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Home My WebLink About12-13173 CITY OF ZEPHYRHILLS 5335-8TH STREET �ais)�so-oo20 13173 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 13173 Address: 7643 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: 34-25-21-0010-03100-0000 Improv. Cost: Date Issued: 6/13/2012 Name: CHILI'S BAR & GRILL Totai Fees: 25.00 Address: 7643 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/13/2012 Phone: Work Desc: FPM- SUPPRESSION SEMI- CHILI'S � �� , ma 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��aaao2o City of Zephyrt�ills Fire Fax-813-780-0021 Permit Appiication ate Received � ` 1 �-(�/1 'Phone Contact for Permit 3 5 2 7 3 2 5 3 2 6 ��`1 I� 5 l wners Name BRINKER FLORIDA INC C/O MARVIN F POER & CO pNr�ers Phone Number � � � w„ers nddress PO BOX 8 0 2 2 0 6 DALLAS TX 7 5 3 8 0-2 2 0 6 3e Simple Titleholder Name NA TiUeholder Phone Number � � � 3e Simple Titleholder Address �bAddress 7643 GALL BLVD ZEPHYRHILLS Lot# � �bDivision ZEPHYRHILLS SUPERCENTER-A paroel# 34-25-21-0110-00000-0040 � Bio-Hazard Waste Storage-ANNUAL a Fumigatlon Tent � Comm Exhaust Kitchen HoodlDuct � Hazardous Material(Tier II or RQ Facility)ANNUAL � Controlled Bum � Hood Instellation QEmergency Generator<30 kw � LP/Naturai Gas-Installation � Emergency Generator>30 kw a LP/Natural Gas,A�UAL Salo � �� ^ 2 � Fire Protection MaiMenance-ANNUAL � Places of Assemb -ANNUAL t � J � emi � er � Sprinkler � ❑ ❑ O � � Reereational Bum Fire Narm � ❑ ❑ ❑ � � Spa►klers Hood Cleaning � O ❑ ❑ � � Sprinkler System InstallaUons Hood Suppresslon � ❑ �1 ❑ � � Standpipes(SprinWer Sys) � Fire Alartn Installation � Toroh Roofing/Tar Kettle Fire Pumps � Waste Tire Storage ANNUAL Fire Works Flammable Application-ANNUAL Valuation of Project Fue1 Tanks Q Other. �ntractor Company AMERICAN FIRE & SAFETY SUPPLY gnature Regietered Y/N Fee Current Y/N Address 953 NE OSCEOLA AVE OCALA FL 34470 �icense# 06461500021985 .ECTRICtAN �JA Comp8�y gnature � Registered Y/N Fse CurreM Y/N Addross U��# _UMBER NA �m��y -� ��t� Registerad Y!N Fee currern Y/N Address License# =CHANICA NA �n,pa�y --� �nature Registered Y/N Fee Current Y/N Address License# fHER NA Company �nature Registered Y!N Fea Current Y/N Address License# rections: Fill out application completely, Owner&Contractor sign back of appfication,notarized(Or,copy of signed contract with ovmer) H over$2500,a Notice of Commencement is required(Mechanical woric over$5000) Supply two(2)sets of drawings with applicable documenfation Allow 10.14 days for review after submittsl date. Parcel#-obtained from Property Tax Notice(httpJlappraiser.pascogov.com) s � NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to"deed" restrictions" which may be more restrictive than County regulations The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law If the owner or intended contractor are uncertain as to 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 "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 licensed and is not entitled to permitting privileges in Pasco County. CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes,as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, 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 than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner"prior t�commencement. - CONTRACTOR'SlOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land devefopment. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or instalfation 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 certify that I understand that the regulations of other 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, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction I understand that a separate permit may be required for electrical 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 with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a carrection of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the 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. � i WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAfN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTOR EY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S. 117.03) � _� OWNER OR AGENT CONTRACTOR 'b and �, �(or affi ed) efore me ' Subscribed and swom to(or aifirtned)before me this by , (�J'�b __ .r.,.__._• bY is or MesfMevcprodnoed Who is/are personally known to me or has/have produced as idtrttlflratio as identifica6on. �• '� C�t1.� ��'�ti� ��'� �-�\ - NoWry�ublic Notary�ublic Commission No. �� r�`i�� Commission No. �I�V�. . �n�1�� lc�`�-� Name of Notary typ�,pnnted or stamped Name of Notary typed,printed or stamped I �.�►�'",� Notary Public State of Florida ^ Diane Schmidtke � My Commisaron D�824337 �jof w� �xpires 10122l2012 4