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Home My WebLink About11-12658 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (si3) �so-oozo 12658 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 12658 Address: 5050 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: 11-26-21-0000-01400-0000 Improv. Cost: Date Issued: 12/28/2011 Name: DOMINOS PIZZA Total Fees: 25.00 Address: 5050 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 12/28/2011 Phone: Work Desc: FPM-SEMI HOOD SUPPRESSION FOR DOMINOS PIZZA 5. ;• /'��— lf ' 2 �� LC � _ �� 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 Pians, 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 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 ' s�3aso-oo2o City of Zephyrhills Fire Fax-813-780-0021 _ Permit Application Date Received - � Phone Contact for Pertnit �,'�52 '� 7 7340 Owners Name Dominos Pizza Ownefs Phone Number �� Owner's Address 5050 Gall Bivd Ze h rhills, FI Fee Simple Titleholder Name Titieholder Phone Number $13 748 7702 Fee Simple Titleholder Address Job Address Lot # � Sub Division Parcel # � Bio-liazard Waste Storage - ANNUAL � Fumigation Tent O Comm 6chaust Kitchen HoodlDuct � Hazardous Material (Tier II or RQ Facility) ANNU�L_ � Controlled Bum � Hood Installatian � Emergency Generator < 30 kw � LP/Natural Gas-Installation � Emergency Generator > 30 kw Q LP/Nahxal Gas-ANNUAL Sale �/� � Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL /�, J Z y em� �n er Sprinkler � ❑ ❑ � � Recreational Bum Fire Alartn � ❑ ❑ 0 � � Sparkters . Hood Cleaning � O ❑ ❑� � Sprinkler System Installations Hood Suppression � ❑ C9 ❑� � Standpipes (Sprinkler Sys) � Fire Alarm installation � Torch Roofing/Tar Kettle Fire Pumps � Waste Tire Storage ANNUAL F2 Works Flammable Application- ANNUAL � Valuation of Project � Fuel Tanks Q Other. Contractor ��Y Signature Registered Y/ N Fee Current Y J N Address License # ELECTRICIAN Company � Signature � Registered Y/ N Fee Curcent Y/ N Address Licersse # PLUMBER Company �- g� Registered _ Y! N Fee Current Y/ N Address License # MECHANICA C�Pa^Y Signature Registered Y/ N Fee Current Y/ N Address Lice�e # OTHER C � Company Securit Fire E ul ment LLC Signature Registered Y/ N Fee Curtent Y/ N Address 18 3 3 0 Lawrence Rd uce^se # Directions: FII out application completely. Ownet & CoMractor sign back of application, notarized (Or, copy of signed coMract with ovmer) If over $2500, a Notice of Commencement is required (Mechanical work over 55000) 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:/tappraiser.pascogov.com) NOTICE OF DEED RESTR�CTIONS: The undersigned understands that this permit may be subject to "deed" resirictions° which may be more restrictive than County regulations. The undersigned assumes responsibllity for compiiance with eny applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a aontractor or contractors to undertake work, they may be required to be licensed in accwdance with state a�d iocal regulations. If the contractor is not licensed as requUed by law, both the omier and contrac;tor may be cfted ior a misdemeanor vtolanon under state law If the owner or intended conhactor are unc�rtain as to what licens(ng requhements may appiy ior the intended work, they are advised to co� the Pasco Coimty Budding Inspection Division--licensing SecUon at 727-647- 8009. Furthertnore, if the omier has hrced a contractor or contrectors, he is adviaed to heve the conhactor(s) sign portions of the `co�tractor 81ock" of this application for which they wiB be responsible. H you, as the ovmer sign as the contrador, that may be an indication that he is not properly licensed and is not entiUed to permitting privileges in Pasco County. TRANSPORTATION IMPACTNTiLIT1ES iMPACT AND RESOURCE RECOVERY FfES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may epply to fhe �onsttuction of new buildings, change of use in existing buildings, or expansion af existing buNdings, as specifiad in Pasco Cour►ty Ordinance number 89-07 and 9�-07, as amended. The uriderslgned aiso understands, that such fees, as may be due, will be IdeMified at the time of permitting. It is furiher understood that Transporfetion impact Fees and Resource Recovery Fees must be paid prior to receivtng a'certificate of occupancy" or final power rolease. H the project does rrot involve a certificate of occupancy or final power release, the fees must be paid prior to pertnfl issuance. Fu�thertnore, if Pasco County WateNSewer Impact fees are due, they must be paid prtor to permft �ssuance in accoMa�c�e with applic�Me Pasco CouMy ordinances. CONSTRUCTION UEN LAW (Chapter 713, Flaida 3tatutes, as amended): If va�uatlon of work is $2,500.00 or more, i certify that I, the applicant, have been provided with e copy of the "Fiorida Construction Lien Law—Homeowner's Protection Guide' prepared by 1he Floiida Depertrnent of Agricxiitute and Consumer Aftairs. If the appficant is someone oth� ihan lhe 'owner', I certify that ! have obtamed a copy of the above described documeM and promise In good faith to deliver it to the `owner" prior to commencement. CONTRACTOR'SlOWNER'3 AFFIDAVtT: I certffy that al) the irrfortnation in this application is accurate and that all work wiil be done in compliance with all appficable larvs regulatl� construction, zoning and land deveiopme�i. Appiication is hereby made to abtain a permtt to do woric and installarion as indicatad, i certify ihat no work or instailatlon has commenced prbr to issuance of a pertnit and that aH work wpl be pertormed to meet standards of ali laws regulating consiructlon, County and Cify codes, mrdng re�lations, and land devebpment reguletions in the jurisdiction. I also ce►tHy that I undersiand that tl►e regulations of other govemmerrt agenaes may appiy to the irrtended work, and that it is my responsibility ta identHy � adtons 1 must take to be in cmnplianoe. Such agenc�es indude but are rmt limited to: - Department of Ernirant�ntal Protection-Cypress Bayt�eads, WeBand Areas and Environmentally SensHive La�ds, Water/Wastewater T�atrnent - 5outhwest Fiorida Water Management D�aVict-Welis, Cypress Bayheads, WeGand Areas, Altering Watetcourses. - Army Corps of Eng'meers�eawalts, Dodcs, Navigable Wffiervvays. - Departme�rt of Health & Rehabilitative SeM�s/Environmental HeaHfi Unit-WeNs, Wastewater Treahnent, SepY�c Tanks. - US Environmental Protection Agency Asbestos abatement. - Federal Avistian Authorify-Runways. I understand that the following reatrictions apply to the use of fill: - Use of fil Is not allowed in Flood Zone 'V' unless expressy pennitted. - If the flU material fs to be used in Flood Zone 'A°, it is understood tliat a dr�nage plan eddressing a °compensating vdume' w!H be submit�d at Ume ot permitting which is prepared 6y a professiorrai enginesr licettsed by the State of Florida. - If fhe fill material is to be used � Flood Zone 'A" in oo�nection wiM► a permilted building using stem wali consUuction, I certffy that flH vuiN be used only to fdI the area within the stem wall. - If flll mateiial is to be used fn arry area, I certtfy that use of such fill wilf not adversely afFect adjacent properties. H use of fill is found to adversely affect adjacent prope►iies. the owner may be dted tor vidating the condriions of the building permit issued under the attached pertnN application, for lots less than one (1) acre whM�h a�e elevated by fill, an engineered dr�nage plan is required. N 1 am the AGENT FOR THE OWNER, I promise in good fa�h to inform the owner d N�e permlHing conditions set forth in this affidavit prior to cflmmeridng construdion. I unde►stand that a separet¢ permit may be required for elect►icei wo�ic, plumbing, signs, welis, pools, air cbnditioning, gas, or ori�er histatlatfons not specifically induded in the appliCation. A permit issued afiaU be construed to be a license to proceed wflh the wnrk and not as authority to violffie, cancel, alte�, or set aside arry provlsions of the technical codes, nor shall issuarxe of a pe�mit prevent the BuBdi� Officiai from thereaRer requiring a cortection of etrors in plans, construction or viotations of arry codes. Every pertnft Issued shall become irnalid unless the worlc authorized by such permit �s commenced within slx mordhs of pemdt issuance, or N work authorized by the pem►it is suspended or abandoned for a period of six (e) manths after the tirt�e the work is commenced. M eutension may be requested, fn wrfting, from the Buikiing ORicial for a period not to euceed ninety (90) days and will demonstrate Justifiable cause far the extension. If work ceeses for ninety (90) corisecutive days, the Job is cor�sidered abandoned. WARNING TO OWNER: YOUR fAiLURE TO RECORD A NdTiCE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAM! FlNANCING, CON8ULT �n � n T vun �na cn ^vn �PI ATTOf2NEY BEFORE RECORDING 70UR NOTICE dF COMNIENCENIENT FLORIDA JURAT (F:S. 117.03) Subs�a9�ad ud swan to (or a�) hetme me tlds Subscbed m�d awom to (a afBmied) beTae me 1Ms �N wno Wae persor�allr known tn me or t�eNneve proauixd wno Is/are pxsaaYr w,own m me or neartmve vrvduced � ��y�, as ida�tlon. Notary PubNc ��' � Commkslon No. �OR°^�BiO^ �'�D� Name of Notary typed, PNMed ar stemped Name of No1ary tYPed. PriMed or stamped