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Home My WebLink About11-12462 CITY OF ZEPHYRHILLS 5335 - 8TH STREET ,/ �sis� �so-oozo 12462 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 12462 Address: 7643 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: 35-2 5-21-0110-00000-0040 Improv. Cost: Date Issued: 10/17/2011 Name: CHILI'S BAR & GRILL Total Fees: 25.00 Address: 7643 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 10/17/2011 Phone: Work Desc: FPM- QUARTERLY HOOD CLEAN-CHILI'S c � �� ,�;� —�� /U I ma 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 �osts re�ated 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 activi without an a inspection shall be char ed double tY pproved final 9 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 Marshaf Office - 813-780-0041 813-780-002U c;ity or cepnyrnms rire rax _ _ Permit Application Date Received Ci�,�- 7 " � -. . . - � Phone Contact for Permit � � Owner's Name �� Ovmer's Phone Number �� S 7 Owner's Address Fee Simple Titleholder Name � �� Titleholder Phone Number Fee Simple Titleholder Address � � - -- .�e.r;,�, - - ;...,.,.�;.,� .�T��:.��.:vY.��:�r-�_ :'��._ ;„y�,�,.,,�a , r , - zt - ,+�a . - ,�, — Job Address � �! G` � - �'�°� �s�,_ . . ,�_...,..�,.��, .�.�� Sub Division Lot # �� ► � �., �,;,; .� Paroel # '�, �'�� *�� {,-� �.�:.ro� y , ,�..,.�. � � s.��•, -�� ; Bio-Hazard Waste Storage - ANNUAL � '�'� a Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL Controlled Burn � � Hood Installation Emergency Generator < 30 kw � � LP/Natural Gas-Installation Emergency Generator > 30 kw � � LP/Natural Gas-ANNUAL Sale Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL ❑ � Y emi � er ❑ Sprinkler � � � ❑ Recreational Burn Fire Alarm � � � �� ❑ � Sparklers Hood Cleaning � � � �� ❑ � Sprinkler System Installations Hood Suppression p � � � ❑ � Sta�dpipes (Sprinkler Sys) Fire Alarm Installation � � Torch RoofinglTar Kettle Fire Pumps � ❑ Waste Tire Storage ANNUAL Fire Works � Fiammable Application- ANNUAL � Fuel Tanks Valuation of Project Q Other a _: , r�z�� _. �, r� �:. .. �kz;�. .� '?t�.�5�;,� - s�.k^� , .�tax,�- Contractor �`�'"��:°.� �� : . , . �..;�.w,�-�. �.�s�� x,:*+a�.��caasr�'z�^.�, �:3:a;,�'^na.�:�:�^•,�+;�F.�+;�r.,�:- Signature v Company � Registered Y/ N Fee Current Y/ N Address License # ELECTRICIAN Signature Company Registered Y/ N Fee Current Y/ N Address °LUMBER License # iignature Company Registered Y/ M Fee Current Y/ N Address AECHANICAL License # iignature Company Registered Y/ N Fee Current Y/ N Address License # �THER ignature Company Address Registered Y/ N Fee Current Y/ N irections: License # Fill out application completely Owner 8 Contractor sign back of application, 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 applicabie 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 unders t9ons. The undersig ed a spons b Ibty for compl ance t w th any which may be more restrictive than County regula applicable deed restrictions. UNLICENSED CONTRACTORSeAmD bON qRAe� o be Ecen�sed Bac th s ate a d ocae egulation If contractors to undertake work, y Y contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanorlvifortthe under state law. If the owner or intended contractor are uncertain as to what licensing requirements may app y intended work, they are advised to co St h�edea cont ctor or he advi ed to I have he contractor(s) s gn 8 0 0 9 F u r t h e r m o r e, i f t h e o w n e r h a portions of the "contractor Block" ofn �hat he p�operly hicen ed l and is not entitled t y perm tting pr v leges 9 n Pasco c o n t r a c t o r, t h a t m a y b e a n i n d i c a t i o County. CONSTRUCTION LIEN LAW have p been 1 3 ovided wsh a t cop of r the a F o ConstrucYon L en L aw certify that I, the applicant, P Protection Guide" preparedrti y that� obta ned a of the above descr bed document and prompse n fa th to other than the "owne�", I ce fy deliver it to the "owner" prior to commencement. lication is accurate and - CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify tha j�bleeaws r egu ati g stuction, zoning and land that all work will be done in compliance with all app ' development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will 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 certify 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 compliance. 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. I 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 shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work 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 Official for a period not to exceed ninety (90) days and will demonstrate the ob is considered abandoned. just�able cause for the extension If work ceases for ninety (90) consecutive days, j WARNING TO OWNER: YO EME TO YOUR PROPERTY TIF YOU NTEND TO OBTAIN F NANC NGTCO SULT PAYING TWICE FOR IMPROV WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT CONTRACTOR Subscribed and swom to (or affirtned) before me this Subscribed and swom to (or affirmed) before me this by by Who i nally known to me or has/have produced Who is/are 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