HomeMy WebLinkAbout11-12319 CITY OF ZEPHYRHILLS
5335 - 8TH STREET e `
�si3) �so-oo20 12319
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12319 Address: 5841 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: 1— L"- Zl — �/ _ gdpM �� d
Improv. Cost:
Date Issued: 9/06/2011 Name: MARI'S DONUT SHOP
Total Fees: 25.00 Address: 5841 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/06/2011 Phone: c 3� 7�3 z-(o � 2.c,
Work Desc: FPM- SUPPRESSION SEMI- MARI'S DONUT
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Chapter 633, Florida Statutes, authorizes the City to charge and cotlect 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 finai
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
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'NOTICE OF:DEEDRESTRICTIONS��dersi0nsd undetsta�ds.that thfspermit may.besul��qr�deeod':xrssMcUons"
which •may be more •restiictive �ihan�0oi�n't�tregulations. The:undarsl�ned .assumas rasponsibiiity,#p�pppmpliaace��+vtth any
epplkk�ble do�d resMt�lons. '
� ' �UNLICENSED �CONTRIACTOR��CND'�CD1�'RAC'fOR :R�SP.�N3IBILI'f1E8: � �if - the �cwner nr • �
contractors'to undertake work, �they may be requlredto be Ucensed In ac,cor�dance with stata and.local•ro9utatbns. tf tha
contractor is not Iloensed as requirod by taw, bo�h tho ovmer and contr�c0or may be ctted for �a •misdemeanor vlolation
under state law. . ff the awr�e� nr' intended'�c:oMractor are unce�tain .aa �ta what lioensinp •requiroments may �PPIy for the
IMended worlc, they aro advisad to contact the •P�sco County Bu�dlnp Irnpection Division--Lk�nsin� Sectlon.at 727-847-
8009. Furt�more� if liaa ovmer has hirod :a contr'ecta or oontrac�ors, ha is advisad �to .have #he .��traa�s) S�an
po�iOns qf ths 'cont�acto� Block" of thla applicati�on ior which �they wpl bs rosponsible. If you as �the owner �sign as the
coMraator� that may be an indicatlon that �he is not prepe�y lic4n�ed and is not �entlUed �pertnittlrtp in �Pasc�
County.
CONSTRUCTION .UEN LAW (Chapt�r713, �lo�ida 8tatuta��.as:am�nd�d): If valuatlon of work is s2;�500.00 or more. i
c�rdfy that I� the appl[cant, have bee�i pl'OVIdBd Mllth 8 COPY Cf 'U19 'Flo�ida Construction Lien Law—Homeownet's
Protection Guide' prepared by�the Fiocida Department of A�ricultura and Consume� AtfaMs. If the applk;ant ia someone
othe� than the "own�r, I certify that I tiave obtained a copy of the above described document and promtse in good faith to
deliver it to the'awner prior to cammencament
- CONTRAC'TOR'SIOWNER'8 •AFFIDAVR: 1 certify that all the fnformation in this application is acxurate and
that all work will be done in compiiance with all appik�ble Iaws regulating construcNon, zoning and land
developmen� Appiicatlon is hereby made to obtafn a permit to do worlc and installatbn as indicated. I certify
that no work or installation has commonc�d pria' to issuancs of a permit and�that all work wtll be performed to
meet standards of alt laws repula�n� oonstruction� County and Ctty codes� .zoning repulations� �nd land
development regulations in the ju�is�diction. I also oertlfy that I understand that tha re�ulatloRs of other
. govamment apencies may apply'to the �ntended wo� and that It is my re�ponstbitity to Identify what actions i
must take�� be in oorr�pliance.
if I am the AGENT FORTHE OWNER, I promise in pood faith to infc�rtn the owner of the permitting condi�ons set forth in
this affidavft prior to commencin� construc�lon. ( undentand that e separate permit may be roQuirod far electrical work,
plumbing, signs� welis� pools� air cond�icninp� yss w other �nstaUatbns not sPec�c�IN included in the appiic:ation A
pertnn iss�ed sha�� be construed to be a ik:en�s to proosed wlth the work and not as authority to violate� canoel, alter, or
set aside a� provfstons o�f the tech�k�l °°d°s� no� shall �s�uance °f a pem►it prevent the Bulidin� Qffldal from thereafter
requiring a oorredion of errors in plans, constructlon or violstions ot any codes. Every permit issued shali beoorne invalid
unless the work authortzed by such permit is oommenced withM sbc months of pecmft issuance� or if woric autho�ized bY
� psrmK is �usponcied or abandoned for a ps�iod of sbi (8) moMhs aftsr the Ume the work ts commanc�d. An e�densfon
may be requestecl, in writing, from the Buildtnp Of�al fa' a i�iod not to sxc�ed ninety (90) days and wiU demonstrate
,,��atils c�use for tMe e�dension. Mf wo�ic c�as� for ninety (9Q) con�s�tws days� the )ob is considered abandoned.
VI[ARNING T0�'�01NNER: YO�UR FAIL;URE TO RECQRD A YdOT1�E-'OF'COMt�R�NCEMENT �AAY RESULT IN YOUR
PAYIN� �'I.Al.ICE ��R� . RC�V'�,M�NTS TO YOUR PFtQPERTY, t��YQ4- R TO.O ., ,, N FINA►,NEING� CONSULT
F1;.0�21Dlc JUt�T �F.S.117.03)
O'YIINER QR AaENT C
gub�ibed ard.a� or atlirm�d) boh�re ms thls �
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�peesonWy kr�vwn � ms or haslhaw P�� Who W .
a� IdentlAa�tlo�• —"' as IdentlAcatbn,
, � R � Notary Pubiic
Comml�tlon No. Canmbdo� No. .
Name of NoWY b�P�� P� or afamped Wm� of NotarY b►Ped� P� a�^�
� " '�, FRANCIS SPERLAZZA
MY COA�41SSi0N M DDBM783
� EXPIItEiS: Daopmbet.l2, 2012
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