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Home My WebLink About12-12759 CITY OF ZEPHYRHILLS 5335-8TH STREET , (sis)�so-oo20 12759 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 12759 Address: 7909 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: 34-25-21-0010-00100-0000 Improv. Cost: Date Issued: 2/02/2012 Name: RUBY TUESDAY RESTAURANT Total Fees: 25.00 Address: 7909 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 2/02/2012 Phone: Work Desc: FPM- SUPPRESSION SEMI- RUBY TUESDAY � �u� � 2,_ �, ( � , ma 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 Marshai or required permits or opening up for commercial activiry 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." 4 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��-�eaoo2o City of Zephyrhills Fire F�-a��-�saoo2� , Permit Application ate Received ' Phone Contact for Parmit 3 5 2 7 3 2 5 3 2 6 wner's Name RT TAMPA FRANCHISE LP ATTN TAX&LIC DEPT p�ers Phone Number � � � wner's Address 15 0 W CHURCH AVE MARYV I LLE TN 3 7 8 O 1-4 9 3 6 �e Simple Titlehotdar Name Np' TiUeholder Phone Number � � � �e Simpfe Titlehdder Address �b Address �9 0 9 GALL BLVD Lot# � �b Division ZEPHYRHI LLS COLONY COMPANY ��# 3 4-2 5-21-0 O 10-0 O 10 0-0 0 0 0 � Bio-Hazard Waste Storege-ANNUAL � Fumigation TeM � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facflily)ANNUAL � Controlled Bum � Hood Instaliatlon � Emergency Generator<30 kw � LP/Natural Gas-InscaltaGon aEmergency Generator>30 kw O LPMaWreI Gas-ANMUAL Sala ��j � Fire Protection MaiMenance-ANNUAL � Places of Assembly-ANNUAL �� em � er Sprinkler � a ❑ ❑ � � Recr�ational Bum � f Fire Alartn � ❑ ❑ ❑ � � Sperklers Hood Cleaning � D ❑ ❑ � � Sprinkler 5ystem Installatlons Hood Supprcssion � ❑ � ❑ � � Standpipes(Sprinkbr Sys) � Fire Alartn installation a Toroh RootinglTar Kettle Fire Pumps � Waate Tire Storage ANNUAL Fire Works Flammable Applicatfon-ANNUAL Valuation of Project Fuel Tanks Q Other. �ntractor Company AMERICAN FIRE & SAFETY SUPPLY gnature Registered Y/N Fee cuRent Y/N Address 953 NE O C AVE STE 100 OCALA FL License# 06461500021985 .ECTRlCIAN NA Company gnature Registered Y/N Fee Curtsnt Y/I� Address License# .UMBER NA �mP�m, � 0"atu"B Regiatered Y/N Fee current Y/N Address License# =CFiANICA ��e�y � �nature NA Registered Y/N Fse curront Y/N Address License# fHER NA �m�rn � �nature Registered Y/N Fee Current Y/N Address License# redions: " Fill out application eompletely Owner&Contractor sign back of application,notarized(Or,copy oi signed contract with owner) ff over$2500,a Notice of Commencemem is required(Mechanical work over 35000) Supply two(2)sets oi drawings with applicable documentation Allow 10.14 days for review after submittal date. Parcel#-obtained finm Property Tax NoBce(httpJleppraiser.pascogov.com) s , NOTICE OF 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 regula#ions. 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, 'rf 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): If valuation of work is$2,500.00 or more, I certify that I, 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 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'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 devefopment. 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 af a permit and that aA 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 khat 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 affidavit 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 correction 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 wiA 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 EMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INT T OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR ICE COMMENCEMENT. FLORIDA JURAT(F.S. 117.03) OWNER OR AGENT CONTRACTOR Subsaibed and swom to(or affirmed)before me this 5�u scribed a d swom rmed) re e this Who is/are personally known to me or has/have produced ` ho i are erso all k or h� as identification. e� �� c�u� C�;t�r�� 4�1�c�.�c n Notary Public � Notary Public Commission No. mmisslon No. � ��C„�11e �..�C�YVl I - `�-� Name of Notary tyQed,printed or stamped Name of Notary ryped,printed or stamped �� I =�l�Y PV� Notary Public State of Florida � , Diane Schmidtke � . Q My Commission DD824337 '?pfF,o� Expires 10/22/2012 c