HomeMy WebLinkAbout11-11647 CITY OF ZEPHYRHILLS
5335 - 8T}i STREET �
(813) 780-0020 '�'�47
� ` ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11647 Address: 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: 34-25-21-0010-03100-0000
Improv. Cost:
Date Issued: 3/15/2011 Name: CHILI'S BAR & GRILL
Total Fees: 25.00 Address: 7643 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/15/2011 Phone:
Work Desc: FPM- SPRINKLER QUARTERLY- CHILI'S
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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."
�..
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
, s�s=rso-oozo Ci'ry ofZephyrhilfs��ir:e: F�-ai�-7so-oo21
� , � Permii Application
Date FZeceived =:' Phona Coniact for Permif �
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Own°t's hiame Owners Phone Number �� � C
g:( 3 626 5482
Owne�sAdd 4701 Oak Fair Blvd TAMPA FL 33610
Fea Simpfe Tf(eholder Name - - T�lehofder Phone Number ��� C
Fee SimpleTitteholderAddross
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JobAddress C ( h' ^ 5' � C,� J J �s Lot�# C
Sub Divisian Parcal �
� Bio-HazardWasteStorage-AFIKUAL � FumigationTent
� Comm Exhaust'Kitchen fiood/Duct � Hazardous Material (Tier If or RQ Facifity} ANt�lUAL
� Controffed Bum � yood Instalfation
,� Emergency Generator < 30 kw � LP/7�latural Gas-Instaflafion
_ . .,�� . •Emergency Generator> 30 �kw � LP/Nafural Gas-ANPtUAL Sa[e
•� • -�' Fire Protecfion Mainfenance - ANhlUAL � Places of Assembly AP(NUAL
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, , , Sprinkter, � � ❑ p � • � Recreational Bum � �
� . , Fire Alarm �
, � Q � ❑• Spark(ers .
� ��� � Hood Cleanit� � �
9 � � ❑ ❑ � � Sprin[cferSystem Inshalla6ons
- --- - . - .., ry . � : .. Hood Suppression - - ,� ❑ ❑ O � � Standpipes (Sprinkfer Sys)
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_. , �. Fire Pumps . Waste Tire Storage - � � ^
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, Fire Works
, . ;; �• ,- Ffammable App[icafion-ANNUAL . , � ValUaflOft Of PfOfeCf ,
' � ° � ' Fuel Tanks � " ' " ' � • � - • •
� ' � 0 .Other: . •
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Confractor ' � •
Company ! �y�'�� �n, �
Signafure ' Registered Y/ I� Fee Cuirent Y/�
Address ' _ _ " License #
- �..�.. - _ _ _ -
ELECTRICfAN �:::;' , ; : - - . • .. ., - - , Com an " _ �
Signafure . , ._ � . p Y � - � ':: '.:. � ::. �.
Registered < Y/ N ., Eee,Gurrent> Y/ N •
Address License # � - � ,
.PLUMBER � ' "' �
� - . . Com an '`
. P Y ,f- -• ,:'.
Signafure ' Registered I Y! N� I Fee Currenf Y �j.: '
Address .
. License # '
MECHANfCAL Company
Signa[ure Registered Y/ N Fee Currenf Y/ I�
Address . _ • LiceRSe #
OTHER � .
. Company _
Signature Registered �' / N Fee Current Y/ N
Address Licerts.e #
Direc6ons: ' - � _. - _
" . F[f ouf appiication comptefely_
____ _ Owner & Contracfor sign back of appiication, nofarized (Qr, copy of signed confracf wifh owner)
(f oveF $2500 a rlofics of Commencement is required_(tvf=chanic.a( woric over $5000} .
-= '.- Supply fwo (2} sefs of drawings wifh app[icabfe docnmenfafion � -
_ _ - _ A[torv 10-44 days for review ar�er submi:fa[ dafe_ Parcef #- obfairced from Properfy Tax Hofice (h�fpJ/appraiser.pascogov.com}
`[�16T(CE OF=DEED FZcSTR[CTIOi�fS: � he.undersigned understands.that fhis permit maybe subject.�o
wE�ich may be more restriciive than Couny regulations. The_undersigned assumes responsibiliy for:�omplian�e>with ���y
_appl�cab[e deed resfrictions. -
Ut�ILiCEE�SED'COI�TR:4C7oRS A[�D�COI�ITRACTOR RESPO�ISEBILIT[ES: lf�the owner hasfiired or -
contracfors to undertaEce work, they may be required fo be [icensed in accordance wifF� sfate and locaf�regulations. ff fhe
cohfracfor is not (icensed as required by law, both the owner .and contractor may be cited �for :a �misdemeanor vio[ation
under state law. If the owner or infended coniractor are �ncer�ain.as�Eo what licensing�requiremen�s may-apply for the
infended work, tfiey are advised fo contact fhe-Pasco County Buifding [nspection Divis�on—Licensing Sec�ion_at 727-847-
8QQ9. Fur�hermbre, if fhe owner� has hired _a contractor ar contractors, E�e is advised �to have �the contracEor(s} sign
por�ions of �he "contractor BIocK' af fhis appfication which wi[[ be responsible. [f you, as�the owner sign as fhe
contracfor, that may be an indicat[an'fhat he is nof properfy [icensed and is nof enfiffed perm�t�ing privileges in Pasco
Counfy.
