HomeMy WebLinkAbout11-12506 CITY OF ZEPHYRHILLS ,_
, .. 5335 - 8TH STREET
�si3� �so-oo20 12506
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12506 Address: 7449 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: 34-25-21-0160-00000-0020
Improv. Cost:
Date issued: 11/04/2011 Name: SONIC RESTAURANT
Total Fees: 25.00 Address: 7449 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/04/2011 Phone:
Work Desc: FPM- HOOD CLEAN QUARTERLY- SONIC
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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 relabed 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 doubie 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
813-780-002Q City of Zephyrhilis Fire Fax-813-780-0021
Permit Application
ate Received � � 2 � � Phone Contact for Pertnit �j 1� � - y yC�s�
wner's Name � ) ' (.� Owner's Phone Number � � �
wner's Address ��/ "! (TI� �� V Z h r � S �(.-. 3�j Z
�e Simple Titleholder Name Titlehoider Phone Number ���
�e Simple Titleholder Address
�b Address '� � J J � y � � G" 1�"� � � � � !'� �) � 3 S4 Z Lot # �
ab Division Parcel #
� Bio-Hazard Waste Storage - ANNUAL a Hazardous Material (Tler II or RQ Facility) ANNUAL
� Comm F�chaust Kitchen Hood/Duct � Hood Installation
� Controlled Bum � LP/Natura� Gas-Installation
� Emergency Generator < 30 kw � LP/Natural Gas-ANNUAL Sale
� Emergency Generator > 30 kw � Places of Assembiy-ANNUAL
� Fire Protection Maintenance - ANNUAL � Recreational Bum
�y emi �n er ! r n 71
II.` � // v
��"' Sprinkler � ❑ ❑ ❑ � � Sparklers E v�
� �l q/� � Fire Alarm � ❑ ❑ ❑� � Sprinkler System Installations
� m id��+� Hood Cleaning ❑ ❑ ❑� � Standpipes (Sprinkler Sys)
Hood Suppression � ❑ ❑� � Torch Roofing/Tar Kettle
� Fire Alarm Installation � Waste Tire Storage ANNUAL
Q Fire Pumps
� Fire Works
� Flammable Appiicatlon- ANNUAL r Vatuation of Project
� Fuel Tanks
Q Other
mtractor � % �� � — � I �' L � Company
(il. lr
gnature Registered Y/ N Fee Curcent Y! N
Y'��,�^""'°'S Z " � License #
_ECTRICIAN Company
gnature Registered Y/ N Fee Current Y/ N
Address �icense #
_UMBER Company
gnature Registered Y/ N Fee Current Y/ N
Address License #
ECHANICAL Company
gnature Registered Y/ N Fee Current Y/ N
Address License #
THER
Company
gnature Registered Y/ N Fee Current Y/ N
Address
License #
�rections:
Fiil out application completely
Owner & 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 applicable documentation
Allow 10-14 days for review after submittal date. . Parcel #- obtained from Properly Tax Notice (http://appraiser.pascogov.com)
VIGIL INC
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NOTICE OF D�ED RESTRICTIONS: The unclersigned understands that this permit may be subject to "deed" cestrictions"
which may be more restrictive than County regulations. The �ndersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESIPONSIBILITIES: If the owner has hired a
contractors to undertake work, they may be required to be Iic�nsed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the own�� and contra�tor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are unc�rtain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County uilding Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly 14censed and is not entitled to permitting privileges in Pasco
County. i
CONSTRUCTION LIEN �.AW (Chapter 713, Florida Statute I , as amended): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a c�py of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agr}culture and Consumer Affairs, tf the applicant is someone
other than the "owner", I certify that I have obtained a copy of �he 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 all work wilt be done in compliance with all applicable laws regulating construction, zoning and land
development. Application is hereby made to obta n a permit to do work and installation as indicated. I certify
that no work or installation has commenced prior issuance of a permit and that all work will be performed to
meet standards of af{ laws regulating constructi n, County and City codes, zoning regulations, and land
development regulations in the jurisdiction. I so certify that I understand that the regulations of other
� g�vernment agencies may apply to the intended ork, and that it is my responsibility to identify what actions I
, must take to be in compliance.
If � am the AGENT FOR THE OWNER, 1 promise in good fait 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 shafl be construed to be a license to proceed ith the work and not as authority to violate, cancel, alter, or
set aside any provisians 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 violati Q� ns of any codes. Every permit issued shall become invalid
unless the livork authorized by such permit is commenced wifhin six months of permit issuance, or if work authorized by
the permit i's suspended or abandoned for a period of six {6) � onths after the time the work is cbmmenced. An extension
may be requested, in writing, from the Building Official for a�eriod not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety ( 0) consecutive days, the job is considered abandoned.
WARNINGITO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT 1N YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPE . IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03 I
OWNER OR AGENT ^ CON RACTOR
Subscribed and sworn to (or affir ed) before this � Subsc 'bed and sworn to (or affirmed) before me this
bY � by
Who islare personally known to me or has/have produced Who i/are personally known to me or has/have produced
as identification. � as ldentiBcation.
I
Notary Public Notary Public
Commission No. Com I lssion No.
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Name of Notary ryped, printed or stamped Name of Notary typed, printed or stamped
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