HomeMy WebLinkAbout11-11810 ' CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(sis) �so-oozo 11810
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11810 Address: 5214 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: 11-26-21-0010-16600-0250
Improv. Cost:
Date Issued: 4/25/2011 Name: VICHRIS INC
Total Fees: 25.00 Address: 5214 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/25/2011 Phone: (813)782-9556
Work Desc: FPM-QUARTERLY HOOD CLEANING FOR VILLAGE INN
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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 pertormed 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
COMMERCIAL SERViCES �NC. 2 3 8 0 3
� � � � �� � • ��
Payee ZEPHYRHILLS 04/21/11 ** �` ***** 25.00
� HOOD CLEANING PERMIT - VILLAGE INN
FEB/20/2007/TUE 11:10 AM ZEPHYPHILLS BUIL�II'dG FAX No,813 P,002
'813-'78a'0020 .� �,� � City of 2ephyrhills�i� �Fax-813-780�Q021 • •��{c
• - � � ,� ' Permit Applicafion �-�-• ��,;;
��: �:.��.:=� . ---• ' - - � ' .�.....--_ -
.Date R�ceived . ��PFiorie Contsct for Parmlt "
,,.._� . ._
'� Owne�'s Phane Numbef ��
awna�'s Nama�...,._. • ` � — -- — ,� 4E.�' � _i .3�0�' , _
pwner's Address �a� fo .�% ..� .0 � � ��'� �
Fee Sfmple�'lUeholdar Name lltlahoider Phone Number ���
Fee Slmpla�7iloholderAddreee
Job Address � !�� ��3 ��a �'S Lot # ��
Subblvlsfon ' Parcel #
� Hio-Hazard Waste Storege-•ANNUAL � �umlga6onTent ' ' • .
� Comm �xhauat Kitchen Noadlbuct ' � Hezardoue Materlal (Tiar 11 or RR �aGll�,�; ANNUAL -
� C�ntrolled sum �� Hood Inetallatlon
�' Emergana}r Oenerator c 30 kw . � LP/Newral Gae-installatlon � ��)
�'�mergency Ge�eratnr ��0 kw � LPMatural Gas-ANNUAL 9ale � �/� V
� P�ro Protec6oi, Malntenancs - ANNUAL � Plaees vf AssemblY-ANNUAL (� �
. �, Bm� � I f �
Sprinkler � p ] ❑ ❑ � � RecresEional Bum, � n �7
FrB Alarm '� o C] D�� � Sparicfers . � O v
Hood CleaNng JJ�� �"' ❑ ❑ � � Sprinkiar Syetem installaiians . �'
' Hood Suppression '�J Q L] Q� � Standplpea (Sptlnkler Sys)
' � fire Alart» Ineia�ta�on � � Torch Rooflng/Tar Kettle
Firo Pumpa ' � Waete'I'fre Stora9eANNUAL
Fire Worlcs •
Flammabla Appilca0on-ANNUAL ' •� Valuafion of F'roject '
� Fuel Tanks '
[� �tYler:
Gohtractor . Company
5ignaturo Registered / N Fee Current Y/ N
AddreSS LicenSe #
ELECTRICIAN Compeny +�
signature • Registered Y F N fee Cume[rt Y/ N
Addras6 ucense �i � '
PLUMBER Company
Signatc+re ( Reglstered Y/ N Fae Current Y/ N
Address � � Ll�ense # �
MECHAN{Cn� Company
� Signature Reglstered Y/ N Fea Current Y• / N
Address -Llcanse �F �
OTHER Company • �
5lgnalu2 Registsretl Y/ N �se Cur2nt T Y/ N
Addras= - Lfcenee #
birecUons: '
Fll ouE appllcaUon completaly.
