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Home My WebLink About11-12623 CITY OF ZEPHYRHILLS 5335 - 8TH STREET � (sis) �so-oo20 12623 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 12623 Address: 5009 GALL BLVD Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL. Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-2088-0060 Improv. Cost: Date Issued: 12/15/2011 Name: BRUNS, DAN & MARY E Total Fees: 50.00 Address: 5820 CYPRESS ST Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 12/15/2011 • (813)780-2005 Work Desc: FPM- HOOD CLEAN SEMI/CLEANING - 1 ORNER GRILL !� '� � �,c� � �_ � � !� _�S I , �� 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 Aaompany Appiication. 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 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 INSPECTlON CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041 813-78U-OUZD �iry ot �epnyrhms rire Permit Application fax-al,i-/t3U-UU'11 Date Received j� ` . ' ...,��.,,_... _. ,,�:,;,, � Phone Contact for Permit � Owner's Name 30% �/L C� ° ;� 4 T, y' ,., Owner's Phone Number U �� Owner's Address ! 1 � UU L Fee Simple Titleholder Name �� Fee Simple Titleholder Address Titleholder Phone Number � - <-:�e�.;�...cs��:�.�r±��.:�.�w.�:^�.a- :�.;,�� Address - sr:w,.. �'�::;a�x��.s.�,r a� s.r. ,;,� � � Job � - �„�,� - - •�:;� Sub Division Lot # C] ► ° v :�. .:., ,=.,:�p��,�,: , . Parcel # �� a _ ��+� �.� ��F-�� a . r,�.• <� ..: - � _�:�.;,;::_�«.¢�J��,<,<�u. ,_ � Bio-Hazard W aste Storage - ANNUAL � '�'�` `�`� �'<'� � �_�„,:�° ; :, � 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-Instaltation Emergency Generator > 30 kw � a Fire Protection Maintenance - ANNUAL �P�Natural Gas-ANNUAL Sale � Places of Assembly-ANNUAL ❑ � emi � er r Sprinkler p � � ❑ �� / � � 2 3 ❑ Recreational Bum � Fire Alarm � � � �� ❑ � Sparklers Hood Cleaning � � � r� ❑ � �_J Sprinkler System Installations Hood Suppression p � � � ❑ � Standpipes (Sprinkler Sys) Fire Alarm Installation � � Torch Roofing/Tar Kettle Fire Pumps � ❑ Waste Tire Storage ANNUAL Fire Works � Flammable Application- ANNUAL � Fuel Tanks Valuation of Project [� Other: z F. .,� . ., - ... . .. ,.:"£4��_F3�'.3%nr+• �'.��`fi'7nysw;9'$�"t*�':a�.,+.�,� _ Contractor a . . ..�a4 . -°:�-�- .. . � _ - �: �r�� ¢��H�:�»»�;�.�,.�, , - �. , . �-. = • '%+�:�-->�-•,�.,- Signature Company Address Registered Y/ N Fee Current Y/(�1 ELECTRICIAN License # 5ignature Company Address Registered Y/ N Fee Current Y/ N 'LUMBER License # iignature Company Address Registered Y/ N Fee Current Y/ N �ECHANICAL License # ignature Company Address Registered Y/ N Fee Current Y/ N THER License # gnature � Company ,Z _ Address 3d Registered Fee C ent Y/ N rections: License # z �1JU Fill 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 Property Tax Notice (http://appraiser.pascogov.com) NOTICE OF DEED RESTRICTIONS. The und ulations The undersigned a spons b Ity for compl ance th ny which may be more restrictive than County reg applicable deed restrictions. UNLICENSED CONTRACTORSeAND bON qRAe� t o be E enOsedsiBac'coEdance th ate a d locae egulationsc 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 misdemeanor under state law If ta e adv sed to contact the Counry Buading D vSS on r c s ng on ap 27-847- intended work, they he is advised to have the contractor(s sign 8009 Furthermore, if the owner has hired a contractor or contractors, portions of the "contractor Block" of th �sa a he l �i�n ' ot p�operly hicensed � s not enfitled t y perm tting vi ges9 n Pasco contractor, that may be an indication t County. 500.00 or more, CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, a of he a F o Construct on L en L av�—Homeowner's certify that I, the applicant, have been provided with a copy Protection Guide" prepared�i Y that I I have bta ned a copy of the above descr bed document nd prompse n fa th to other than the "owner , I ce fy 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 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 taws 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 OW � iu pe mit may be requ9ed for work, this affidavit prior to commencmg plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the a � p n� ca a ' Iter, or permit issued shall be construed to be a license to proceed with the work and not as authority to violate, set aside any provisions of the technical codes, nor shall issuance of a permit prevent the rm t issued sha become inval d requiring a correction of errors in plans, construction or violations of any codes. Every pe 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: YOU MENTS TO YOUR PROPERTY TIF YOU fNTE D TO OBTAIN F NANC NG, CO SULT PAYING TWICE FOR IMPROVE 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 affirmed) before me this Subscribed and swom to (or affirtned) before me this bY by Who is/are personally known to me or has/have produced Who islare personally known to me or haslhave produced as identification. as idendfication. Notary Public Notary Public Commission No. Commission No. Name of Notary typed. Printed or stamped Name of Notary typed. Printed or stamped