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Home My WebLink About12-13511 �= CITY OF ZEPHYRHILLS 5335-8TH STREET 13511 (813)780-0020 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 13511 Address: 7446 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: 35-25-21-0010-08800-0010 Improv. Cost: Date Issued: 10/04/2012 Name: SYBEA,INC.(ARBY'S) Total Fees: 25.00 Address: 7446 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 10/04/2012 Phone: Work Desc: FPM-SEMI HOOD SUPPRESSION FOR ARBY'S � � Y � / ` '" � � �� ,� � . � iU � ina Chapter 633, Plorida Statutes,authorizes the City to charge and collect user fees to pay for the oosts of fire prevention and protection related activities such as inspections,plan review,adminisd�ative 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 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 Permit Application Date h:*_ceived l0' - �• Phone Co�tact for Permit !3 ��7� �� Owners Name � Owners Phone Number �� J Owners Address ��. Fee Simple Titleholder Name Titleholder Phone Number � � �� J Fee Simpie TiUehalder Address � .x�� Job Address Lot# � Sub Diwsio� Parcel!# - - — - •��s"'��..�'x°�aP=...--aY�"�r�-1 i "-�""°'�c.-.'�€�'..�'��',�Sr:ti ' - aBio-Hazard Waste Storage-ANNUAL a Fumigation Tent Q Comm Exhaust Kitchen Hood/Duct � Hazardous Materiai(Tier II or RQ Faciliry)ANNUAL aControiled Bum � Hood Instaliation a Eme enc Generator<30 kw ,y'� rcJ Y � LP/Natural Gas-I�stallation L a Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale �'L �� /J a " Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL �y emi �n er � ��j Sprinkler � ❑ ❑ ❑ � a Recreational Bum Fire Atarm ❑ ❑ O ❑ � � Spariclers � Hood Cleaning � ❑ ❑ O � � Sp�nkler System Inst ations �l Hood Suppression �t ❑ � ❑ � a Standpipes(Sprin r Sys) I � � aFire Alartn Installation a Torch RoofinglT r Kerile � Fire Pumps � Waste Tire Sto ge ANNUAL aFire Works � Flammable Application-ANNUAL Valuation of Project FuelTanks Q Other: ��--:� =--1��. - — - Contracior �' Company m G - �• /-�-`�.r�,�.� Signature Registered Y/N Fee Current Y/N Address y"7�( l"iG �-4rr L�- - -T � License# � �Y�3�z1 �oo�� ELECTRICIAN Company �— Signature Registered �� Y�N I Fee Current Y/N Address License# PLUMBER Company —' Signature Registered Y/N Fee Current Y/N Address License# MECHANICAL Compa�y Signature Registered Y/N Fee Current Y/N Address License# OTHER Company Signature Registered Y/N Fee Current Y/N Address License# Directions: Fiil out application completely Owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner) H over$2500,a No6ce of Commencement is required(Mechanical work over$5000) Supply two(2)sets of d2wings with applicabie documentation Aliow 10-14 days for review after submittal date. Parcel#-obtained from Praperty Tax Notice(http//appraiser.pascogov.com) �NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may.be subject�to�ydee�d"Testricfions" which may be more restrictive than County regulations The.undersigned assumes responsibility for:�ompliance with any applicable deed restrictions UNUCENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired :a-contractor or contractors to undertake work, they may be required to be licensed in accordance with state and locai regulations If the contractor 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 contractor are uncertain as to what licensing requirements may:apply for the intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Secfion 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 properly licensed and is not entitled to permitting privileges in Pasco Counry. CONSTRUCTION LIEN LAW(Chapter713, Florida Statutes,.as amended): If valuation of work is $2;500.00 or more, cert'rfy that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department 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 antl that all 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 work or installation has commenced prior to issuance of a permit and that all work will be performed to meet sfandards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also ce�tify 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 acfions I 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 prior to commencing construction. I unde�stand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or ofher 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 viotations of any codes. Every permit issued shall become invalid unless the work authorized by sucfi permit is commenced within six months of permit issuance, or 'tf work authorized by the permit is suspended or abandoned for a period of six(6) months afte�the time the work is commenced. An extension 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 FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT (N YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN TT RNEY BEFORE RECORDING YOUR NOTICE OF MENCEMENT. FLORIDA JURAT(F-S 117•� � CONTRACTOR ( OWNER OR AGENT Subscribed and swom to( affirmed)before me this Subscribed and swom to(or a ed)before me his bY bY Who is nally known to me or has/have produced Who is/are personally known to me or has/have produced as ident�cation. as identification. Notary Pub�ic Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped