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Home My WebLink About11-12621 CITY OF ZEPHYRHILLS 5335 - 8TH STREET / (si3) �so-oo20 12621 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 12621 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: 35-25-21-0110-00000-0040 Improv. Cost: Date Issued: 12/14/2011 Name: CHILI'S BAR & GRILL Total Fees: 25.00 Address: 7643 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 12/14/2011 " 4 �; Phone: Work Desc: FPM- SUPPRESSION SEMI CHILI'S , /� r, l � l' � �� - � l �-- � 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 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 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 s��-�eo-oo2o City of Zephyrfiilis Fire Fax-e�3-�so-oo2� Permit Application ate Fteceived Phone Contsct for Pertnit 3 5 2 7 3 2 5 3 2 6 wner's Name BRINKER FLORIDA INC C/O MARVIN F POER & CO pv�r�rs Phone Number �� wners nddress PO BOX 8 0 2 2 0 6 DALLAS TX 7 5 3 8 0- 2 2 0 6 �e Simple Tfdeholder Name NA TiUeholder Phone Numbar �� e Simple Tttleholder Address �bAddross 7643 GALL BLVD ZEPHYRHILLS Lot# � �bDivision ZEPHYRHILLS SUPERCENTER-A ��# 34-25-21-0110-00000-0040 � Bfo-Hazard Waste Storage - ANNUAL � FumigaUon Tent � Comm Ezhaust Fatchen Hood/Duct a Hazardous Material (Tier II or RQ Facilky) ANNUAL a Controlled Bum � Hood Installatlon a Emergency Generator < 30 kw � LPMatural Gas-Installation Emerpm�cy Generator > 30 kw � LPMawral Gas-ANNUAL Sala Fire Protsetbn MaiMenanee - ANNUAL � Places of Assemby,ANNUAL [�i em � or Sprinkler � ❑ D ❑ � � Reeroetional Bum � ,., / � � Fire aam, � ❑ ❑ ❑ � � sparklers . G�O Hood Cleaning � O O ❑� � Sprinkler System installatlons Hood Supprosslon � O $► ❑� a Siandpipss (Sprinkbr Sys) � Fire Alartn Installation � Torch Ro�flnp/Tar Kettle Fire Pumps � Waste Tire Storage ANNUAL Fire Works Flammable Appilcation- ANNUAL $ 3 5 0. 0 0 Valuation of Projed Fuel Tank . 0 � '"�� Comparry AMERICAN FIRE & SAFETY 9nature ►te�Iscered Y/ N Fee cunenc Y/ N Address 953 OS OLA AVE OCALA FL 34470 �i��# ncn c� cnnn�� OQO��?�' .EC7RICUIN NA Company gnaturo Registered Y/ N Fee Curtsnt Y/ N Address Licensa # _UMBER NA � �'" Repiatared Y! N Fee Currsnt Y/ N Addrass License # _cf+nN►C NA ��a�r � �"eture Registered Y/ N Fes CumeM Y/ N Address License # MER NA �— Company �nnturo Registerod I Y� N I Fee CurreM Y/ N Address License # rections: • Fill out application completely. Owner & Contractor sign back of applicatfon, ratsrized (Or, copy ct signed contract wnh pvmer) K over 52500, a Notice of Commencement is roquired (Mechanical work over E5000) Supply Mro (2) sets of drawings with appiicable documentation Allow 10.14 days for reviow afler submittal date. Paroel #- obtained from Property Tax NoUce (httpJ/eppraiser.pascogov,comj c W�TICE OP 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 restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor 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 violation under state law If 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 Division—Licensing Section at 727-847- 8009. Furthermore, ff 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 licensed and is not entitled to permitting privileges in Pasco County. CONSTRUCTION LIEN LAW {Chapter 713, Florida Statutes, as amended): ff valuation of work is $2,500.00 or more, I certify that i, the applicant, have bee� provided with a copy of the "Fbrida Construction Lien Law—Homeowner's 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'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that ail work will be done in compliance with all applicable laws regulating construction, zoning and fand 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 a�davit 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 coRection 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 ninery (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 COMM E NT MAY RESULT iN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. !F YOU INTE O O AIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YO R N E F MENCEMENT. FLORIDA JURAT (F.S. 117.03} ONlNER OR AGENT CONTRACTO Subscribed and swom to (or affirtned) before me this Su cri and swo ed) re me this b y �z� " bY Who is/are personally known to me or has/have produced WISo is/are personally knovm hae/pev�prvdot�d as identification. • v G'�'J � , � r1 (•'� `�CG2�11� Notary Public �� /��,� Notary Public Commission No. Commisslon No. � 1J X„� yJ� 3/ Name of Notary typed, printed or stamped Name of ' -�!4� .. },, ; o �Y "� �vutary Public State of Florida I _ , D�ane Schmidtke , . My Commisawn DD824337 � �xpires 10/22/2012 c