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Home My WebLink About12-13182 ' CITY OF ZEPHYRHILLS �� 5335-8TH STREET (si3)�so-oozo 13182 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 13182 Address: 7631 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: 34-25-21-0110-00000-0010 Improv. Cost: Date Issued: 6/15/2012 Name: SUPER WAL-MART Total Fees: 25.00 Address: 7631 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/15/2012 Phone: (479)204-1063 Work Desc: FPM-ANNUAL FIRE SPRINKLER FOR WALMART ;� �� . i � � 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 re�ated to the aforementioned. Complete Plans, Specifications and Fee Must Accompany Application. Commencement of work without written a the Fire Department's Fire Marshal or r uired pproval of eq 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 EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION OFFICER CALL FOR INSPECTION -8 HOUR NOTICE REQUIRED 2EPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 ai3-�so-oo2o City of Zephyrhills Fire - Fax-813-780-0021 Permit Application ate Received � _ S f I . , _;. Phone Contact for Permit �� nvner's Name �i✓�L/1/f�J'— Q �D Owner's Phone Number � �� L� nn�ner'sAddress GffL[ Q��/� ZL/�✓�f�//'/�j2C1• /-=� 3js�/� ee Simple Titleholder Name �� Titleholder Phone Number ee Simple Titleholder Address - �z � -_'�` -.�;,�.=z�w;a- ... �b Address � Lot# ub Division Parcel# � Bio-Hazard Waste Stora.-e. ..._. .�,,.;. .....�F ��„-_ '_ ...°��_.- r>_ ::- � ,<.�. �..�° �� ;��.��.,,;�.sa��,��a�* .�-� -. �.,z . , g -ANNUAL � Fumigation Tent T� � Comm Exhaust Kitchen HoodlDuct � Hazardous Material(Tier II or RQ Facility)ANNUAL � Controlled Bum � Hood Installation � Emergency Generator<30 kw � LPlNatural Gas-Installation � l�� Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale Fire Protection Maintenance-ANNUAL � ' Places of Assembly-ANNUAL � ry emi � er ❑ � Sprinkler ❑ O Recreational Bum � �� Fire Alarm � ❑ ❑ ❑ � � Sparklers � Hood Cleaning � ❑ O ❑ � � Sprinkler System Installations �\ Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) `��-�� Fire Alarm Installation � Torch Roofing/Tar Kettle � Fire Pumps � Waste Tire Storage ANNUAL � Fire Works � FlammableApplication-ANNUAL QValuation of Project Fuei Tanks Q Othef: "__ —- -c�. ""�, �__ _ _ , �'i „v'°`3�,. s. .,.,_ .. � r..R".x�F.F;+P';. �Y6�'e"}'• ontractor � w _ .«. ._ , s, r , S:.°„ . ..^.tF T.-�"-. '§.�.Ci"�q'V� � -.-h='4F3^g,,.�„zr,. :",Y81. .d:4 ignature Company Registered Y/N Fee Current Y/N Address License# LECTRICIAN gnature Company Registered Y/N Fee Current Y/N Address License# _UMBER gnature Company Registered Y/N Fee Cunent Y/N Address License# _CHANICAL �nature Company Registered Y/N Fee Current Y/N Address License# HER inature Company Registered Y/N Fee CuRent Y/N Address �ctions: License# Fill out application completely Owner 8,Contractor sign back of application,notarized(Or,copy of signed contract with owner) If over$2500,a Notice of Commencement is required(Mechanical work over$5000) Supply two(2)sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice htt //a � P� PPreiser.pascogov.com) NOTICE OF DEED RESTRICTIONS The unders 9ons. The undersigned alssumes spons bilty for compl a,nce tw th any which may be more restrictive than County regula applicable deed restrictions. U�tLiCENSED CONTRACTORS AND bONeRAe�TOo e E��edSiBaLI�T'oIE�S nce th s ate a d ocae egula nrsC Ifrthe contractors to undertake work, they may q contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanorl��fo(t�he under state law. If the ownee�to con act t enPasco Count Buadingslnspectionl D vSS on reLicen ngtSect on ap 27-847- intended work, they are advis 8009 Furthermore, if the owner has hired a contractor or contractors, he is advised to haas the ownea sign asSthe portions of the "contractor Block" of this application for which they will be responsible. If you, contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. Florida Statutes, as amended): If valuation of work is$2,500.00 or more, I CONSTRUCTION LIEN LAW(Chapter 713, of the "Florida Construction Lien Law—Homeowner's certify that I, the applicant, have been provided with a copy Protection Guide" prepared by the F�have bta ned a copy of'thetabove d scr bed document and promPse ntgood fa th to other than the "owner", I certify that I deliver it to the"owner' prior to commencement. CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify thai�bleeawsr egu'ati gtco stulc on� zon ng and land that all work will be done in compliance with all app' development. Application is here mymm�d��tO°or to s uance of a perm and Ithaaalltwork will�be performed'to that no work or installation has co P meet standards of all laws theu!ur sdicfion tr ictaiS, �°rt�ythatdl ulnderstand that hee egulat onsaof other development regulations m 1 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 AGEt�T FOR THE OWNER,truction1Se'u derstan1d that a�sepahat permit may be requ9ed for'electrecal work this affidavit prior to commencing cons plumbing, signs, wells, pools, a��to be al/ce se to pr ceed with the twork and not as au�thor ty to violateecanpcel�, allter, or permit issued shall be construed set aside any provisions of the In�han��st ucton oa'violation of any codesPrE erytperm t issued shall become inval d requiring a correction of errors p , unless the work authorized by sucne�forla'S od of six(6) mhonths after the time thetwo kas comme ced Anhexte sion the permit is suspended or abando P 90 da s and will demonstrate may be requested, in writing, from the Building Official for a period not to exceed ninety ( ) Y the ob is considered abandoned. justifiable cause for the extension. If work ceases for ninety(90)consecutive days, j WARNING TO OWNER: YOUR FAILS TO YOUR PROPERTY TIF YOU INTEND TO OBTAIN F NANC NG,CONSULT PAYING TWICE FOR IMPROVEMENT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S. 117.03) CONTRACTOR OWNER OR AGENT Subscribed and swom to(or affirtned)before me this Subscribed and swom to(or affirtned)before me this bY bY Who is/are personally known to me or has/have produced Who islare personally known to me or has/have produced as identification. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed�Printed or stamped Name of Notary typed.Printed or stamped