COhISTRUCT{ON_L[EN L/�W (CE�apfer71 F[orida StafuEes,_as.amendeci): (f va(uation of vdork is $2;500_00 or more,
cerEify {hat [, - Ehe appEicant, have been provided with a copy of �the "Ffor�da Construcfian Lien Law—Homeowner's
Protecfion Guide" prepared by F(orida Department of Agriculture and Consumer Affafrs. ff the applicanf is �someone
ot[�er than the�"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
de(iver it to tf�e "orrvne�' prior to commencemertt.
COt�TRACTC]R'SIOWi�tER'S-AFFIDAVIT: f cerEify fhat afi the informafion in fhis app[icafian is accuraEe and
J that all wor[c wiff be done in complianc.e with aff applicable I,aws regu[ating construcfion, zaning and (and
deve[opment. Appiicatian is hereby made Eo obfain a permit to do work and insta[lation as indicated. -I cerFify
fhat no work or instalfation has commenced prior to issuance of a perm�t and a[f work wi(I be performed fo
meet standards of al( laws� regulating constn.[ction, County and Cify codes, .zoning regulafions, and (and
developrnent regulafians in the jurisdiction. [ als.o cerEify t�at f understand thaf the regulations of ather
_ government agencies may applyto fhe intended work, and that it is my respons�bifify to idenfify whaf actions I
musE take to be in comp[iance. _
_ff f. am the AGENT FOR�"HE OWNER;-1 prornis�-in good faith to inform the owner. of fhe permiffing sef for�h.in_ _
- - __.�. _ ,_._.... ._.,,._.,. __ -
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—tf�is-�afF'rd-avit•-prior-to comme�ci�►g--co�sfrucfion._....[�u�de"r."sta�cL�h��...�..sa, arate.__�rm�t ma be re_uired:for:electricaf,wor, ,__.__ __
pfumbing, signs, wefls, pools, air conditioning,� gas, .or other instal[afions not speciftca[ly incEuded in fE�e app[icafiori. A
permif issued shalf 6e�construed to be a license to proceed wifh fhe work and not as authority fo vio(afe, cancel, alter, or
set aside any pi'ovisions of the technical codes, nor shafi issuance of a permit prevent fFie Bui(ding Offtciaf from ti�ereafEer
. requiring a correction of errors in plans, cbnstruction or violations of any codes. Every. .pe.rmit �ssue.d. shal�.,becor�e inva[id
unless fiie rnrork authorized by suct� permit is commenced within s�x months of permit issuance, or if work aufhorized by
the pe'r.'mit is suspetided or abandoned for a period of six (6) months af�er the time the work is commenced. An ex�ension
inay be requested, in wrifEng; from t�►e Building Official for a period not fo exceed ninety (90) days and wi[f demons�rate
justifiable cause for the extension. ff wo�k cea5es for ninety (90) consecutive days, fhe job is considered abandoned.
WARNfNG'TO.OWNER: YOUR �A[LURE TO RECORD A`NOT[CE'OF� COMME�ICEM�NT MAY'�RESULT [I� YOUR '
PA.YtNG.TWIC� FOR [MPROVEMENl"STOgY�ORE RECOR NG YOUR O �C T �N(CEME T.' CONSULT-�,�.'"-,
111fITH �Y0Uf2 LENDER �t� AN ATTO . _ �
FLORlDA.IURAT (F.S: 1'(7_ ,
., _".';- �- -• - COI�ITRACTOR �
OWt�[ER OR A�ENT Subscribed and s m to or ir�ned) before me fh�s --.
o ed before me fhis bY
Subscnbed and swom . ( � r , . ) —
by — ---- Who is/at parsonalfy known to me or haslhave produce�i
Who is/are persona(Ey knawn to me or has/have produced _ as iden4ification.
- as iden4ificafiori.
Notary Pubfic
' Notary Pub[ic � .
Commission No. ,
Commission No_ �
- I�ame af l�fatary tYPed, prinEed or s�amped
t�fame of Notary typed; Printed or stamped _