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Home My WebLink About12-13220 , CITY OF ZEPMYRHILLS 5335-8111 STREET (813)780-0020 13220 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 13220 Address: 7643 GALL BLVD Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, IFL. Class of Work: FIRE-PROTECTION MAINTENAN ownship: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 3425-21-0010-03100-0000 Improv. Cost: Date Issued: 7/03/2012 Name: CHILI'S BAR & GRILL Total Fees: 25.00 Address: 7643 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 7/03/2012 Phone: Work Desc: FPM- HOOD CLEAN QUARTERLY- CHILI'S � � �� rv ina Chapter 633, Florida Statutes,authorizes the City to charge and wllect user fees ta pay for 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 a the Fire Department's Fire Marshal or required permits or opening up for commercial activity without an appro ved fi al f inspection shall be charged double permit fee per day of operation or a minimum of$100.00, whichever is greater. All work shall be pertormed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECO IN Y R NOTICE OF COMMENCEMENT." ' PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION OFFICER CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 , - Permit Application )ate Received ' "' � ^ � Phone Contact for Permit `�� (� �r..��..��•.�,� ..,� . > � .,. ,._ t_��... , .. .v..��,•�,�+, �$�.a..�� hvner's Name 4 � � • � �—^ �� Owner's Phone Number � � hvner's Address 7 �-._J 'ee Simple Titleholder Name � � �� Titleholder Phone Number �ee Simple Titleholder Address 4" - rr:��.;�;�...__ .� - �ob Address � Lot# � iub Division - ,..,:� ,.��,��.x-..�.� Parcel# "' �.�_�. Bio-Hazard Waste Storage-ANNUAL � � �' �""� ' 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 � LP/Natural Gas-ANNUAL Sale Fire Protection Maintenance-ANNUAL a Places of Assembly-ANNUAL ❑�y emi �n er ❑ Sprinkler n � � Recreational Bum Fire Alarm � � � r—1 ❑ ^,_/� L_,, Sparklers Hood Cleaning �!�� ❑ ❑ Sprinkler System Installations Hood Suppression ❑ ❑ ❑ � ❑ Standpipes(Sprinkler Sys) � Fire Alarm Installation � Torch Roofing/Tar Kettle � Fire Pumps � Waste Tire Storage ANNUAL � Fire Works � Flammable Application-ANNUAL � Valuation of Project Fuel Tank Q Othef: .>.. «..��;_� - - �..,� �� _� _a _��,�� :ontractor �ignature Company Registered Fee Current (� Address :LECTRICIA License# ignature Company Registered Y/N Fee Cwrent Y/N Address License# LUMBER ignature Company Registered Y/N Fee Current Y/N Address ECHANICAL License# gnature Company Registered Y/N Fee Cun�nt Y/N Address License# fHER �nature Company Registered Y/N Fee Current Y/N Address ections: 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 ot 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� ppraiser.pascogov.com) NOTICE OF DEED RESTRICTIONS: The undersigned understane S;t ned a'ssu es espons b Ibty for compl ance tw th any which may be more restrictive than County regulations. The und g applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRAe�TOo e E�Oe SIBaLc,IT�IE�S n�th state a d locae 9u�ationsc Ifrthe contractors to undertake work, they may be req I for the contractor is not licensed as required by law, both�thare uncerta n as to what�license�in9te qua emen'ts ay app yio ation under state law. If the owner or intended contract intended work, they are advised to contact the Pascoa�o�torB��ntractors,he'�s advised to�ave he co t actor(s)S the 8009. Furthermore, if the owner has hired a cont portions of the "contractor Block" of this application for which they will be responsible. lf you, as the owner sign a contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. tf valuation of work is$2,500.00 or more, I CONSTRUCTION LIEN LAW(Chapter 713, Ftorida Statutes, as fmhe d��ida Construction Lien Law—Homeowner's certify that I, the applicant, have been provided with a copy I�cant is someone Protection Guide" prepared by the Florida Department of Aof'the above descr bed document nd promPse in good faith to other than the "owner", I certify that I have obtained a copy deliver it to the"owner" prior to commencement. Iication is accurate and CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this app' that all work will be done in compliance w�itobtain a permbt to do wo kuand n talla ontas indicateda I certrfy development. Application is hereby made that no work or installation has commen onstructionS Coun y�a d Citytcodeshazonli 9 re9ulat ons rf nd eand meet standards of all laws regulating development regutations in the jurthecnitended wdrkcand that it s myeespons bility t eiden ifyt'what act ons I government agencies may apply to must take to be in compliance. If I am the AGENT FOR THE OWNER, I promise �understan1d that a�sepahat permit may be requ9ed forlelectrecal work�, this affidavit prior to commencing construction plumbing, signs, wells, pools, air condaio�gse osp oceed with the twork and not as au't or ty to aiolateecanclel�, ater, or permit issued shall be construed to be set aside any provisions of the technica�co struction oa'violation of any codesprEverytperm t iss ed shall fbecome invatid requiring a correction of errors in plans, unless the work authorized by such permit is rlod of s�(6) mhonths after thetmeethetworkas ommenced Anhextension the permit is suspended or abandoned for a pe and will demonstrate may be requested, �he e'xtens onm f work'cease�or�ni ety(90)r on ecutive days, the job isOcons d red abandoned. justifiable cause for t WARNING TO OWNER: YOUR FAILURE TO UR PROPERTY TIF YOU NTE D TO BTAIN F NAN NG,CON ULT PAYING TWICE FOR IMPROVEMENTS TO YO WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTtCE OF COMMENCEMENT. FLORIDA JURAT(F.S. 117.03) CONTRACTOR OWNER OR AGENT Subscribed and swom to(or affirmed)before me this Subscribed and swom to(or affirmed)before me this bY bY Who is%are personally known to me or has/have produced Who islare personally known to me or haslFiave 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