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Home My WebLink About12-12980 CITY OF ZEPHYRHILLS -� �- 5335-8TH STREET (sis)�so-oozo 12980 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 12980 Address: 7821 GALL BLVD Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL. Ciass 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: 4/17/2012 Name: CHINESE TAKE OUT RESTAURANT Total Fees: 25.00 Address: 7821 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 4/17/2012 Phone: Work Desc: FPM- SUPPRESSION SEMI _ � 7 ?S" � / � � 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 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 s�aasaoozo City of.Zephyrhills'Fir.e�� Fax-s�;_�8aoo2� Permit Application Date Received - Phone Corttactfor Permit � °� �� Owners hlame Owner's Phone Number .�� pQ CZCLIZ(� Owners Add2ss Fee 5imple-I'itleholder Name Tttleholder Phone tJumber �� Fee Simple Titleholder Address Job Address �ot� � L� 5ub Division Paroel# � Bio-Hazard Waste Storags-•ANNUAL � Fumigation Tent � Comm Exhaust Kitchen�Hood/Duct � Hazardous Material(Tier 11 or RQ Facility)ANNUAL � Controlled Sum � Hood Installation � Emergency Generator<30 kw � LP/Naturel Gas-Installation � Emergenoy Ganerator>30 kw � LP/Natural Gas-ANNUAL Sale � Fire Protection Mairrtenance-ANNUAL � Piaces ofAssembly-ANNUAL Q�D r y ' emi � er �� 5prinkler � ❑ ❑ ❑ � � Recreational 8um � � Fire Alartn � ❑ ❑ ❑ � � 5parklers � Hoad Cleaning � ❑ ❑ ❑ � � Sprinkler 5ystem Instaliations Hood SupPression � ❑ � ❑ � � 5tandpipes(5prinkler Sysl � Fire Alartn Installation � Tornh RoofinglTar Kettle Fire Pumps � Waste Tira Storage ANNUAL Fire Works Flammable Application-ANNUAL Valuation of Project Fuel Tanks Q Other. - Cornractor Company 5ignature ' Registered Y/ N Fee Current Y/N Address License# ELECTRICIAN Company Signature Registered Y/N Fee Current Y/N Address license# PLUMBER Company 5ignature Registered Y/N Fee Current Y/N Address • Lieense# MECHANICAL Company 5ignature Registe2d Y!N Fee Current Y/N Addrass License# �THER � t�C�4� �'2� �� Company Signature Registered �l'� rv I Fee Current Y/N Address License# Directions: Fill out application compietely. Owner&Contractor sign hack of application,notar¢ed(Or,copy of signed carrtract with owner) If over$2500,a Notice of Commencement is raquired.(Mechanical work over$5000) ' Supply 1wo(2)sets of drawings with applieabie documerrtation Allow'I 0.'14 days ior review after submittal date. Parcel#-ohtained from Prnperry Tax Notice(http_//app2iser.pascogov.com) •NOTICE DF:D�ED'R�STRICTIONS: '('he.undersigned understands that this permit may.�e•subject.to�ude�d°�RSStrictions" which may be more restrictive than Couniy regulations.�The:undersigned assumes responsihility:for:�ampiiara�e�finrith any .appiicable deed restrictions. 'UNLICENSED �CONTRACTDRS AND-CDI�[TRA�TOR R�SP.OI�lS1BILlTIES: If-the owrter has-hirsdza-contractor �or - contractocs to.undertake work, they may be required to be licsnsed in accordancs wlth state and tocal-regulations. tf the contractor is not iicensed as required by law, both the owner.and con�-actor may be citsd-for a�misdemeanor violation undsr state law. (f-�he owner or intended contracior are uncertain.as'to what licensing•requirements may:app�y fior the intended work,-they are advised�t� contact the•Pasco County Bu[lding lnspection�Division—Licensing�Section.at727-847- 80Q9. FurEhermore, i� the owner has hired:a contractor or contractors, he is advised �to have-the contractor(s) sign portions of the "contractor Slocic" oi this application�or which-thsy will be responsibte. ff you, as�the owner=sign as the contractor, that may be an indicaaon that he is not properly ficenssd and is not sntitled�to•permitting.privileges in Pasco Couniy. CONSTRUCTION.LIeN.LAW(Chapter7't3, Floricfa S`tatutes,.as:amended): If va(uatior�of work is�2;�OO.DO or more, I csrEify that 1, -the applicant, have been provided with a copy ofi-the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by-the Florida Department of Agricutture and Consumer Affairs. [f the applicant is•someone other than the"owner", 1 csrtify that l have obtained a copy of the above described document and promise in good fatth to defiver it t�the"owner" prior to commencsment. - CONTRACTOR'S/OWNER'S•AFFIDAVtT: 1 certiry that all the information in this appticafion is accurate and that all work will be done in compiiance with all appiicabfe laws regu}ating construction,.zoning and {and development. Application is hereby made to obtain a permit to do work and instatta�ion as indicated. 1 certify that no work or instalfation has cammenced prior to issuance of a permit and-that al!work will be perFormed to meet standarcls of aIt laws rsgulating construction, Couniy and City codes, zoning regulations, and tand development regutations in the jurisdiction. I also certify that 1 understand that tiie regutations of other govemment agencies may apply to the intended work, and that it is my responsibifify to identify what actions I must take�to be in compiiance. ffi I am the AGENT�FDRTH� OWNER, i promise in good "raitf�to irrform the owner of the permitting conditions set forth in this afridavit prior to commencing construction. t undersfand that a separate permfit may be rsquired for eiectrical work, piumbing, signs, welis, poofs, air conditioning, gas, or other installations not specifiicalfy included in the app(ication. A permrt issusd shali�be construsd to be a license to proceed with the work and not as authority ta viotate, cancel, atter, or s�t aside any provisions ofi the tschnical codes, nor shatl issuance of a permit prevent the Buifciing Official from thereafter requiring a correction of errors in pfans, construcfion or viola�ions of any codes. Every permi�issusd shall become invaiid unless the work authorized by such permit is commenced within six months of permi� issuance, or if work authorized by the permit is suspendsd or abandoned for a period of six(s) months after the time ths work is commencsd. An e�ension may be requssted, in wri�ing, irom ths Building Ofricial for a period not to e�cceed ninety (90) cfays and will demonstrate j�stifiiable cause for the extension. if work ceases for ninety(90}consecutive cfays,the job is considered abandoned. WARNINGTD OWNER: YOUR �AIL'URET� REC�RD A'WOTI�E'UF'COMM�NCEMEM" Mi4Y-RESULT IN'YOUR PAYlNG TWICE F�R IMPROVEIIftEI�ITSTO YOUR PROPERTY. iF Y�U U�TENDTO OSTAIN-FINANCING, CONSIJLT W�TH YOUR LENDER OR AN ATTORNEY BEF�RE RECCIRDING YOUR NOTICE OF COMM�NCHMENT FLORlDAJURAT(F.S.117.D3) DWNEi2 pR AGHNT CONTRACTOR 5ubscribed and swom to(or affirmed)before me this Subscribed and swom tn(or af�rmed)before me this by by Who is/are personalfy lawwn to me.or has/have pmduced Who islare persortalfy imowm to me or haslhave produced as idenftficafion. as ideniificafion. Notary Public Notary Public Commission No. Commission No. Name of Nofary typed;prir�d cr sfamped Name of Ntotary typed,prirrted or stamped