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Home My WebLink About12-13219 . CITY OF ZEPHYRHILLS 5335-8TH$TREET (si3)�so-oo20 13 19 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 13219 Address: 5538 GALL BLVD Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL. Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book: Proposed Use: COMMERCIAL Lot s : Square Feet: � � Block: Seation: Est. Value: Subdivision: CITY OF ZEPHYRHILLS Improv. Cost: Parcel Number: 11-26-21-0010-05700-0250 Date Issued: 7/03/2012 Name: WELLESLEY DEVELOPMENT CORP Total Fees: 25.00 Address: 34619 SR 54 W Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 7/03/2012 Phone: Work Desc: FPM- HOOD CLEAN SEMI- LITTLE CEASAR b �� (� � �2'� ina Chapter 633, Florida Statutes,authorizes the City to charge and collect user fees to pay f�r the wsts 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 o rnn u for commercial activity without an approved final inspection shall be charged double permit fee � 9 P per day of operation or a minimum of$100.00, whichever is greater. All work shall be pertormed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECO IN Y R NOTICE OF COMMENCEMENT." ' PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION OFFICER CALL FOR INSPECTION -8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 si 3-�so-oo2o City of Zephyrhills Fire " Permit Application Fax-813-780-0021 )ate Received ` ' " ,�,;,,�„� ._ Phone Contact for Pertnit �� Mmer's Name f 1�. cCS � �+�.�.., , , d. x �_ .,. -. � �>g� - _ .. . .. Owner's Phone Number C� �� hvner's Address 'ee Simple Titleholder Name � �� ^—� Titleholder Phone Number j j �ee Simple Titleholder Address `____J c_. ..�:;�,:.M; w.w�� c �, . S =��a�_�,kn.s�a?� �.�s lob Address Ze � (�'t' �t. �,�'7$ v �� iub Division Lot# , ,. � r;�,.:.,,_.: ,�, Parcel# • ^ - . ,_ a'"�a"3 m �. . . .�. �.��aw,�ac � Bio-Hazard Waste Storage-ANNUAL � .� °"s ��„ � Fumigation Tent Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL � Controlled Bum � Hood Installation Emergency Generator<30 kw � � LP/Natural Gas-installation Emergency Generator>30 kw � aLP/Natural Gas-ANNUAL Sale Fire Protection Maintenance-ANNUAL a Places of Assembly-ANNUAL ❑ �Y emi � er Sprinkler � � � ❑ Recreational Bum Fire Alarm � ❑ ❑ p � ❑ Sparklers Hood Cleaning � � � � ❑ ��/� ❑ Sprinkler System Installations ' /�i / Hood Suppression p � � � ❑ �y( � QStandpipes(Sprinkler Sys) �� Fire Alarm Installation � a Torch Roofing/Tar Kettle Fire Pumps � ❑ Waste Tire Storage ANNUAL Fire Works � FlammabieApplication-ANNUAL � Fuel Tanks Valuation of Project QOther: �.,a... . � F. e��.:.�a x. .,�,�$, ontractor ignature Company Gi � ( r Address Registered Y/N Fee C nt Y/N _ECTRICIAN License# �— gnature Company Address Registered Y/N Fee Cunrent Y/N UMBER License# �nature Company Address Registered Y/N Fee Current Y/N License# :CHANICAL �nature Company Address Registered Y/N Fee Current Y/N HER License# nature Company Address Registered Y/N Fee Current Y/N �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(Mecha�ical 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� ppraiser.pascogov.com) NOTICE OF DEED RESTRICTIONS: The undersigned understands't ned aIS u es respons bilbty for compl a�nce twi h' any which may be more restrictive than County regulations. The un e g applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR�RE ePOe��BaacoEdance th s ate and locae egulationsc If`the contractors to undertake work, they may be required to be cited for a misdemeanor violation re uirements may apply for the contractor is not ��Ifthe owner oQUintended contactorhare uncerta n as to what�licensing q under state law inten ded work, they are advised to contact the Pasco CountyrB�n actors�hel�s advi ed ot 'ave he contractor(s) S he 8009. Furthermore, if the owner h a s h i r e d a c o n t r a c t o r o a s t h e o w n e r s i g n a s portions of the "contractor Block" of this application for which they will be responsi b le. I f y o u, co ntractor, that may be an indicatio n t h a t h e i s n o t pro p erl y licensed and is not entitled to permitting privileges in Pasco County. If valuation of work is$2,500.00 or more, rovided with a copy of the "Florida Construction Lien Law—Homeowner's CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended � ��nt is someone certify that I, the applicant, have been p � Protection Guide" prepared by the Florida Department of A�gf��„etabove d scr bed document nd prompse in good faith to other than the "owner", I certify that I have obtained a copy lication is accurate and deliver it to the"owner" prior to commencement. that all the information in this app _ CONTRACTOR'SIOWNER S AFFIDAVIT: I certify �i�ble laws regulating construction, zoning and land that all work will be done in compliance with all app� development. Application is hereby made to obt to issuance of a per t and Ithat al�ltwork willdbe performed'to� that no work or installation has commenced pnor re ulations, and lan meet standards of all laws regulating construction, Countyt�atdl u'nderstand that he egulations of other development regulations in the jurisdiction. I also certify res onsibility to identify what actions I government agencies may apply to the intended work, and that it is my p must take to be in compliance. If I am the AGENT FOR THE OWNER, I promise in 9��tan'd thatna�sepahat permit may be requg d forlelectrecal workA, this affidavit prior to commencing construction. I unde lication. plumbing, signs, wells, pools, air conditio�nse to p oceedewith the twork and ot as ault or ty to v iolateecancel, alter, or permit issued shall be construed to be a set aside any provisions of the technical codes,ct on oalviolation of any od sprEverytperm t is ed shall fbecome invalid requiring a correction of errors in plans, constru unless the work authorized by such permit is comm f six 6 mhonths after the time thetworkas commenced Anhext nsate the permit is suspended or abandoned for a penod o ( ) may be requested, in writing, from the Building ��ninet a90)rcon ecutive days, the job isOcons de ed ba donedst justifiable cause for the extension. If work ceases Y� WARNING TO OWNER: YOUR FAILURE TO RECORPE TM T'F YOU INTEND TO OBTAIN F NANC NG CONSULT PAYING TW�CE FOR IMPROVEMENTS TO YOUR PRO 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 sworn to(or affirtned)before me this by by y�ho is/are personally known to me or hasltiave produced yyho i— slare personally known to me or has/have produced as identification. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed�Pnnted or stamped Name of Notary tyPed,Printed or stamped