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Home My WebLink About11-11855 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (si3) �so-oo20 11855 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 11855 Address: 5130 GALL BLVD Permit Type: FIRE PROTECTION MAINTENANC Class of Work: FIRE-PROTECTION MAINTENAN E Townshi ZEPHYRHILLS, FL. Proposed Use: COMMERCIAL p� Range: Book: Square Feet: Lot(s): Block: Section: Est. Value: Subdivision: CITY OF ZEPHYRHILLS Improv. Cost: Parcel Number: Date Issued: 5/09/2011 Total Fees: 25.00 Name: ROR LLC Amount Paid: Address: 5130 GALL BLVD 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 5/09/2011 Work Desc: FPM-SEMI ANNUAL HOOD SUPPRESSION FOR LUPTONS BBQ 5. I � ��r �" � � / 1�' � �I � � inai 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 Accom n A lication. Commencement of work without written a the Fire Department's Fire Marshal or r uired � y pp eq permits or opening up for commercial activity without an a pproval of inspection shall be charged double permit fee per day of operation or a minimum of $100.00, whichever i sgreae � All work shall be pertormed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENT TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT S WITH YOUR LENDER �OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. � PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTIp�J OFFICER CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041 s�aaao-oo2o City of Zephyrhills Fire Permit Appiication F�'$�3 Date Received j — _ �� Phone Contact for Pertnit � � Owner's Name � �s � � �� Owners Phone Number � Owners Address � 6 �' ,�/� � y Fee Simple Ttleholder Name �� ----- TiUeholder Phone Number Fee Simple Titleholder Address Job Address - -' ,S' � �. �� Sub Division Lot # Parcel # � Bio-Hazard Waste Storage - ANNUAL � � Fumigatio� Tent Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Faciliry) ANNUAL � Controlled Bum � � Hood Installation Emergency Generator < 30 kw � � Emergency Generator> 30 kw �P/Natural Gas-Installation � Fire Protection Maintenance -ANNUAL a LP/Natural Gas-ANNUAL Sale �� / � Places of Assembly-ANNUAL ❑ � emi � er Sprinkler � � � � - ❑ Recreational Bum Fire Alartn � � � � � ❑ Sparklers Hood Cleaning � � � � � � �� ❑ Sprinkler System Installations Hood Suppression p � � Standpipes (Sprinkler Sys) Fire Alartn Installation � � Torch Roofing/Tar Kettle Fire Pumps � Fire Works Waste Tire Storage ANNUAL � Flammable Application- ANNUAL � Fuel Tanks Valuation of Project Q Other: Contractor - � � � Signature ' Company � Registered Y/ N Fee Current Y Address License # � ELECTRICIAN Signature Company Registered Y/ N Fee Current Y/ N Address License # � PLUMBER Signature Company Registered Y/ N Fee Current Y/ N Address License # � MECHANICA Signature Company Registered Y/ N Fee Current Y/ N Address License # OTHER Signature Company Registered Y/ N Fee Current Y/ N Address • License # � Directions: � °� -� • 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 wor{c over $5000) Supply two (2) sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. Parcel #- obtained from Property Tax Notice htt ://a � P ppraiser.pascogov.com) NOTICE OF DEED RESTRICTIONS: The �ed ulations. The undersigned a esponsibilby for compl ance t w th any which may be more restrictive than County g applicable deed restrictions. UNLICENSED CONTRACTORS AN bON q iBaacoEdance th s ate a d local If contractors to undertake work, they Y contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanorl��fortthe under state law. If the � t n contact the Pas County Bu Iding Inspection D vSS on r c s ng on at727-847- intended work, they are ad 8009. Furthermore, if the owner has h a ed �ication t for t which they be respo sablee�lf the owneasign the portions of the "contractor Block of this pp contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in asco County. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, a of r the a F o Construct on L en LawO certify that I, the applicant, have been provided with a copy Protection Guide° prepared by the Florida Department of A � g f i {�e t above descrbed document nd prompsean ath to other than the "owne�', I certify that I have obtained a copy deliver it to the "owner" prior to commencement. _ CONTRACTOR'S/OWNER'S A► om��ance�with al applicable laws egu'latingtconst�rulcton� zon ng and land that all work will be done P development. Application is hereby made to obtain a permit to do work and installation as indicated. 1 ce�ti y that no work or installation has co am�en constructionS County�a d C'tytcodeshazoni g regula ons, ndeand meet standards of all laws regu g development regulations in the tortheCnitended workCand that t s myeespo s bility t e identify t what act ons I government agencies may apply must take to be in compliance. If I am the AGENT FOR THE OWNER, I pro nise �u that a�separat permit may be req g ed for l electr c I nork�, this a ff i davi t pr i o r t o c o m m e n c i n g c o n s t r u c t i o l i c a t i o plumbing, signs, wells, pools, air conditioning, gas, or other installations no t spe c i f i c a l l y i n c l u d e d i n t h e a p p permi t i s s u e d s h a l l b e c o n s t r u e d t o be a liceeSenor shalee sua f a p e m it� p e v e n t t h e B u d i n g O ff' ci al from ther set asi de any p r o v i s i o n s o f t h e t e c h n i c a l c o d , requiring a correction of errors in plans, construct within si a onths of perm p sua 1 nce, o aif work authorized by unless t he wor k a u t h o r i z e d b y s u c h p e r m i t i s c o the permit is suspended or abandoned for a period of six (6) months after t he time t h e w o r k i s da s and will demonstrate may be requested, in writing, from the Bui l ding Official for a period not to exceed ninety (90) y 90 consecutive days, the job is considered abandone d. justifiable cause for the extension. If work ceases for ninety () WARNING TO OWNER: YOUR FAILURE TO RE PROPERTY TIF YOU NT�END TO OBTAIN FI�NANC NGTCONSULT PAYING TW�CE FOR IMPROVEMENTS TO YOUR WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) CONTRACTOR pWNER OR AGENT before me this Subscribed and swom to (or affirmed) before me this Subscribed and swom to (or affirmed) by by Who is �a�e personally known to me or haslhave produced �o i personally known to me or has/have 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