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Home My WebLink About12-12959 CITY OF ZEPHYRHILLS " 5335-8TH SITtEET �si3��so-oo20 12959 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 12959 Address: 7446 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: Improv. Cost: Date Issued: 4/10/2012 Name: SYBEA,INC.(ARBY'S) Total Fees: 55.00 Address: 7446 GALL BLVD Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542 Date Paid: 4/10/2012 Phone: Work Desc: FPM- SUPPRESSION SEMI-ARBY'S p��- �` �� = ��-- 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 oosts related to the aforementioned. Complete Plans, Specifications and Fee Must Acxompany 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 RECO IN Y R NOTICE OF COMMENCEMENT." ' PERMIT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 � V V ""y "'��"y��,"� ' "c rax-ts 15-780-0021 Permit Application Date Received "G� � Phone Contact fo�r�NPermii �'l�j ��7� �� OHmers Name r—� �� '�� Qwners Phane Number L�J Owners Address Fee Simple Titleholder Name Titleholder Phone Number [� � I � Fee Simple TiUeholder Address L'-- ;�"s'__=_-_ --—'�=�%w�"'�-..,'?��.��,�`•-'�'�w_�,. Job Address �L/ �� c.�� /V /�j 'S �oc# �� Sub Division Parcel# -�._ --•�� ^ �...�---�°-�°�'"-�''� �r�.«�'��.°�.,��_ >�-_�-�.•••��_��-�:�„.�: aBio-Hazard Waste Storage-ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct a Hazardous Materiai(Tier II or RQ Facility)ANNUAL � Controlled Bum a Hood Installation aEmergency Generator<30 kw a LP/Natural Gas-Installation � Emergency Generator>30 kw a �P/Natural Gas-ANNUAL Sale � Fire Protection Maintenance-ANNUAL a Places of Assembly-ANNUAL ❑(LE r y emi �n er Sprinkler ❑ ❑ ❑ � a Recreational Bum `i Fire Alarm � � ❑ ❑ � � Spariclers � (��`�� Hood Cleaning � ❑ ❑ p � � Sprinkler System Installat�ons Hood Suppression � r p y ❑ � a Standpipes(Sprinkier Sys) a �' o Fire Alarm Installation Torch Roofing(Tar Kettle QFire Pumps � Waste Tire Storage ANNUAL aFire Works � Flammable Application-ANNUAL . Valuation of Project aFuel Tanks Q Other: Contractor �- Company m G - � /a--��.��.i Signature Registered Y/N Fee Current Y/N Address y"7�/ L"iG. �-4r r- C�'' -'� ( Lice�se# ELECTRICIAN � /Y�3�1 �o�j�.��'f Company Signature Registered Y/N Fee CuRent �'/N Add�ess 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 Current Y/N Address License# Directions: - Fill out appiication completely. Owner&Contractor sign 6ack of application,notarized(Or,copy of signed cont2ct with owner) tf over$2500,a Notice of Commencement is required(Mechanical worlc over$5000) Supply two(2)sets of drawings with applicable docume�Yation Allow 10-14 days for review after submittal date. Parcel#-obiained from Property Tax Notice(httpJ/appraiser.pascogov.com) ��,�, �,3_ t� i-��ga . NOTICE OF DEED RESTRICTION Count regulations. The undersign d alssumest sponsi�ilbry for�mpl an e with any which may be more restnctive th Y applicable deed restrictions UNLICENSED CONTRA`C�TORheAmDy bONeq Aed o be E ensOeds!Bacico dance wth s ate a d localeregulationsC Ifrthe contractors to undertake , Y contractor is not licensed as required by law, both the owner and contractor may be cited for a misdem�anPoP yiolation under state law If the owner or intended conPasco County Bu IdingSlnspection Div s'ton reL cen ngtSection at 727 847- intended work, they are advised to contact the 8009. Furthermore, if the owner has hiredlicationtforwhich�thetrwill�be esponsblee�lftyouaas the ownteasign asStge po�tions of the "contractor Block" of this app' y contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. 500.00 or more, CONSTRUCTION LIEN LAW (Chapter713, Florida Statutes,.as�fm�endFo)rid�a CoUnstruction Len �aw—Homeowner's certify that 1, the applicant, have been provided with a copy Protection Guide" prepared by the Florida Department of Aof thetabove des�r bed docum�ent and promPseantgood fa th to other than the"owner", I certify that I have obtained a copy deliver it to the"owner"prior to commencement. _ CONTRACTOR'SIOWNER'S A�FrF��ance.witheal appli a'blelawsr egu'latingtconst�rpctono z n nguand land t h a t a l l w o r k w i l l b e d o n e P development. Application is hereby made to obtain a permi t to do w o r k a n d i n s t a l l a t i o n a s i n d i c a t e d. I c e rt i y that no work or installation Sa e�U at ng c nstructionS County�andPCitytcodeshazonli g regullatio Perfor�eand meet sfandards of all law g development regulations in the jurisdiction. I also certify that I understand that the regulations of ot er 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,t(uctionls I Iu derstand that a�separat permit may be req g ed for'electr cal work, this affidavit prior to commenCing Con plumbing, signs, wells, pools, airto be af I ce n e to proceedewith the work and not a'scaul horty ao�violateecanplelaallter, or permit issued shall be construed 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, co�is�c t�°mencedlwithin si amonths of per� ssualnce, oaif work authorized by unless the work authorized by such perm the permit is suspended or abandonee Build n rfOffi ial fo6a perod notto exc�eedtn netyr(90) days and will demonstrate may be requested, in writing, from th 9 justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandone . WARNING TO OWNER: YOUR FAILURO YOUR PROPERTY-T�F YOU INTOE D TO OBTAWnFI�ANCSNGTCONSULT PAYING T�N�CE FOR IMPROVEMENTS T WITH YOUR LENOER OR AN TT RNEY BEFORE RECORDING YOUR NOTICE OF MENCEMEAIT. FLORIDA JURAT(F.S. 117.0 � � CONTRACTOR OWNER OR AGENT Subscribed and swom to( affirmed)before me this Subscribed and swom to(or a ed)before me his bY by Who i personally known to me or has/have produced Who is'— �p onally known to me or haslhave produced as ident�cation. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped