The URL can be used to link to this page

Home My WebLink About12-12699 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 12699 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 12699 Address: 6851 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: 03-26-21-0010-01600-0020 Improv. Cost: Date Issued: 1/17/2012 Name: GOLDEN CORRAL Total Fees: 25.00 Address: 6851 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 1/17/2012 Phone: (813)783-8969 Work Desc: FPM-QUARTERLY HOOD CLEANING FOR GOLDEN CORRAL �- l.v �'`--� ,..-��_1� 1 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 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 OfFce - 813-780-0041 � s��ao-oo20 ,/� CityofZephyrhiUs Fax-al�-�so-oo2� y Ar�i / �� Permit Application Date Received .� Phone Contact for Permit ( 1�' . -_ . ..-. _,.. �s---r .. .7.Ts i ,:; .� �..., � . � � � .0 �, � :�.... _ �. � ..., , _ ' .r^.:�1�°.�'�","=��sx�::4'F:?3`.�'"3'2'«. � � "2'�.p,,»T'.`.�..'.'�.'.�c'.; _. � ., , ' r,-,.�.... ... � -,;..vr:-v�_.... . �.. ,.. _, ..k �.. , _..-..._. i �, .�.�J Owner's Name ANDERSpN pRE Owners Phone Number � Rl � � �� Owner`s Address 510�+ MIJRRAY Fee Simple Titleholder Name Tttfeholder Phorre IJumber �� Fee Simple Trtleholder Address „, s'�; " m ?�°� ,.��' '�'.�,`�'�zr�l.�:�.__._.,..,="�:_z^F;.t �:r?�;,,"�?" JobAddress GOLDEN CORR.AL GALI� BLVD ZEPHYRHIL • — �ot# wr `� Sub Division Parcel # - . -_ - _..w �.,�...�..�.�: -.: ....�� zr � - �'�:� - . �.__��u:;��s�'� . �� ::;��-;.:�,:�: A�;� ��:s.:�.�:�:,�--�;:� � Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL � ConUolled Bum � Hood lnstallation � Emergency Generator < 30 kw � LP/Natural Gas-Installation � Emergency Generetor > 30 kw � LP/Naturel Gas-ANNUAL Sale � Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL �y emi � r Sprinkler � ❑ ❑ ❑ Q Recreational Bum � Q� Fire Alarm � ❑ ❑ ❑ � � Sparklers % /� � 'L � (/ ` Hood Cleaning �� ❑ ❑� � Sprinkler System In lations Hood Suppression � ❑ ❑ ❑ � � Standpipes (Sprinkler Sy �_ _ � Fire Aiartn Installation � Torch RoofinglTar Kettle Fire Pumps � Waste Tire 5torage ANNUAL Fire Works Flammable Application- ANNUAL � Valuation of Project Fuel Tanks Q Other: -:�..�� ,� � �_ - - .�.; �:.�. ,.� �� -�=�� Contractor Company Signature Registered Y/ N Fee Current Y/ N Address License # ELECTRICIAN Company S�g�w� Registered Y/ N Fee Current Y/ N ' Rddress 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 CuRent Y/ N „ _ Address License # �.,:� r_ . :�.:=- .� , �...,- � - «.�� .. �;�,,. ,�, _ ..:�.,�,.:,�.�>.;,�.��.�.. . . . ., � _:; «... _:.,. �U:« �.s.. _ _� . �..� . ,urr. - ......: c,,:� -��..�.. Directions: FII out application completely. � Owner 8 Contractor sign back of appliqtion, notarized (Or, copy of signed co�tract with owner) tf over $2500, a Notice of Comr�encemerrt is required (Mecharrical worlc over $5000) Supply two (2) sets of drawings w�h applicable dxumentation Allow 10-14 days for review after submittal date. Par�el #- obtained ftvm PropeRy Tax Notice (httpJ/appraiser.pascogov.com) NOTICE OF DEED RESTRICTiONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive than County reguiations. 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 acxordance 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 con#ractor are uncertain as to what licensing requirements may appiy for the intended work, they are advised to contact the Pasco County Building Inspectio� Divisior�-Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised #o have the contractor(s} sign portions ofi the °contractor Block" of this appiication for which they will be responsibie. If you, as the owner sign as the contrac#or, that may be an indication that he is not properiy licensed and is not entitied to permitting privileges in Pasco County. � CONSTRUCTION LIEN LAW (Chapter T13, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, 1 certify that 1, the applicant, have been provided with a copy of the "Florida 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 1 have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencemen#. - CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicatile (aws regutating construction, zoning and tand development. Apptication is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or ins#allation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulafing conshvction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. t also certify that I understand that the regutafions of other � government agencies may apply to the intended work, and that i# 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 affidavit prior to commencing construction. I understand that a separate pennit may be required for eleatrical work, plumbing, signs, wells, pools, air conditioning, gas, or other instaliations not spec�cally included in the application. A permit issued shal! be construed to be a license to proceed wi#h the wvrk and not as authority #o vioiate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Of�icial from thereafter reguiring a conection of errors in plans, construcfion or violations of any codes. Every permit issued shall become invalid unless the Vvork authorized by such permit is commenced within six months of permit issuance, or if work authorized by tfie 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 Build9ng Official for a period not to exceed ninety (90) days and will demonstrate just�able cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. WARNING ( TO OWNER: YOUR FAtLURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU 1NTEND TO UBTAIN FINANCING, CONSU�.T WlTH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NQTICE OF COMMENCEMENT � FLORIDA JURAT (F.S. 117.03) ' ��,q , �`� f ' - , '��'"l��6'�- . .`""''��?^°G,�' ':�""�',.a�.. ..,;;L* .� : :f=`°� OVIMER OR AGENT CONTRACTOR .��w �, � �+•.---'*' Subscribed and suwm to (or affirmed) before me this Subscxibed an9 sworrt to (or afflrmed) before me thls by by Who islare personalty knovm to me or has/have produced Who islare personally knovm to me or has/have produced as ident�ication. as identifiption. Notary Public , Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, pr#nted or stamped I - � � I � I