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Home My WebLink About12-13049 CITY OF ZEPHYRHILLS ' S335-STH STREET �si3��so-oo20 13049 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 13049 Address: 6855 GALL BLVD Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL. Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 03-26-21-0010-01600-0020 Improv. Cost: Date Issued: 5/07/2012 Name: GOLDEN CORRAL Total Fees: 25.00 Address: 6855 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 5/07/2012 Phone: (813)783-8969 Work Desc: FPM- HOOD CLEAN QUARTERLY- GOLDEN CORRAL 5. ,�� v � � � � �� , 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�saso-oo2o CiryofZephyrhiils�Firs• Fax-sisaso-oo2� . , PeRnit Application _ Date Received Phone CorRact for Pertnit ,. ____..:M.�..�,,.�::,,�,. ,-. • : ..: �...,> � .a�`�;��..��'�a�x=.�:�ri�:<��r<.�.-�zs.-� . . ..;:,.E-^i�-° ,�s �'e _. _....._,._._ _«�r...,._�. ,.� ..,. Owner's Name `ANDERSON4 P�SS Owners Phone Number � � ��R Owner's Address 51�F M[JR�Y — Fee Simple TiUeholder Name Titleholder Phone Number � � � Fee Simple TiUehoider Address ,:>,,..m .........�<-„-n:...,....�,.e,-�: �s' .' a . , , �" �t.� �' �_w_._�- ,....'7�':t,,.s>,.,.: ..�:�::W,a�.c,.'�'i� . __ ��_.. . , r,.�dz� . ._� ;_ ...�.r,� � .'4�„` . ::;.��.� - x.:%s:kafaw=' �. _ Job Address GOLDEAT CORRAI, 6855 GA�LI� BLVD. ZEPHYRH — �ot# Sub Division Parcel# .... .,...- _, .:'.;KsM^.' . -�.,..�._?,�..� �' <:� . � - ,� <�:;:�s'�,,�'..a��''�.'"��-� :,.�Ei�';��?�.7=�•"'.fiz_-':-.w;-.i�aaT��:�::::::.Y��-`r:F�' „� rn Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Materiai(fier II or RQ Facility)ANNUAL � ConVolled Bum � Hood Installation � Emergency Generator<30 kw � LPlNatural Gas-Instaliation aEmergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL � emi � r Sprinkler � ❑ ❑ ❑ � Recreational Bum � Fire Alartn � ❑ ❑ ❑ � � Sparklers ��1 Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations �� Hood Suppression � ❑ ❑ ❑ � � Standpipes(Spri�kler Sys) � Fire Alartn Installatlon � Torch Roofingrfar Kettle � Fire Pumps � Waste Tire Storage ANNUAL Fire Works Flammable Application-ANNUAL , Valuation of Project Fuel Tanks Q Other: �, �, .�:,r� x:�. ,:-� - °�•��r� � �� .�:.��.� Contractor Company Signature Registered Y/N Fee Curtent Y/N Address License# ELECTRICIAN Company Signaiu2 Registered Y/N Fee Current Y/N Address License# PLUNiBER Company Signature Registered Y/N Fee Current Y/N Address License# MECHANICAL Company Signature Registered Y/(V Fee Cument Y/N Address License# OTHER Company Signature Registered Y/N Fee Current Y/N Address License# ��;��.�:a.;v��.�;�-,:�.::.=�,:.��,�.,�..�_>�:�:s:�,�.:,;.�.�.�� -� ,.�.�., ..... .w:._�:;�. . .>d�.:.��...�„�-.�:e>�.�.,a,.�.«.>-�.:.x...,�::�. ,_ � Directions: FII out application completely. Owner 8 Gontractor sign back of appiication,notarized(Or,copy of sigr�ed contract with owner) If over$250Q,a Notice of Commencemerrt is required(Mechanicai work over$5000) Supply two(2)sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. Par�el#-obtained from Property Tax Notice(httpJlappraiser.pascogov.com) � NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions" which may be more restrictive than Courrty regulations. The undersigned assumes responsibility for compliance with any appiicabte deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBlLITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and locai regulations. I#the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under s#ate law. If tfie owner or intended con#ractor are uncertain as #o 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, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "coritractor Blocic" of this application for which they will be responsibie. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entiNed to permitting privileges in Pasco County_ � CONSTRUCTION UEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or mo�e, I certify that I, the appticant, 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#han the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to deiiver it to the"owner" prior to commencement. - CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicab'le faws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I cerfrfy that no work or installation has commenced prior to issuance of a permit and that all 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 certifjr that 1 u�derstand that fhe regulations of other � govemment agencies may apply to the intended work, and that it is my responsibility to identifjr what actions 1 , must take to be in compliance. tf 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 cons#ruction. 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 applica#ion. A pennit issued shaH be construed to be a license to proceed with the work and not as authority#o violate, cancel, alter, ar set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter �equiring a carrection of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the in+ork authorized by such permit is commenced within sbc months of permit issuance, or if work authorized by fhe 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 ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned. WARNINGITO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT fN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NQTICE OF COMMENCEMENT. � FLORIDA JURAT{F.S.117A3) ..;e:s.��'�,�`s'�.- .�`��-� `��:.':!f'�?t%� • °�,°RT.°,��.;'�._-,� .;.,�y OYYNER OR AGENT CONTRACTOR ...::�.,-ti,>- ,,,:,, ,,,�r.f-<-��---"� Subs�xibed and swom to(or aflirmed)before me this Subscribed and swo�F fo(or afflrmed)before me thls Who is/are personalty knov�m to me or hasthave produced Wtw is/are pers a Ity known to me or has/have produced as idenUfication. as identification. ' Notary Public Notary Public Commission No. Commission No. � Name of Notary typed,printed or stamped Name of Notary typed,printed or shdmped I i i I I i I I i