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Home My WebLink About12-12862 CITY OF ZEPHYRHILLS �� 5335-8TH STREET (813)780-0020 12862 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 12862 Address: 5506 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: 11-26-21-0010-05700-0256 Improv. Cost: Date Issued: 3/05/2012 Name: PHIL MOOK ENT.INC Total Fees: 25.00 Address: 1108 W BRANDON BLVD Amount Paid: 25.00 BRANDON FL 33511 Date Paid: 3/05/2012 Phone: Work Desc: FPM- SUPPRESSION QUARTERLY- KFC � ��' � Z �� ina Chapter 633, Florida Statutes,authorizes the City to charge and wllect user fees to pay for the wsts of fire prevention and protection related activities such as inspections, plan review,administrative fees,and other costs re�ated 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 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 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 813-780-OQ20 City of ZephyrhiUs Fire Fau-813-780-0021 Permit Application 3te Receiver;,. �e�� r"''�'—� �� , Phone Contact for Pertnit L_vJ _J O ZS wner's Name � `� z.L ) ` (+ � � Owners Phone Number �'��j gp� �� - wner's Address ,,J��-� �y� i'�✓ !-��J F !' /7', ',� � - �Z�� y �e Simple Titleholder Name Titleholder Phone Number C� C� � . �e Simple Titleholder Address �b Address � �G r h/ ��'S ,�� v 3 a �� ot# �� b Division Parcel# � Bio-Hazard Waste Storage-ANNUAL a Hazardous Material(Tier 11 or RQ Facility)ANNUAL � Comm Exhaust Kitchen Hood/Duct a Hood Instailation � Controlled Bum � LP/Natural Gas-Installation � Emergency Generator<30 kw � �� LP/Natural Gas-ANNUAL Sale � Emerge�cy Generator>30 kw � � Places of Assembly-ANNUAL � Fire Protection Maintenance-ANNUAL � � Recrealional Bum rTy emi � er ❑ �7V'CC.IV��V Sprinkiei � ❑ ❑ Ci Sparklers ��" � 7 �� /�J! Fire Alarm � ❑ ❑ ❑ � � Sprinkler System Installations � � r � n � Hood Cleaning � ❑ ❑ ❑ �� Standpipes(Sprinkler Sys) `T Hood Suppression � �,� ❑ ❑ C� � Toroh Roofinglfar KeNle � Fire Alartn installation � Waste Tire Storage ANNUAL � Fire Pumps � Fire Works � Ftammable Application-ANNUAL r Valuation of Project � Fuel Tanks � � Other: �ntractor � Com an J�J /% .f — a y � � R �a gnature L V � ,L � — Registered Y/N Fee Current Y/N Address Lice�se# _ECTRICtAN 7t `I � , gnature � .''/ �� f� ' � ,�_� � �2�_ o�npany y'nS� V'L�egistered Y/N Fee Current Y/N Address License# _UMBER Company gnature Registered Y/N Fee Current Y/N Address License# ECHANICAL I Company gnature Registered Y/N Fee Current Y/N Address License# THER Company gnature Registered Y/N Fee Current Y/N Address License# irections: 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) 5upply 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 unclersi ned under�tands that ' � . ' . 9 this permit may be subject to deed°rsstrictions which may be more restrictive than County regulations. The �ndersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CpNTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a-contractor-or - � contractors to undertake work, they may be required to be IIC nsed in acco�dance with state and (ocal regulations. If the Y contractor is not licensed as required by law, both the owr�� and contra�tor may be.-cited for a misdemeanor violation under state law. If the owner or intended contractor are unc �tain as to what licensing requirements may apply for the a intended work, they are advised to contact the Pasco County uilding 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 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 I ensed and is not entitled to permitting privileges in Pasco ' C�unty. i CONSTRUCTION LIEN �AW(Chapter 713, Florida Statute , as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, have been provided wlth a c�py of the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agr,culture and Consumer Affairs. If the applicant is someone other than the"owner", I certify that I have obtained a copy of he above described document and promise in good faith to deliver it to the"owner° prior to commencement. - CONTRACTOR'S/OWNER'S AFFIDAVIT: I certi y that all the information in this application is accurate and that all work will be done in compliance with al applicable laws regulating construction, zoning and land development. Application is hereby made to obta n a permit to do work and instatlation as indicated. I certify that no work or installation has commenced prior issuance of a permit and that all work will be performed to meet stand�rds of all laws regulating constructi n, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I so certify that 1 understand that the regulations of other �government agencies may apply to the intended ork, 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 fait to inform the owner of the permitting conditions set forth in this affidavit prior to commencing cohstruction. I understand that a separate permit may be required for electrica! 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 ith the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issu nce of a permit prevent the Buitding O�cial from thereafter requiring a,correction of errors in plans, construction or violatipns of any codes. Every permit issued shall become invalid unless the In�ork authorized by such permit is commenced wifhin six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six(6) �onths after the time the work is cbmmenced. An extension may be requested, in writing, from the Building Official for a eriod not to exceed ninety (90) days and will demonstrate � justifiable cause for the extension. If work ceases for ninety( 0)consecutive days,the job is c�nsidered abandoned. WARNINGITO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPE .'IF YOU INTEND TO OBTAIN FINANCING, C�NSULT WITH YOUR LENDER OR AN ATTORNEY BEF RE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S. 117.03) I OWNER OR AGENT � RACTOR � � Subscribed and sworn to(or affirmed)before me this �g�1bs 'bed and sworn to(or irmed)before e this by by Who islare personally known to me or has/have produced Who i are personally known to me or haslhave produced as identification. as idenBflcation. � Notary Public I Notary Public Commfssion No. Com Ission No. � Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped I I I I