be �ic�sed �� accordance w�h S� a� �� �9ulations. If the
contractors to undertake work. theY maY ��� be cited for a misdemeanor violation
contractor is not ficensed as re4uired bY law� both the awner ar�d cont�ad°r maY uiremer�ts may �PP�Y for the
under state law. tf the owrier or itrtended oontractor are u� ��to what lic�ensin9 �re4
are advised to co�rtact the Pasco Cou�Y Buiiding Inspection Division—Licensing Seclion.at 727-847-
intended worlc, theY he is advised to have the contractor(s) sign
8009. Furthermore, if the oavner has hired a confiractar or �b'�,
�ion - fior which theY w�i.be resPonsible. if you, as - the own� sign as the
portions of the °c:ontraCtor Bioc{c" aF this aPP�� {�enseci and is not entitied� to permittlng Pr+vile9es in Pasco _-
contractor, that may be an indication that he is not prope�iy � _°
County. �T13 Florida S�• �� ��' � �a��n ���$2'5fl0.00 or more, i
CONSTRUCTION .UEN �LAW (ChaP'te ' �� � a copY of "the 'Florida Construction �Lien Law�--Fiomeowner's
certify that i, the aPPiicant, have been P�'° �eM a# Agriculh►re and Consumer Affairs. If the applicant is someone
Protection Guide' prePa� ��� Fl°rid� 1�P�
other than the '�r. ��� �� � h � s °�� a �� a�Ve desc�ibed d��e�t and promise in good fa� to
deliver it to the °owne�' Pnor t° comm��• th8t ai� the irtiformation in this application is accurate and
CONTRAG'fOR'SIOMMER S�DAVTf: I�� �� i�s regulating. c�nstru�tiOn, zoning and fand
� that ali work witl be done in compliance wtth all appi' ft to do woric and instaitation as indicated. I certify
development. App���� is heret�y made to obtain a perm � a � � a � y ���� ��rfa�� to
that no work o� installatl°n has �°mmenced Prior to issu�� of a pertn' u��ons, and land
meet standards of ali laws regulatin9 constru�°�� COU� and City codes� aoning *�9 ��ons of other
lations in the jurisdiction- I�S° ce�Y that I understand that the re�
developmerrt re9u ������ ��, and that it is my �ponsibi�itY to identifY w�at actions I
govemment agencies may apply
must take�to be in compliance. �e in good faith to infarm the owner of the permittin9 conditions set forth in
If I am the AGENT FORTHE OWNER, i prom ���� may ��quired for electricai work,
this afftdavit priqr to commenang construdion. i understand that a sepai 1 mduded in the appiication. A
piumbing. sl9ns� wells, �ois, air conditioning. 9as, or other instaliations not specifica �Y �
permit issued shall be construed to be a license to prooeed with the work and not as authority to viotate, cancel, alter, or
set aside any pmvisions afi tfie tachnic�l cales, �°r shall issuanoe of a Permit prev�t the Bu� ���` ��inva d
requiring a correctior► of eROrs in plans. construc�ion or vioiations of ar�y c�des. Every issuance, or if work authorized by
unless the work authora�d bY such permit is comm�n� �in six montfis of Pertn qn extension
}�e permit is suspended. or abandoned fa a Peri°d °f sa (6) mor�ths a�ter the time �•�k� � m�� il demonstrate
from the Building Offiaai for a period not to sxceed �ninety () YS
may be requesfied, in writ�n9. for n�nety (90) conSecuti�e days, the job is considered abandoned.
justifiabie cause for tfie extension• If w� �� �Y �UL7 IN YOUR
WARNING TO OWNER: YOUR PAILU � YOUR PROPER'�'Y• �F YOU INTEN�D O� F��CING� CONSULT
PAYING TNIICE FOR IMPROVE��v RE�ORE RE��RDiN_� _ G� R�'�� �
VI►ITH YOUR ��
FLORIDA JURAT (F.S.117.03)
dW1�tER OR AC;ENT Subs�ed and �� �g�-� me this ?�n �` ��-, � V+
Sl7bSCI�bBd 8I1� gyypTfl 1fD (Of 8��) �B Rle U1�5 �. C�=,-.._� ���Z 1—
�
� Imo�wn to me or hasll�ave Prod� Who islare Pe�h► as M�• ,
{Mto ls�aue A�Y � i �� -
;�� c
►�ry Pubflc
Pbtary Pu��
� � $ 2 ��
Commission No. l
�bmmission No. �� P �
�� �,e of Not�y *° * A DD 638273
Name of No1ary tYP�� P� EXPIRES: April 26, 2011
�9�� F` dQ.� P BoMed Thru Budpet Notary Services
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