pwner & CohVattor sl8n hack of appllCatlPn, notar¢ed (Or, copy of slqned conirao[ Wtth owner}
iP over 52500, a NoUte of Commencement Is requ�red.(Meeha�tca! work over 55000)
Suppiy two {2} 9eta of drawings wlth applicsble documsntation �
Allow 10-14 days for revlew pfter eu6mllFal date. Pare�l #- obtained irom Prnperty Tax Notice (httpJ/appcaiser.pascagov.com)
FEBi20/2007/TUE 11;10 AM ZEPHYRHILLS BUILDII'dG FAX No,813 P,003
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c�tiar��-F;—:.= ...; '�:_r: -
=�`'��DTI:�E+[):F:DEED:R�STR,lGTIONS: -fhe.undersigned=und��n�s�thaf-thls�permlf may.be�subjectrta-°deed
�: ;,,� ,':. ,..:. _ _ 7h g hl : �a , � , .�!'t�.� ��
-.::�r_iwhiCh'fm'ay'bemot'e'restrictive than County're,gulatlons':`� e; nedsassumes:re�ponsiblll �foT�omp�' rrce wlth�n [
� =?PPllcable�deed restrictfons. .. ���G;�iic�T-� �:- _.. � -- ���= , �i:�����
�UNL;IC•ENS�D �CONTRACT.DRS �AND �C�NTR'IaCTOR"�R�SRONSIBI�IriE�S:=';If-the - owner has w._�t_W^F'
- :contractorsto undertake work,'they may be requlred'to be Ilcensed in�accordance with state and local'regulations, tf.#he =
contractor is not licensed as requlred �.by law, '}�oth�the owner;and.contractor'may•.be cited'for:a �misdem�anvr ,violatiori. <• �
�.under�state law. If�the owner or intended�contractor.are uncerfain:as�to what iicensing�raquirements may:apply�far�the��=:�:�- :�
infended •work,'the,y are advised�to contact the •Pasco County:Building:lrlspection •Dlvision—�.icensing Sectlon_at 727=84•7-
-.8009. :Furthermore, .if tf�e owner has hired -a cantractor or contractors, :he is advised �to .have - the contractor(s) sign
.portions of tfie "contractor Block" of thls applicafionlor which�they•will be responsible, If you, as�the owner��sian:as.the
-• �contractor,'fhat �may be an indlcation:that he is �not licensed•and is not entltled�to:perfni{tfng.privileges in�=Fasaa ����..
-Gounty. - ' ; '
-CONSTRUCTlON.LIEN-LAW�(Chapter7�l3,�Florlda`Statutes,�s:amended): lf�valuatfon ofwork is'$2;500 .0o.or�mor�,:I
aer�ify �that I, - the appilcanf, have been provided 'with a copy �.of �the °Fforida Construction Lien Law-^Homeowner's
Pratection Guide" prepared by'the Florida Department of Agriculture:and Consumer Affalrs. If the applfcant is �someone .
other�than the'"owner", I oerEify that l have abtained.a c�p)! of.the�abeve d�saribed document and promise in good falth�to
deliver It to fha "ownar" prior�ta commencement.
CONTR.ACTOF2'•.SIOWN�R'S •AFFIDAVIT: I certify that all the informatlon in this applicafion Is accurate and ,
� �that all work will .be done in compliance with all applicable laws regulating construcffon, zoning and land
development. Appfication ls hereby made'to obfaln a permit to do work and Installatlon as lndicated. f certlfy
that no work or instalfation has commenced prfor to Issuance of a permlt� and°that �ail work wlll be performed to
meet standards of all laws regulafing construction, Caunty and CiEy codes, .zoning regulations, and land
development �cagulations in �the jurisdictlon. I.also ce�lfy �that I understand that the regulations of other
_ govemmsnt agan�ies may apply�to the )ntended work, and that It is my responsibillty to identify what actions I
must take'to lie in compllanca. �
{f I am'tha;AG�NT'�012TH� OWNER, I p�omise iri good faith to inform the �wner of�the permltting conditions setforth in
thls affidavit prlor�to�commencing constrwation. I undsrstand fhat a separate permit may.be raquired for electrical work,
plumbing, slgns, wells, poals, air conditioning, gas, or other installations not speclfically Included fn the applicatlon. A
permit issued shall be construed to be a license to proceed with the work and not as authority to vialate, cancel, alter, or
set aside any provislons of the�technical ood�s, nor shall issuance of a permif prevent the $uflding Otficial from thereafter
requiring a correction of errors In plar�s, constructkon or violations of any codes. Every permi� Issued shall become Invafid
unless the wark aui}iorized'by such permlt is commenced within six monfhs of pecmit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the 6me the work is commenced. An extension
may be rBquested, in wrlting, from the Suflding Officiat for a period no# to exceed nlnery (90) days and wlli demonstrate
Justifiable cause ior the exten�ion: 1f work ceases for ninery (90) consecuf'Ne days, the job i5 considered abandaned.
''WARNING Ta ��WN�R: YOt7R"�'AILURE TO R�CORD A'N , � MM�AICENI�NT Y"�RESULT-IN'YOUR ==•
PAYINC TW10E �OR IMPR0I/�MENTS TO YpUR PROPERTf. iF YOU IN D TO OSTAI ANCING, CONSULT
WITH Y UR L ND�R OR. N A'iTORN YB�FOR� RECORDING YOUR MOT E OF N�. r
FLORIAA JllRAT (F.S. 117,03) � , -�\��(' ' " J
OWN�R GR AG�NT� CON7RA DR � ,
Subs�Ylbed and swom to (or affirmed) before me thfs 5ubscrlbad to (or afflrm before m th
by b y
Who is/ars persohalty known to me or has/have prvduced Who Is/are personalh/ known to me or has/bav pro luced
as identificstlon_ . " ss id ntifi � tion_
Notary Public Notary Publ�c
GDI'nmiesi0n No. Commission No. ,
Name of Nol�ry iyped; printed or'stamped � Name �f Notsry typed� printed or s�mped