HomeMy WebLinkAbout11-12624 CITY OF ZEPHYRHILLS �,,...-° "�
5335 - 8TH STREET
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ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12624 Address: 6606 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: 02-26-21-0010-05600-0020
Improv. Cost:
Date Issued: 12/15/2011 Name: SONNY'S BAR-B-QUE
Total Fees: 50.00 Address: 6606 GALL BLVD
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 12/15/2011 Phone:
Work Desc: FPM-ANNUAL SPRINKLER- FIRE ALARM - SONNYS BBQ
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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 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�a�s��oo2o Clty ofZephyrFtills Fax-81s-78o-002�
� Permit Application _
Date Received f� 13 r 1 � Phone Contact for Pertnit 7 I�
Owner's Name Owners Phone Number ��. �
Owners Address � 1 �
Fee Simple Titieholder Name TiUeholder Phone Number ���
Fee Simple Titleholder Address
Job Address Q �� � 'r t I S — � Lot# �
Sub Division Parcel #
� Bio-Hazard Waste Storage - ANNUAL � Fumigation Terrt
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material �er II or RQ Facilily) ANNUAL
� Controlled Bum � Hood Installatlon
� Emergency Generator < 30 kw � LPMatural Gas-installation
� Emergency Generator> 30 kw � LP/Naturel Gas-ANNUAL Sale J��
� Fire Protec6on Maintenance - ANNUAL � Places of Assembly-ANNUAL j� E%
�y emi �n er �
5prinkler � � � �� � Recreationat Bum .
Fire Alarm � � ❑ � �� � 5parklers
Hood Cleaning � O ❑ ❑� � Sprinkler System Instailations
Hood Suppression � � � ❑�� � Standpipes (Sprinkler 5ys)
� Fire Alarm Instailation � Toroh Roofing!'far Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
Fire Works
Fiammable Application-ANNUAL Valuation of Project
Fuel Tanks
Q Othe -
ConVactor Company ��
Signature Registered Y/ N Fee Current Y N ?�� /�
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Add�ess License #
ELECTRICIAN Company
Signature ' Registered Y/ N Fee Curtent Y/ N
Address License #
PLUMBER Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
MECHANICAL Company
Signature Registered Y/ N Fee Current Y/ N _
Address License #
OTHER Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
Directions:
FII out application completely.
Owner 8 CoMractor sign back of application, notarized (Or, copy of signed conVact with owner)
ff over $2500, a Notice of Commencemerrt is 2quired,(Mechanical work over $5000)
Supply two (2) sets of drewings rvith applicable documentation
Allow 10-14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (httpJlappreiser.pascogov.com)
�NOTICE OF:DEEDRESTRICTIONS: The undersigned understands that this permit maybe�subject:to�"deed"�estrictions"
which may be more restrictive than County•regulations. - fhe.undersigned.assumes responsibility_for:compiiaroce=with any
_applicable deed restrictions.
UNLICENSED CONTRi4CTORS AND �CONTRACTOR RESPONStBILiT1ES: ff the owner has �hired or -
contractors to undertake work, they may be required to be ficensed in accordance with state and local If the
contractor is not licensed as required by law, both the owner :and contractor may be citecl �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, 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 which�they will be responsible. {f you, as�the owner°sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled permitting privileges in Pasco
County.
CONSTRUCTION.LIEN.LAW (Chapter713, Fiorida Statutes,-as:amended): If valuation of work is $2;500.00 or more, I
certify that t, �the applicant, have been provided with a copy of the "Florida Construction Lien Lav�—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
defiver 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 wil! be done in compfiance 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 al) laws reguEating construction, County and Cify codes, .zoning regulations, and land
development regulations in the jurisdiction. I also certify that I understand that the regutations 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 FORTHE 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 efectrical 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 wark 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 correction of errocs in plans, construction or viotations 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 OWPIER: YOUR FAILURE TO RECORD A'NOTICE�OF COMMENCEMENT MAY�RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. fF YOU INTEND TO OBTAIN FINANCING, CONSULT
W1TH YOUR LENDER OR AN AITORNEY BEFORE RECORDING YOUR N ICE OF COMMENCEMENT.
FLORIDA JURAT (F.S.117.03)
OWNER OR AGENT CONTRACTO
Subscribed and swom to (or affirmed) before me this Subscribed an m to (or a rm before me this
b Y yyho is/are e na1 known e or has/have produced
Who is/are personaliy known to me or has/have produced P ry as identification.
as idenBfication.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary lyped; printed or stamped Name of Notary typed, printed or shamped