HomeMy WebLinkAbout12-13433 CITY OF ZEPHYRHILLS
� 5335-8TH STREET
(si3)�so-oo20 13433
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13433 Address: 6816 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: 02-26-21-0010-02400-0020
Improv. Cost:
Date Issued: 9/11/2012 Name: PIN CHASERS BOWLING
Total Fees: 25.00 Address: 6816 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/11/2012 Phone: (813)782-5511
Work Desc: FPM- HOOD CLEAN QUARTERLY-PIN CHASER
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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 activi without an a
inspection shall be charged double permit fee � pproved final
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
FEB/20/2007/TUE 11 : 10 AM ZEPHYPHILLS BUILDII��dG FAX No, 813-780-0021
— P. 002
'a�3-�ao=oo2o City of.Zephyrhills�i���,��• •Fax-813-780�0021 .
PermitApplication�-•- � ��°�`'�
'�..�:..���, _ ' .
-���ii�
�DateReceived .. --'�=PFiorieContactforpormit __
Owna�'�Name= — � _ �' � ' — _ : ownp�'s Phone Number .� � �3���,
Owner's Address �µ� �o �`! .J ,(, . ,.. �!v Yj � �� •.._
, s ` � .�����v
�es SfmpleTiUeholdar Name Tltlehoider Phone Number � � �
Fee 51mp1a'TfilohofderAddreae •
Job Address .� � � Lot# (��
�9tcb�3k�lslon —� � l f
Parcal#
� Hio-Hazard Waste Storage-•ANNUAL � �umlga6onTent ' ' .
� Comm�xhaust Kitchen Nood/buct ' � Hezardoue Materlal(fier II or R4 F'aclll�yj ANNUAL
� c'�nlrolled�um � Nood In?tallatlon
� Emergency Oanerator<�0 kw . � LP/Natural Gas-Instailatfon
.� 'Emergency Ganerator��0 kw � LP1Natural Gas-ANNUAL 8ala
� Flre Protac6on Malrtenance-ANNUAL � Places of AssemblY-ANNUA�
emi n e ��
Sprinkler ��p p �p � � aecresEional Bum,. .�� J�
Firs A1artn '
D ❑ � � � Sparklers .
Hood Cleanin9 �'" � O � � Sprinkler Syetem instaAaiions .
' - Hood Suppresslon - p [3 p � � Standplpea(Spdnkler Sys)
� � Fre Alartil Inetalladon � � 7orch RooftngffaT Kerile � - -
Flra Pumpa ' � � Waete't7re StorageANNUqL
Fire Works ' '
Flammsble Appllcauorr aNN�AL ' �� Vafua#io11 of projeCt �
� Fue(Tanks '
OtheC:
Go ctor � Com ny
Sie ture
Registere ' Fee Curr�t Y/N
Addre9s
License#
ELECTRICIAN Company •
Signature Reglstarad Y E N F�eu�rt Y/N
Addrees Llcense# ��!'— ' �`—"�
PLUMBER '
" Company
Signar,�re i Reglstsred Y/PJ Fes Cu:rent Y 1 N
Address
Llcense# '�
MECHANICAL
Company
5lgnatura Rag(sterad Y/N Fee Current Y/N
Addreea ' '
-Llcanee� �� —�`�
OTHER
Slgnature - _ Company • ''
Rep;ste�ed Y/N �'ae Current Y/N
Addrass
Llcanee# �
bfrectlone:
Fll out appllcaUon complet�ly. '
Ow►1er&CophbttoT 81gn hack of appllCatlon,notarized(Or,cnpy of slpned contraot wRh owner)
lf over�2500,a NoOce of Commencemenf Is requ�red.(Mechantcal work ova�$5000)
Suppry two{2)aete of drawings whh sppticeble documenta6on
Allow 10-14 days for rovlew sftar eubmittal date. Partel#-obtained�from Property Tax Notica(httpJlappraiser.pascogov.com)
FEB/20/2007/TUE 11 : 10 AM ZEPHYPHILLS BUILDIPJG FAX No. 813-780-0021
: =.Y�``'` : �.. _,�:..��`�., p. 003
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��~,`�t?i'DTI�E;D'F:p�ED:R�STRlCTIONS: -1"he.underslgned=tind�.����haf-fhls�permitmay.be�subject�to��deed":rsstrlctl9�1. '' tj�
;:r�vv}iiCh'emay'be•more•restrictive'than County°re.gulatlons;`7he�ur,ld�r.sig�ed�assumes=re�ponsibll(ry�for�omp�iar,r,�e.with�u�,�!�
= .applicable�desd restricflans. � - -'. ';��;�iic�F-�:;- � - '- - �
��"''1JN�ICENSED _CONTRACT.Df25�AND=CONTR�CTOR''RESRQNS1Bt�17tES:=-;lf�the'owner has-hired•�awcontractor. `��;.��'��`^'�'
:contractors-to undertake wotk,�they may�be required:to be Ilcensed in�accordance with state and local-regulations, ff�he:�W�l
contractor is not licensed �s requlred�.by law, 'f�oth�the owner:and.contractor'may.be cited'for:a�misdemeanor,viola6ori. -
under�state�law. If�the owner or intended�cantractor.are uncerfaln=as�io what Ifcensing�requirements may:apply�far�the��=:�.- . �
infended�work,:the,y are advlsed�to contacf the•Pasco CountyiBuilding:lnspection.Dlvision—L.icensing Secfion_at 727=847
-.8009. =Furfhermore, if the owner has hired-a contractor or contracfors, :he Is advised�to•have-tha contraetor(s)�lgn
portlons of tlie "contractor Block" of thls appl►cationior which•#hey wiil be responsible. If you, as•the owner�.slgn:as.fhe
�� ' �contractor,'that-may�be an indication:that�he is not�pr.operly liaensed•and is not entltled�fo-permifting.privileges in�;P.asaa - �, ,
-Gounty.
