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Home My WebLink About12-13376 - CITY OF ZEPHYRHILLS 5335-8TH STREET (si3)�so-oozo 13376 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 13376 Address: 6815 GALL BLVD Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL. Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Biock: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 03-26-21-0010-01700-0020 Improv. Cost: Date Issued: 8/23/2012 Name: QUALITY INN Total Fees: 50.00 Address: 6815 GALL BLVD Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 8/23/2012 Phone: Work Desc: FPM-ANNUAL FIRE SPRINKLER &ANNUAL FIRE ALARM �� , � �v � ,�� ' � 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 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 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 ais-�ao-oo2o City of Zephyrhills Fire Fax-813-780-0021 • ' Permit Application ate Received � Phone Contact for Permit � , . - - �.� � �wners Name � Owner's Phone Number �� 7'(�Z I 7� L= rv�mer's Address � ee Simple Titleholder Name Titleholder Phone Number �� C� �� ee Simple Titleholder Address L�J � : . - �,- _ �b Address (�� Lot# � L.._ ub Division Parcel# _ .,�r., .. ..... _.. ,_ ,a -.a...,ro.rs .xw.. - c,-... ._ .' ' . y.?' t� _� __ -' 'sx ,:;�.a�.,..° r c�.t:F�.ren;p• a:..,'> . � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)A,N�ILAb- � Controlled Bum � Hood Installation �,�-'"�� Emergency Generator<30 kw � LPlNatural Gas-Installation� � Emergency Generator>30 kw � LP/Natural Gas-ANNU ale � Fire Protection Maintenance-ANNUAL � Places of Assembly- UAL �� ' �y emi � er �� Sprinkler � ❑ ❑ !4 � � Recreational Bum � Fire Alarm � O O Q! �� Sparklers � �� Hood Cleaning � ❑ O ❑ � � Sprinkler System Installati s` � � Hood Suppression � ❑ p � �� ❑ , �"""'� Standpipes(Sprinkler Sys) a Fire Alarm Installation � Torch Roofing/Tar Kettle � Fire Pumps � Waste Tire Storage ANNUAL aFire Works � Flammable Application-ANNUAL QValuation of Project Fuel Tanks Q Other: ontractor � v -•-, . . -.. _ _ .. � , _ , _. �- . , 4• -- . : . ,�„x; ,, s �.< .. ., . ignature Company Regisiered Y/N Fee Current Y/N Address License# _ECTRICIAN gnature Company Registered Y/N Fee Current Y/N Address License# _UMBER gnature Company Registered Y/N Fee Current Y/N Address � License# =CHANICAL Company �nature ' Registered Y/N Fee Cunent Y/N Address License# �HER �nature Company Registered Y/N Fee Current Y/N Address License# ections: 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� ppraiser.pascogov.com) 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 restric�tions. UNLICENSED CON�'RACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner°has hired a coi+tractor or contractors to undertake work, they may be required to be licensed in accordance wit�,state and local regylations. If the contractor is not licensed as required by law, both the owner and contractor may be cited �or a misdemean8r,��fortthe under state law. If the owner or intended contractor are unce�tain as to what licensing requirements may app y intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the ow k rof thishaedlicationtfor which theyrwill�be espons blee�lftyouaas the ownea s gn asSthe portions of the "contractor Bloc PP contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. If valuation of work is$2,500.00 or more, I CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as�fmhe a��ida Construction Lien Law—Homeowner's certify that I, the applicant, have been provided with a copy Protection Guide" prepared by the Florida Depa�tment 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 to commencement. CONTRACTOR'SIOWNER'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 development. Application is he�eby made to obtain a permit to do work and installation as indicated. I certify that no work or instatlation 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 AGEkT 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 correction 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 Officiat 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 FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESU4T IN YOUR PAYING TWICE DER'OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO MENCEMENT.'CONSULT WITH Y�UR LEN FLORIDA JURAT(F.S.117.03) OYVNER OR AGENT CONTRACTOR Subscribed and swom to(or afflrmed)before me this Subscribed and sworn 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 e��--�_,.,.�.m....�_�.._...w�_....� ..__ -