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Home My WebLink About12-13371 • CITY OF ZEPHYRHILLS 5335-8TH STREEf "� ` (si3)�so-oo20 13371 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 13371 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: 8/28/2012 Name: GOLDEN CORRAL Total Fees: 25.00 Address: 6855 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 8/21/2012 Phone: (813 783-8969 Work Desc: FPM-QUARTERLY HOOD CLEANING FOR GOLDEN CORRAL � ��" � . .2 Z - 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 oosts 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 doubie 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 OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 saso-oo2o City of Zephyrhilis-Fir�• Fax-a�3aso-oo2i . Permit Appiicafion _ Date Received ' Phone Co�tact for Partnit �� . _ _��.'�t•::.;_��w.�...>, ._. .,�......._...,t_ ~�.��^z��:5��< ,�.. sro�r�w'-'�..„.�,.---�� Owner's Name ANDERSOlV pRE Owners Phone Number .Rl '� � RRL� � ��pg Owners Address 5].OL� j�j�Jj�R�jy Fee Simpie Titleholder Name Titleholder Phone Numher � � � Fee Simple Titleholder Address ��,.�-�.�-A�.�:,��°�, ..;�•-�z,,,� . � :•�� ..��:.a�.�.,�:�. ->�-- � :.�,:::��?x, .. . � . .., ab��s�€77 _. _�'� .r.. z. N�,`'�. �"` .�... _ �=...:o.:..xs:.:��`^;.!�:;"' Job Address�� rv GOLDEI�T CORRAT� G8S S GALL BLVD. Z��n,� n — Lot# � Sub Division Parcel# �. . ,_r._....�-.,�.�,.._:.. :�-:�-..?-:..�� ;��°�r�� .:��..-�� ,•�.�.��:.:�;��:':��.:-�:�y-:�:�.::..��;v:�:�;,:,�:� �r BiaHazarci Waste Storege-ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hoad/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL � Controlled Bum � Hood Installation � Emergency Generator<30 kw � LP/Natural Gas-Instailatian � Emergency Generator>30 kw � LPMatural Gas-ANNUAL Sale � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNU °p �y emi �n r Sprinkler � ❑ ❑ ❑ � Recreatio�al Bum j f�� Fire Alarm � ❑ O ❑ � � Sparklers � ( � � Hood Cleaning �� ❑ ❑ � � Sprinkler System tns lations Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sy �� Fire Alartn Installation � Torch Roofingffar Kettle Fire Pumps � Waste Tire Storage ANNUAL Fire Works Flammable Application-ANNUAL Valuation of Project Fuel Tanks Q Other: ' ._��• W�. r��. Contractor Company Signature Registered /N ee CuRent Y Address License# ELECTRICtAN Company Sigrtature Registered Y/N Fee Cument Y/N Address License# PLUMBER Company Signatu2 Registered Y/N Fee Current Y/N Address License# MECHANICAL Company Signature Registered Y/N Fee Current Y/N Address License# OTHER Company Signature Registered Y/N Fee Current Y/N Address License# x ��„a,.>� Y.� �- �- Directions: Fill out applica6on completely. Owner 8 Contractor sign back of application,notarized(Or,copy of signed contract with ovmer) ff over$2500,a Notice of Commencement is required(Mechanical work over$5000) Supply two(2)sets of drawirigs with applicable documerrtation Allow 10-14 days for review after submittal date. Par�el#-obtained from Property Tax Notice(httpJ/appraiser.pascogov.com) NOl ie:E OF�EED 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 appiicable deed restricfions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITlES: If the owner has hired a contractor or con#ractors to undertake work, they may be required to be licensed in acxordance with state and locat regulations. If the cantractor 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 conNactor a�e 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 cvntractors, he is advised to have the cflntractor(s) sign portions of the "contractor Block° of this application for which they wiil 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 entitied to permitting privilsges 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 1, the applicant, have been provided with a copy of the `Fiorida Construc#ion Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant 9s someone othef than the"owner", 1 certify that i have obtained a copy of the above described document and promise in good faith to deliver 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 ail work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no worlc or installation has commenced prior to issuance of a permit and that all work wi11 be performed to meet standards of all laws regulafing construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also certify that I understand that the regulations of other �govemment agenciss may apply to the intended work, and that it is my responsibility to identify what actions 1 �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 prio�to commencing construction. 1 understand that a separate permit may be required for electrical work, plumbing, signs, weUs, pools, air condi#ioning, gas, or other installations not specificaNy included in the application. A permit issued shall be construed to be a ticense to proceed with the work and not as authority#o viola#e, cancel, alter, or set aside any provisions of the technical c�des, nor sha11 issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the Work autt�orized 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 sxtension 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. WARNING,TO OWNER: YOUR FAtLURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT !N YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU tNTENO TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NQTICE OF COMMENCEMENT t FLORIDA JUf2AT(F.S.117.03) --.'�,.:�,y�'t,�._; � .'*,�'��`^�L3-~ . °". °8'�.�'� .{,�� :� �.<.,:E-'`� OWNER OR AGENT CONTRACTOR �� =, � �qp��•� Subscribed and swom to(or aflirmed)before me this Subscribed and sworrt to(or atfirmed)before me this by by Who is/are personally knowm to me or has/have produced Who is/are personally known to me or has/have produced as ideMification. as identifiqtion. I ' Notary P�lic , Notary Public Commission No. Commission No. i IVame of Notary typed,printed or stamped Name of Notary typed,printed or stamped f I' � , I (