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HomeMy WebLinkAbout12-13457 ' � CITY OF ZEPHYRHILLS 5335-8TH STREET (si3)�so-oo20 13457 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 13457 Address: 5963 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: 10-26-21-0020-00000-0021 Improv. Cost: Date Issued: 9/17/2012 Name: SUNRISE EATERY Total Fees: 25.00 Address: 5963 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 9/17/2012 Phone: Work Desc: FPM- HOOD CLEAN QUARTERLY- SUNRISE EATERY - . t 7� � �� rs � � , , �`' v , � � --( r � � l � ina Chapter 633, Florida Statutes,authorizes the City to charge and aollect user fees to pay for the costs of fire prevention and protection related activities such as inspections, plan review,administrative fees,and other aosts 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. Ail 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 rermit Nppucatron ��ate RE t;ived - _ ^ Phone Contact for Permit (3 �t?�i �� �-�- . Qwners Name ..��,�.� �� 1r�. , Qwners Phone Number C� � ��"'� Owners Address S'�'j�j �i�rL-G -3�//� � ��/ J Fee Simple Titleholder Name �� �� � Titleholder Phone Number Fee Simple TiUeholder Address -- �� ��r.�. ��3'-'�:^sax Z Job Address ' ' Lot# � Sub Diwsion .J Parcel# _ � ;��-r.�,- ��-� o � - - .��.�-�.�.�:� . Bio-Hazard Waste Sto2ge-ANNUAL � aFumigation Tent Comm Exhaust Kitchen Hood/Duct a Hazardous Matenal(Tier II or RQ Facility)qNNUAL � Controlled Bum a a Hood I�stallation Emergency Generator<30 kw a � LP/Natural Gas-Installation Emergency Generetor>30 kw a LP1Natural Gas-ANNUAL Sale � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAI ❑�r1y em� nf er � j�^ Sprinkler O O O �f�� � � RecreaUonai Bum f -� ( Fire Alarm ❑ � � � � � � � Sparklers � Hood Cleaning �p !'` � � � � Sprinkler System Installations Hood Suppression � t � � � Standpipes(Sprinkler Sys) Fire Alarm Installation a Torch Roofing/Tar Kettle a Fire Pumps a Waste Tire Storage ANNUAL aFire Works aFlammable Application-ANNUAL aValuation of Project Fuei Tanks Q Other: Contracior � '" Signature Company y1'� G _ �, �_������ Registered Y/N Fee Curtent Y/N Address y'7(^i/ .�iG �-rc�r l4 - --T� ELECTRICIAN � License# � �y���l��o j���� Signature Company Registered Y/N Fee CuRent Y/N Address License# PLUMBER Signature Company Registered Y 1 N Fee Current Y/N Address License# MECHANICAL Signature Company Registered Y/N Fee Current Y/N Address License# OTHER - Signature Company Registered Y/N Fee Current Y/N Address Directions� License# Fill out application completely. Owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner) H 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 frvm Property Tax Notice h J/a � � ttP pp�aiser.pascogov.com) OF DEED RESTRICTIONS: The undersigned The undersigned a1ssPumes esponsib Ibry fort�ompl an e wi h any NOTICE ulations which may be more restrictive t han C o u n t y r e g applicable deed restrictions UNLICENSED CONTRACTORS AND C O N T R Aed o Rbe E enosedSiBacicoEdance th s ate an d l o c a le eg u l a t i o nr sC �fr t he contractors to undertake work, they may be requ contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanorlvif at}he under state law. If the owner or intended contrasco County Bu Idingslnspection D v s onf eL cen ngtSecti on.ap727-847- intended work, they are advised to contact the Pa . Furthermore, if the owner has hired a contraf`°hich�theyrwill be esponsblee�lftyouaas the ownteasign aasgo 8009 lication fo �� portions of the "contractor Block' of this app� e�� �icensed and is not entitled to permitting privileges in contractor, that may be an indication that he is not prop y County. Chapter713, Florida Statutes,.as amended): If valuation of work is $2;500.00 or more, I CONSTRUCTION LIEN-LAW ( of the "Florida Construction Lien Law—Homeowner's certify that I, the applicant, have been provided with a copy licant is someone Protection Guide" prepared by the Florida Department of A�gf Ithe above des�r bed document and prompse in good faith to that I have obtained a copy other than the"owner", I certify lication is accurate and deliver it to the"owner" prior to commencement. that all the information in this app� CONTRACTOR'SIOWNER'S AFFIDAVIT� I certify obtain a permit to do work and installation as indicated. I ce�i{�y that all work wil� be done in comp�iance w�ith all applicable laws regulating construction, zonin9 a rmean development. Application is hereby made that no work or installation has commenced prior to issuance of a permit and that all work will be pe o eet sfandards of all laws regulating construction, County and City codes, zoning regulations, and land m that I understand that the regulations of other development regulations in the jurisdiction. I also certify 9 overnment agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. the AGENT FOR THE OWNER, I promise in good faith to inform the ow er��may be req g ed for'electr cal work, If I am construction. I understand that a separate p y 1�cation. A this affidavit pnor to commencing as, or other installations not specificall included in the app� plumbing, signs, wells, pools, air conditioning, g shall issuance of a permit prevent the Building Official froCm��e inval'd rmit issued shall be construed to be a license t�orproceed with the work a�d not as authoriry to violate, cbae ce, a er, or Pe ermit issued shall set aside any provisions of the technical codes, n codes. Every p requiring a correction of errors in plans, construction or violations of any ork authorized by such permit is commenced W�mhonths after the timPe the'tworkas co�mmenced. Anhext nsion unless the w eriod of six(6) the permit is suspended or abandoned for a p re uested, in writing, from the Building Official for a per onsecutive days the job isocons de ed ba donedstra e may be q justifiable cause for the extension. If work ceases for ninety�90� T�CE OF COMMENCEMENT MAY RESULT IN YOUR WARNING TO OWNER: YOUR FAILURE TO RECORD A NO PAYING TV1► ICE FOR IMPROVEMENTS TO YOUR PR�CORDING YOUR NOTICE OFOBTAMENCEMENT.' CONSULT WITH YOUR LENDER OR AN TT RNEY BEFORE RE FLORIDA JURAT(F.S.117.0 CONTRACTOR � � OWNER OR AGENT '� affirmed before me this ed)before me his Subscribed and swom to( ) Subscribed and swom to(or a by by Who+sja�e personally known to me or hasasade P f cat on. Who is personally known to mas dentificat onroduced Notary Public Notary Public Commission No. Commission No. Name of Notary tyPed,printed or stamped Name of Notary typed,printed or stamped