=CONSTRUCTtON.LIEN.LAW�(Chapter7�13,'�lorlda`Statutes,�s:amended): Ifva(uatlonofworkis�$2;500.00.or�mors,:l ' �
aertlfy �th�t I, -the appllcsnf, have been provlded-with a copy .of-fhe °Fforida Construcfion Llen Law—Homeowner's
Pratection Guide" prepared by�the Florida Department af Agricukture.and Consumer Af�alrs. If the appllcant is•someone .
other�than the"`owner", 1 certify that( hav?obtaired.a copy of`he-above desaribed document and promise in goQd falth�to
deliver lt to fhe"owner"prior�to commencement. i
- CONTRACTOR°.S/I�WN�R'S AFFIDAVlT: I cer�ify that all the informatlon in this applicafion Is accurate and
that all wark will .be done in compliance with all applicable (aws regulating construcflon, zoning and land �
development. Appficaiion is hereby m�de to obfain a permit to do work and Instaflatlon as tndicated, I certify
that no work or installation has commenced prlor to Issuance of a permlt and�that�all work wlll be performed Yo
meet standards�of all laws regulating consfruction, Counfy and City codes,.zoning regulations, and land
development �ragulations in�the jurisdict�on. 1 .also ce�lfy�that I understand that the regulations of other
_ govemment agencies may apply�to the lntendEd work, and that It is my responsibillty ta idenfify what ac6ons I
must take'to iae in camplianca. '
{f I am-thaAG�NT�0i2'TH� �WNER, l p�omise iri good f�ith to inform the awner of the permltting conditions setforth In
thls affidavii prlor�to commencing canstruation. l understand that a separate permit may.be required for electrical work, -
plumbing, signs, wells, poals, air conditioning, gas> or other installaGons not specl�lcally Included In #he applicatlon. A
permit issued shall be construed to be a license to proceed with the work and nof as authority to violate, cancel, atter, or
set aside any provislons of the�technical codas, nor shall fssuance of a permit prevent the �uflding Offcial from thereafter
requiring a correctfon of errors In plans, construction or violatlons of any codes. Every permEt lssued shall become lnvalid
unless the work auttiorized'by such permlt is commenced within six monfhs of permit issuance, or if work aufhorized by
fhe permit is suspended or abandoned for a period of six(6) months after fhe�me the work is commenced. Aq extension
may be requested, in wrlting,�from the Bullding Offiicial for a period not to exceed ntnety (90) days and wilt dernonstrate
Justifiable cause for the extan�ion: If work ceases for ninety(90)consecufive days,the job is considered abandon�d.
'WARNlNG TO�OWN�R: �YOUR"�.41LURE TO'�REC�RD OTIC�'OF- � M�NCEM�N7' Mi4Y-�RESULT=1N�YOUR � � -•
PAYIN�TW10E�4R IMPR01l�M S TO YpUR PR ERTY. 1F Y�U iNTE D TD 0 FINANCtNG, corasu�T
WITH Y ND� AN A O N Y'BEFOR�R CORDINC YOUR NO CE OF NCE NT.
FLORIpA RAT{F.S.117.03) � � '
01NN�R GEN7 � CDNT � � `
�ut;scYlbsd ast � .aff�med?hefore m ihls 5ubscrlbad and sw�m in(or a rmed) fo me Is •
by py
Who is/ars persohally knowri fo me or hasTha e pr uced Who Is/are perso►lally known to me o has/hav produCed �
as identifca . 'as it! tlfic�ation_
Notary Public Notary Publ�c
Gommiesian No, __ Commission No,
Name of No�ry fyped;printed or stamped Name of Na�ry typed,printed or s�mped