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Home My WebLink About12-12872 - CITY OF ZEPHYRHILLS 5335-8TH STREET �si3)�so-oo20 � 72 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 12872 Address: 5734 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: 11-26-21-0010-2600-0250 Improv. Cost: Date Issued: 3/08/2012 Name: MAGNUSON HOTEL Total Fees: 25.00 Address: 5734 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 3/08/2012 Phone: (813)782-5527 Work Desc: FPM-FIRE ALARM ANNUAL-MAGNUSON HOTEL �;�' � T� � / ( � !� 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 rnmmercial activity without an approved final inspection shali 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 a��-�ao-oozo City ofZephyrhills'�ic�e� Fax$13-78D-0021 Permit Applicatian Date Received - p�Cp��{��pe�� :� 6 Owners Name �'�'/ ' ' "' ONmer's Phone Nurnbe� . . 1 5 C-��'J f��,~� � Owners Address '' � `/� �� - f � � � � ~ �� , •- Fee Simpie T{tleholder Name �, �" �Trtleholder Phone Number �� Fee Simple'�itiehoider Address r 1 ^ ,7 � Job Address � %i C� ' � �.�� I �� `I �" �� I � �� Lot# Sub Division ' Par�el# � Bio-H�ard Waste 5�age-�ANNUAL � Furt�igatlon Tetrt aComm Exhaust FGtchen Hood/Duct � Hazar+dous I�Aate+ia!(Tier II or RQ Faci6ry)ANNUAL � Controlied Bum � fiopd Insmllaiion � Emergency Generator<30 kw � LPMaiural Gas-Irstattation � Emergericy Generator>30 kw � LPMahnai Gas-ANNUAL Saie Fre Protection Mairdenar�ce-ANNUAL � Places of AssemWy-ANNUAL .❑� � �� 5prinkfer O ❑ ❑ Recreadonal Bum Fire Alarm � ❑ ❑ � � Sparklets Hood Cleanin9 � ❑ L] ❑ � � SpritYderSysbem ktstallations Hood 5uppression � p p O � Q SlardpiP�ISPrinkle�5Y5) � Fire Alarm Instailativn � Tor�h Roofing/Tar Kettle F'ire Pumps � Waste Tirs 5torage ANNUAL Fre Works Fiammable Appficati�on-ANNUAL �_`� Valuation of Project Fuel Tanks Q Other. - Contractor ��y s�gnature ' Rayistared Y/N Pee curre►n Y/�� Address ' Licxnse# �� v R sell Electrical Eonst Signature � < Registered Y/N Fee Ctment Y/N Addrsss ��# PLUMBER ��y 5ignature Regisbered Y/N Fee Cunerrt Y/N Address • Lieense# MECHANICAL C�pa�y �— Signature =Registered Y/N Fee C�nrent Y/N� Address Lice�ss# �— OTHER Com�ny �� signature Registered Y/N Fee Current Y/N Address ucenae# ' ' � YI 'Iwr� .sJ D�rections: Fll out apptfwtion completety. CT�mer 8 Corrtrachor sign badc of epplicstion.notaraed(Or,cbpy of signed co�tract with owner) � If over S250p,a Notice of Commanoement is required.(Mechaanicxl work over$50D0) 5upply two(2)sets of dtawings wtth applicable documerAation ,A{Vow 1 D-'14 days for revfew after submittal date. Parrxi#-obtained from Property Ta�c Natice(htlpJ/apprei�r.pascogov.com) �NOTICE OF:DEED RES1"RICTIONS: The.undersigned understands that this permit may.be•subject:to-"deed';r�strictions" which may be more restrictive than Courrty r�gulations. Tfie�.undersigned assumes responsibltity for:aompliara�e+with any applicabie deed restrictions. �UNLICENSED �CONTRACTORS AND-CONTRACT�R RESP.ONSIBILITiE$: tf-the owner has-hired-;�-contractor �or - contractors�to undertake work. they may be required� be licensed in accordance with st�ate and locaf�re�gulations. If the corrtractor is not ticensed as required by law, both the owner�nd corrtractor may be cited-for a misdemeanor viotation under state law. if-the owner or intended cotrtractor are unc�rtain.as#o what licensing•requiremerrts may�pply for the jrrtended work, they are advised to corrtact the•Pasco County Building inspection Divisian--Licensing Section.at 727-84�- 8009. Eurthermore, if the owner has hired=a contrac�or or contractors, he is advised to have the contractor(s) sign portions of the °coritractor Block' of this application-for which-they wili be responsibte. tf you, as•the �wner�sign as the coritractor, that may be an indication that he is not properly ficensed and is not errt�tted�to�pemii�ting.privilsges in Pasco Counfy. CONSTRUCTION.LtEN•L�►W(Chapter773, Flori�Statubes,.as:amended): ff valuation o#work is$2;�00.00 or more, I certify that 1, -the applicant, have been provided w� a copy of-the `Florida Construction Lien Lav�Homeowner's Protection Guide' prepared by�the Florida Departmerrt of Agricutture and Consumer Affafts. tf the applicant is�someone other than the"owner, I certify that t have obtained a copy of the above desaibed document and promise in good�Faith to deiiver it to the"owner'prior to commencement. - CON7RACTC?R'S/OWNER'S-AFFlDAVIT: i certiry that all the irtfortna#ion in this application is accurate and that all work will be done in compliance wlti� all appiicable taws regufating construc�ion, zoning and land developmerrt. Appiication is hereby made to obtain a pe�mit to do work and iristaliafion as indicated. I certify that no work or instailation has commerx:ed prior to issu�af a permit and�that all waric wilf be perfonned to meet standards of all laws regulating c�nstruction, Cauriiy ar� Cify codes, zoning regulations, and land development regulations in the jurisdiction. t also oertlfy that 1 understand that the regulations of other _ govemment agencies may appfy t�the irrtended work, and that it is my responstbility to identiFy what acEions I must take�to be in compliance. If i am the AGENT f�RTHF OWNER, t promise in good iaith to iriform the owner of the pennitiing condi�ons set forEh fn this affidavit prior to commencing construction. l understand that a ssparate pernnit may be required for electrical work, piumbing, signs, wells, poots, air condfioning, gas, or other instaliatiores not specifiqily induded in the appliqtion. A permit issued shal!�be construed to be a license to proceed witi�the work and not as authotity to vioiate, cancel, alter, or set aside any prov�sions af the technical codes, nor shali issuance of a permit preverrt the Buitdfig Officiai from thereafter requiring a co�on of er�vrs in plans, constrvciion or violations of any codes. Every permit�ssued shal�become invalid unless the work author¢ed by such permit is commenced within sbc mo�hs of permit issuance, or if w+ork authorized by the permit is suspended or abandoned for a period of six(6) mo�rths aftec the time the woric is commenc�d. An extension may be requested, in writing, from the Building Official for a perioc! not to exc�ed ninety (90) days and witf demonstrate jusfifiable cause for the extension. ff work c�ases im ninety(90)consscxitive days,the job is considered ahandoned_ WARNING TO OWNER: YOUR FAILI�E TO RECORD A 1+IOTICE'O�'COY�NCEM�NT` Mi4Y RESULT !N'YOUR PAYING TWICE FOR iMPROVEMENTS TO YOUR PROPER7Y: IF YOU INTEND TO OBTAIN FIN/WCING, COIdSUlT 11NRH YOUR LENDER OR AN ATTORNEY BEFORE REC�RDING YOUR NOTICE OF COM C� NT FLORIDA JtJRAT(F.S.117.03) OYYNER OR At�NT CONT�iC'�iR � Subscrtbed and swam�o{�afflm�ed)before me iti� S�ard swom j befi�r�e me fMs by �^S�'- 1 a. by � VVho isJare p�liy Iv�oMm Lo me or tms�produoed 1Mw islare p�y Iv�own�me or hasltmve prodtxxd as id�ttlfrcation. F 1er;alw..Dri d�rS L.:.c� as identffication. N�rY P� Notary Publtc Commission No. i�sion Name of Noisry iyped:prin6ed or stamped Wmne Notery typed,prirr�ed or shamped ��,(•� �.�{�Y�� ,•� ��' GXPIRES:Novetnber 13,2015 �.:c«.'.,=� ?adedThruNctgyPu6feUndrw�Nsa