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HomeMy WebLinkAbout11-12469 _ CITY OF ZEPHYRHILLS �,,,..- 5335 - 8TH STREET (sis� �so-oo20 12469 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 12469 Address: 7839 GALL BLVD Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL. Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book: Proposed Use: COMMERCIAL Lot s: Square Feet: � ) Block: Section: Est. Value: Subdivision: CITY OF ZEPHYRHILLS Improv. Cost: Parcel Number: 34-25-21-0010-01700-0010 Date Issued: 10/21/2011 Name: MICROTEUJAMM HOTELS,LLC Total Fees: 25.00 Address: 7839 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 10/21/2011 Phone: Work Desc: FPM- ANNUAL SPRINKLER - MICROTEL 5. � �-Z ,-�� � 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 r'e�ated to the aforementioned. Complete Plans, Specifications and Fee Must Accompany Application. Commencement of work without written a the Fire Department's Fire Marshal or required permits or opening up for commercial activity without an appro ved final inspection shall be charged double permit fee per day of operation or a minimum of $100.00, whichever is greater. All work shall be performed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." �.. PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTIpN OFFICER CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041 a�s-iau-uu�u �iry or cepnymuis rire Permit Application rax-ai,�-i�u-uun Date Received t� ��� ` .. _ .. , . . Phone Contact for Permit Y � Owner's Name r�/�T � � �) J�� � �� '� Owner's Phone Number � Owner's Address G� L C � j �` V Fee Simple Titleholder Name ^ �� ,�—^ Titleholder Phone Number L__� u Fee Simple Titleholder Address " �°�_"� .-- °.�'�*�':r �H.��z=��.,: Job Address � � T- K � ��`°��': z���_��a . Sub Division Lot # �� r N�., . .�; � ��. Parcel # � ' - , �a:.s�a, a� - _ �aa� Bio-Hazard Waste Storage - ANNUAL � � Fumigation Tent Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL � Controlled Burn a � Hood Installation Emergency Generator < 30 kw � LP/Natural Gas-Installation Emergency Generator > 30 kw � LP/Natural Gas-ANNUAL Sale Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL � �y emi � er ❑ Sprinkler � � ❑ Recreational Bum Fire Alarm � � � � ❑ � Sparklers Hood Cleaning p � � �� ❑ ❑ Sprinkler System Installations Hood Suppression ❑ � � � ❑ � _J Standpipes (Sprinkler Sys) Fire Alartn Installation � � Torch Roofing/Tar Kettle Fire Pumps � ❑ Waste Tire Storage ANNUAL Fire Works � Flammable Application- ANNUAL � Fuef Tanks Valuation of Project Q Other: k ..a.Y. �S�i0..':�$P,1Pn�iv'�:3,:�T., �" ' COfltfaCtOf � ` '� '., Signature Company � � Registered Y/ Fee Current Y/ N Address ELECTRICIAN License # 3ignature Company Registered Y/ N Fee Current Y/ N Address License # �— 'LUMBER iignature Company Registered Y/ N Fee Current Y/ N Address �ECHANICAL License # ignature Company Registered Y/ N Fee Current Y/ N Address License # THER ignature Company Registered Y/ N Fee Current Y/ N Address rections: License # Fill out application completely Owner & Contractor sign back of application, �otarized (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. Parcel #- obtained from Property Tax Notice (http://appraiser.pascogov.com) NOTICE OF DEED RESTRICTIONS: The �ed ulations. The undersig ed a esponsibilbty for compl a t w th�any which may be more restrictive than County g applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contrac or or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor 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 contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009 Furthermore, if the owner has hired a contractor or contractors, he is advised to ha as the own sign as the portions of the "contractor Block" of this application for which they will be responsible. If you, contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. 500.00 or more, CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, of a F orida Construct on L en L aw—Homeowner's certify that I, the applicant, have been provided with a copy 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 deliver it to the owner" prior to commencement. CONTRACTOR'SlOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land 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 Off'icial 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 justifiable cause for the extension. If 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 IMP AN AnORNEY BEFORE RECORDING YOUR NOTICE OF COMMENC MENT.' CONSULT WITH YOUR LEN�ER �R FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT CONTRACTOR Subscribed and swom to (or aifirtned) before me this Subsc�ibed and swom to (or affirmed) before me this by b y Who is/are personally known to me or has/have produced Who is/are personally known to me o� has/have produced as identification. as identification. Notary Public Notary Public Commission No. Commission No. rinted or stam ed Name of Notary typed. Printed or siamped Name of Notary typed, P P