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Home My WebLink About11-12398 CITY OF ZEPHYRHILLS „�.�-- ' 5335 - 8TH STREET (ai3) �so-oozo 12398 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 12398 Address: 6851 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: 9/29/2011 Name: GOLDEN CORRAL Total Fees: 25.00 Address: 6851 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 9/29/2011 Phone: (813)783-8969 Work Desc: FPM- HOOD CLEAN SEMI- GOLDEN CORRAL � � �� --(�-/( ; 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 Of�ice - 813-780-0041 813-780-0020 City of Zephyrhilis Fax-sis-�so-oo2i Permit Application - Date Received �— � Phone Corrtact for Pertnit �� a� , . _.:i�3�i.""z� -. .., .. . �..��. wv..s....� :......a._a 8'�,4 .� ,....,,°�.-8i'.�;��"-.'£:�?k - ....,;F?'.f;l� - Y S` �,�:-- ; ._. ....:. Owner's Name ANDERSON PRES Owners Phone Number � RRG 5 �Q� o�,ers Add�ss 5104 MURRAY — Fee Simple TiUeholder Name Titleholder Phone Number �� FeeSimpleTitleholderAddress _ _ _ � , ,�, ..g �-•v��: .-,...... �.,��?'a�.,,';��:�z"��a";>,s.�,`">�a . - �.e..� _.�._, - - ,°."'� �:'�.� �? �. �:..,, . . � � _ m. �x.i.��" �s��^''��:,�:;�wr'.°��:�:.,� ..... :•�'°�;- y,V '" :'� �e��'. . . _ � Job Address GOLDEN CORRAL 6HS �'iA�, BL�. Z'��H�� — Lot# y � C� Sub Division Parcei # ._._. . . ----�='t"�.?r'�''` ........� ._...-�:ar".°' . :.a . - . ':i�'R°�.`�'i� '4�.�:%��:-'"'"�u-"�_..-�+n�:3"a:__r:,-.<=.M.�....._',�"".�a;F- �� Bio-Hazard Waste Storage - ANNUAL a Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tiar II or RQ Facility) ANNUAL � Controlled Bum � Hood Installation � Emergency Generdtor < 30 kw � LP/Natural Gas-Installation ��j � � Emergency Generator > 30 kw � LP/Natural Gas-ANNUAL Sale � � � Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL �y emi � r Sprinkler � ❑ ❑ ❑ � Recrsadonai Bum Fire Alartn � ❑ ❑ ❑ � � Spa�lclers Hood Cleaning � ❑ ❑ O� � Sprinkler System instailations Hood Suppression � ❑ ❑ ❑ � � Standpipes (Sprinkler Sys) � Fire Alartn Installation � Torch Roofing/Tar Kettle Fire Pumps Q Waste Tire Storage ANNUAL Fire Works Flammable Appiication- ANNUAL Valuation of Project FueFTanks Q Other: �� J . � �e�'�� t?�7.�� - a��ffi£ "_ a. �" ...v_ ;'.i Contractor Company Signature Registered Y/ N Fee Current Y/ NI Address License # ELECTRICIAN Company Si Registered Y/ N Fee Current Y/ N Address License # PLUMBER Company Signature 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/ N Fee Gurrerrt Y/ N Address License # -- �, .�...:,�.�,:::w:3.�.:�.:�.,a.:-• _ �<_....�,��..�-,�..��:x�-._::� ,..�,.��.,�.��-.:.�.-... . . � ��_ ._.,. + Directions: � �� .�_ FII oui appiication completely. Owner 8 Contractor sign back of application, notarized (Or, copy of signed contract with owner) If over $2500, a Notice of Commencemerrt is required (Mechanical work over $5000) Supply two (2) sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. Parcel #- obtained irom Properiy 7ax Notice (MtpJlappraiser.pascogov.com) . NaTi�E 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 restricfions. UN�ICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: {f 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 for a misdemeanor violation under state law. I# the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building inspection Divisiorr–Licensing Section at 727-847- 8009. Furthermore, if fhe owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the °contractor Siock" of this application for which they wiil be responsible. If you, as the owner sign as tfie contractor, that may be an indication that he is not properly licensed and is not entitled to permitting pr'Nileges in Pasco County. � CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes� as amendsd): if valuation of work is $2,500.00 or more, 1 certify that t, the applicant, have been provided with a copy of the °Florida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other #han the "owner", i certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. - CONTRACTOR'S/OWNER'S AFFiDAVIT: i certify that all the information in this application is accurate and that al! work wiil be done in compiiance with ali applicable taws regulating construction, zoning and land devetopment. Application is hereby made to obtain a permit to do work and installation as indicated. 1 certify that no work or installation has commenced prior to issuance of a permit and that ail work wi11 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 certiiy 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 1 � must take to be in comp{iance. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. 1 understand that a separate permit may be required for electrica! work, plumbing, signs, welis, poois, air conditioning, gas, or other instaliations not specifically inciuded in the application. A permit issued shall be construed to be a license to proceed with the woric and not as authorify to violate, cancel, alter, or set aside any provisions of the technical codes, nor sha11 issuance of a permit prevent the Building Official from thereafter requiring a correction of er�ors in plans, construction or violations of any codes. Every permit issued shall become invalid unless #he 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 pe�iod of six (6) months after the time the work is commenced. An extension may be requested, in writing, from #he Building Official far a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. WARNfNG OWNER: YOUR FAILURE TO RECORD A NOTICE OF Ct}MMENCEMENT MAY RESULT IN YOUR PAYING TWlCE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU lNTEND TO OBTAIN FiNANCING� CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N4T'ICE OF COMMENCEMENT. �: FLORIDA JUf2AT (F.S. 117.03) ..: ., � �,� ,� . _ 'x g�;, : "°�i�'�.% . , ° , ;, wq:� - . r . * .. r : �°� OIMdER OR AGENT CONTRACTOR .�� . , �.-s'«--"" Subscribed and swom to (or atfirmed) before me this Subscribed an� sworrt to (or affirmed) before me thls Who is/are personaily known to me or has/have praduc�d Who is/are personally known to me or haslhave produced as idenUfication. as identification. I, Notary Public Notary Public Commission No. Commission No. i Name of Notary typed, primed or stamped Name of Notary typed, printed or stamped I I I I I i I i