HomeMy WebLinkAbout12-13382 , CITY OF ZEPHYRHILLS
' S335-8TH STREET
(si3)�so-oo20 13382
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13382 Address: 7449 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: 3425-21-0160-00000-0020
Improv. Cost:
Date Issued: 8/24/2012 Name: SONIC RESTAURANT
Total Fees: 25.00 Address: 7449 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/24/2012 Phone:
Work Desc: FPM- QUARTERLY HOOD CLEAN - SONIC
��
. u '( ?.�
�� .,.
�
�
,
ma
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 Acrnmpany 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. Ali
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 OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
a�3aso-oo2a City of Zephyrhills Fire Fax-813-780-0021
Permit Application
ate Received T�� Phone Contact for Permit f�� n, � r��
��J �
�vner's Name �� � "��� (� � (�
Owner's Phone Number �_�_� I J-��,
wner's Address u �' � �,S �
�e Simple Titleholder Name Titleholder Phone Number � �� C�
�e Simple Titleholder Address
�b Address � � � 1 � U ' 2'� �1'�l �� �, ��j Zi Lot# �
�b Division Parcel#
� Bio-Hazard Waste Storage-ANNUAL a Hazardous Material(Tier II or RQ Facility)ANNUAL.�,
� Comm Exhaust Kitchen Hood/Duct � Hood Installation �°"'�
� Controlled Bum � LP/Naturai Gas-Instaliation
� Emergency Generator<30 kw � LP/Natural Gas-ANNUAL Sale
� Emergency Generator>30 kw Q Places of Assembly-ANNUAL �
� Fire Protection Maintenance-ANNUAL � Recreational Bum
� emi � er
L ,,,.�,`C��Sprinkler � ❑ ❑ p V
��1ec Jw � Sparklers � � �
Fire Aiartn � ❑ ❑ ❑ �� � Sprinkler System Installations � � i�5� I 3�e'
� � Hood Cleaning � ❑ ❑ ❑ �� � Sta�dpipes(Sprinkler Sys) ���-�'�
, Hood Suppression � ❑ ❑ ❑ � � Torch Roofinglfar Kettle 7-'
�4' �
� Fire Alartn Installation � Waste Tire Storage ANNUAL
�' � � Fire Pumps
Fire Works !
� Flammable Application-ANNUAL , Valuation of Project
Fuei Tanks
� Other:
�ntractor �,(� Company
gnature V� ��, V� � L � Registered Y/N Fee Current Y/N
Address � LiCense#
_ECTRICIAN � C�/� �.� � Company
gnature `� �'
Registered Y/N Fee Current Y/N
Address
License#
_UMBER
Company
gnature Registered Y/N Fee Current Y/N
Address License#
ECHANICAL Company
gnature Registered Y/N Fee Current Y/N
Address
License#
THER
Company
gnature Registered Y/N Fee Curre�t Y/N
Address
License#
�rections:
Fill out application completely
Owner&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 hvo(2)sets of drawings with applicable documentation
Allow t 0-14 days for review aRer submitta)datg. Par�el#-obtained from Property Tax Notice(http://appraiser.pascogov.com)
�� �A�',C' . � ��
��� � ,� S
� �5 ,,�-x k, ��� ��,v
'� �
��� y�-�:
�I ,k �
.:.�-- -- -
NOTICC l9F DE�D RESTRICTIONS: The unclersi` ned under�tands � . � . .
which may be more restrictive than County regulat ons. The�ndersigned als umest sp nsib Ity for compl ance w th any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RE PONSIBILITIES: If the owner has hired a-contractor'or
contractors to undertake work, they may be required to be IiC nsed in acco.�dance witti state and local regulations. If fhe
contractor is not licensed as required by law, both the own� and contra�tor may be.;cited for a misdemeanor violation
under state law. {f the owner or intended contractor are unc rtain as to what licensing requirements may apply for the '
intended work, they are advised to contact the Pasco County uilding Inspection Divisfon—Licensing Section at 727-847-
8009 Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properiy I ensed and is not entitled to permitting privileges in Pasco
County. i
CONSTRUCTION �IEN �AW(Chapter 713, Florida Statute , as amended): !f valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a co�py of the "Florida Construction Lien Law—Homeowner's �
Protection Guide" prepared by the Florida Department of Agr,culture and Consumer Affairs. If the applicant is someone
other than the"owner", I certify that I have obtained a copy of he above describetl document and promise in good faith to
deliver it to the"owner" prior to commencement.
- CONTRACTOR'S/OWNER'S AFFIDAVIT: I certi y that all the information in this application is accurate and
that all work will be done in compliance with al applicable laws regulating construction, zoning and land
development. Application is hereby made to obta n a permit to do work and instaflation as indicated. I certify
that no work or installation has commenced prior issuance of a permit and that atl work will be pertormed to
meet standards of all laws regulating constructi n, County and City codes, zoning regulations, and land
development regulations in the jurisdiction. I so certify that I understand that the regulations of other
�government agencies may appiy to the intended ork, and that it is my responsibility to identify what actions I
, must take to be in compliance.
If I am the AGENT FOR THE OWNER, I promise in good fait to inform the owner of the permitting conditions set forth in
this affidav�t prior to commencing construction. I understand that a separate permit may be �equired 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 ith the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technicaf codes, nor shall issu nce of a permit prevent the Building Otficial from thereafter
requiring a,correction of errors in plans, construction or violatipns of any codes. Every permit issued shall become invalid
unless the Iruork authorized by such permit is commenced wifhin six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6) onths after the time the work is cdmmenced. An extension
may be requested, in writing, from the Building Official for a�eriod not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety( 0)consecutive days, the job is considered abandoned.
WARNINGITO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY R�SULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPE .'IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WtTH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YDUR NOTICP OF COMMENCEMENT.
FLORIDA JURAT(F.S. 117.03)
, �
OWNER OR AGENT CON RACTOR_�"
Subscribed and sworn to(or affirmed)before me this Subsc bed and sworn to(or �rmed)befor e this
by by z
Who is/are personally k�own to me or has/have produced Who i are personally known to me or has/have produced
as identification. as Identification.
I Notary Public I Notary Public
Commission No. Com Ilsslon No.
�
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
I
�
�
I