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Home My WebLink About11-11990 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (sis) �so-oozo 11990 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 11990 Address: 6855 GALL BLVD Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL. Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 03-26-21-0010-01600-0020 Improv. Cost: Date Issued: 6/10/2011 Name: GOLDEN CORRAL Total Fees: 25.00 Address: 6855 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/10/2011 Phone: (813)783-8969 Work Desc: FPM-SEMI HOOD CLEANING FOR GOLDEN CORRAL � � � �� / 2� �l l, J � '` ) 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." �.. 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 , wsi3aso-oo2o CityofZephyrhiils"Fir�• Fax-eis-�sa-oo2� Permit Application - Date Received � Phone Contact for Pertnit Y�,-_�-.� ° : .- - -�;:_�;.:,xiY;,:�.��._..�_ > .,_ ; ��..�=ss�b��.�,..-~z.� - . ::�:__ .. - Owners Name ANDERSON P Owner's Phone Number � ( � 5 �Q Owners Address 51Q�} �RA�' — Fee Simple Titleholder Name TiHeholder Phone Number �� FeaSimpleTitleholderAddress �� ,�,� � � � _ �,., .m.>.��;;. �; . ,;� __.. . �... "y��'�".:_.`� .,�...�,.. �°�„'?�x ,�. �+.. ,"°��. ' .: , °'�"`�t-�. :;a�`� <.�:�1�. -'�'gc:S:�,��.::�.c.�t�:. °- ._. ��c: _.: . ..��: . � . . �° � � Job Address GOLDEN CORR.AL 6855 GALL BLVD Z��H�� — Lot# .. Sub Diviswn � +d,: �� _ �. � --...-�.. . ,. . �,�. . > _ �.� :�:� � -_. �..�.,�.:...�k.�.�. , _._�._...__.- �._.�-�---.�� . _ _ ... . . . ... .. __ .. .. ...:.2��' � '=cP",�?"v.. -�-.x'—"�'s�.�'s. "�" ��a;- ,,,,.,,�.. . .,�:R^;a;:. -. ,<-.,�..�t . N . .. .� . �� Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Materia► (Tier 11 or RQ Faciiity) ANNUAL � Controiled Bum � Hood Installation � Emergency Ge�erator < 30 kw � LP/Natural Gas-Installation � Emergency Generetor> 30 kw � LP/Natural Gas-ANNUAL Sale ,----�. � Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL -�/ �r�y emi � r Sprinkler � ❑ ❑ ❑ � Recreational Bum n O �(% Fire Alarm � � ❑ ❑� � Sparklers I I Hood Cleaning � ❑ � ❑� � Sprinkler System InstaUations �I' � Hood Suppression � ❑ ❑ ❑ � � Standpipes (Sprinkler Sys) � Fire Alartn Instaltation � Torch Roofing�iar Kettle Fire Pumps � Waste Tire Storage ANNUAL Fire Works Flammable Application-ANNUAL Valuation of Project Fuel Tanks Q Other: -, .�-s� - � , F..��-=-� ��u�,- � _. Contractor Company Signature Registered Y/ N Fee Current Y/ N Address License # ELECTRICIAN Company Signature Registered Y/ N Fee Current Y/ N Address License # PLUMBER Company 5ignature Registered Y/ N Fee Current Y/ N Address License # MECHANICAL Company Signature Registered Y/ N Fee Current Y/ N Address License # OTHER Company Signature Registered Y/ rl Fee Current Y/ N Address License # «?'� o. - ::aa��_r.a,�..�ax*� a,�c�sxa..,y:s�� - � �aa:.�:>i�e�.` . ..,.�<...n. ' «�._:-.'--. -..a-;.> - "�z��..�.� Directions: Fill out application compfetely. Owner 8 Contractor sign back of appiication, 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 after submittal date. Paroel #- obtained from Properry Tax Notice (httpJ/appreiser.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. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and locai regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited #or a misdemeanor violation under state {aw. If the owner or intended con#ractor are uncertain as to what licensing requirements may appiy for the intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a cont�actor or contractors, he is advised to have the contractor(s) sign porfions of the "contractor 8locic" of this appiication for which they wilt be responsibie. If you, as the owner sign as the contrac#or, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. � CONSTRUCTiON LIEN LAW (Chapter 713, Fiorida Statutas, as amended): if valuation of work is $2,500.00 or more, I certify that i, the applicant, have been provided with a copy of the °Florida Construcfion 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 have obtained a copy of the above described document and promise in good faith to deiiver it to the "owner" prior to commencement. - CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this appfication is accurate and thaf all work will be done in compliance with all applicab'le taws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. 1 certify that no work or instaila#ion has commenced prior to issuance of a permit and that atl work witl be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certifir that I understand that the regulations of other � government agencies may apply to the intended work, and that it is my responsibility to identify what actions I , must take to be in campliance. If I am the AGENT FOR THE OWNER, I promise in good faith to i�form the owner of the permitting conditions set forth in this affidavit prior to commencing construction. ! understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shaA be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, ar set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a coRection of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the Vvork authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit 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 Officiat for a period not to exceed ninety (90) days and will demonstrate just�able cause for the extension. ff work ceases for ninety (90) consecutive days, the job is considered abandoned. WARNING�TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR tMPROVEMEPITS TO YOUR PROPERTY. IF YOU INTEND TO �BTAIN FINANCING� CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NQTICE OF COMMENCEMENT. .� FLORIDA JURAT (F.S. 117.03) ,= 2r � �,�"�'�-' ; "` `s�`� : F',��% • ',�-> �':�:,� : ,�::-:;_* _,�,_-�:-= �Y OWNER OR AGENT CONTRACT�R ...� �..,- = � �"s+--"' Subscribed and swom to (or aifirmed) before me this Subscribed and swor�t fo (or afftrmed) before me thfs by � Who is/are personally known to me or hasthave produc�d Who is/are persorralty known to me or has/have produced as identiflcation. as identification. ! Notary Public Notary Pt�Nic , Commission No. Commi.ssion tJo. Name of Notary typed, printed or shamped tdame of Notary typed, prfnted or stamped i I � 1 1 