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Home My WebLink About11-12608 � ' CITY OF ZEPHYRHILLS 5335 - 8TH SIREET �"' (sis) �so-oo20 12608 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 12608 Address: 5506 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: 11-26-21-0010-05700-0256 Improv. Cost: Date Issued: 12/09/2011 Name: PHIL MOOK ENT.INC Total Fees: 25.00 Address: 1108 W BRANDON BLVD Amount Paid: 25.00 BRANDON FL 33511 Date Paid: 12/09/2011 Phone: Work Desc: FPM-HOOD QUARTERLY- KFC v r;�� l �� Z� , ( , ; ma Chapter 633, Florida Statutes, authorizes the City to charge and wllect 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 pertormed 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 A7TORNEY 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 s�3-�so-oozo City of Zephyrhills Fire Fax-813-780-0021 Permit Application ate Received Phone Contact for Permit � 3a q J OO wner's Name �� Owner's Phone Number °� 7 g a �Z wner'sAddress � �� Z �� 'S L 34� �9 �e Simple Titleholder Name Titleholder Phone Number r �� e Simple Titleholder Address �b Address K�C. 55 � 1.� � 1 vd L «'1t �'S '� 7Z Lot # � �b Division Parcel # � Bio-Hazard Waste Storage - ANNUAL � Hazardous Material (Tier il or RQ Facilky) ANNUAL � Comm Exhaust Kitchen Hood/Duct a Hood Installation a Controlled Bum � LP/Natural Gas-Installation � Emergency Generator < 30 kw � LPMatural Gas-ANNUAL Sale � Emergency Generator > 30 kw � Places of Assembiy-ANNUAL � Fire Protection Maintenance - ANNUAL � Recreational Bum � �r emi �n er � � � `., � C"�1 Sprinkler � ❑ ❑ ❑ � � Sparklers '� SG � � j z� �� Fire Alarm � � ❑ ❑� � Sprinkler System Installations O p jVD�M Hood Cleaning �� ❑ ❑� � Standpipes (Spri�kler Sys) / Hood Suppression � ❑ ❑ ❑� � Torch Roofing(far Kettle � Fire Alartn Installation � Waste Tire Storage ANNUAL � Fire Pumps � Fire Works � Flammable Application- ANNUAL Vafuation of Project � Fuel Tanks Q Other: �ntractor Q � N � 1 ��) � �� Company gnature �� Registered Y/ N Fee Current Y/ N Address License # _ECTRICIAN �j� Company gnature ��^P a�'^ es S Registered Y/ N Fee Current Y/ N Address License # _UMBER Company gnature Registered Y/ N Fee Current Y/ N Address License # ECHANICAI� � Company gnature Registered Y/ N Fee Curre�t Y! N S�C. Address CV1GIl �& E Clean �13368$ � License # C ood �$ o o amp 3 3 g9$$ ynature PO �13 9 r F • g1 "93 Regi e Y/ N Fee Current Y/ N Address CD' g License # irections: Fill out application completely Owner & Contractor sign back of appliption, notarized (Or, copy of signed contract with owner) If over $2500, a Notice of Commencement is required (Mechanipl work over $5000) Supply two (2) sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. Parcel #- obtained from Properly Tax Notice (http://appraiser.pascogov.com) P�1 ��L aa�°�Fl � ay 1-0 �aZy L.c,� � � C--I 3 i� ,F'� 3�c� �'� —� ----. n1a� ��y a�d�ss � Po 30� a7.�r�� '�,P�, �- 33 �$�a _ ._.� _; . i . NOTICE OF DEED RESTRICTIONS: The unclersigned understands that this permit may be subject to "deed" r.esfrictions" which may be more restrictive than County regulations. The t�ndersigned assumes responsibility for compliance with any applicable deed restrictions. • UNLICENSED CONTRACTORS AND CONTRACTOR RES�PONSIBILITIES: If the owner has hired a contractors to undertake work, they may be required to be Ilcensed in accoiciance with state and local regulations. !f the contractor is not licensed as required by law, both the own�� and contraetor may be cited for a misdemeanor violation under state law. {f the owner or intended contractor are unc�e�tain 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 li and is not entitled to permitting privileges in Pasco County. i CONSTRUCTION LIEN �AW (Chapter 713, Florida Statute , as amended): If valuation of work is $2,5Q0.00 or more, 1 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,cultu�e and Consumer Affairs. tf the app{icant 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'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with al 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 all 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 � government 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 I am the AGENT FOR THE OWNER, I promise in good fait to inform the owner of the permitting conditions set forth in this affidavit priar 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 ith the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issu nce of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violati4� ns 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 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�ieriod not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. lf work ceases for ninety ( 0) consecutive days, the job is considered abandoned. WARNINGITO OWNER: YOUR FAlLURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT 1N YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPE . 1F 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 swom to (or affirmed) before me this ubsC 'bed and swo� to (o a med) efore u' this by bY Who islare personally known to me or has/have produced Who i§lare personally known to me or haslhave produced as identification. � as identification. � Notary Public Notary Public Commission No. Com I lssion No. I Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped I I I I