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Home My WebLink About12-13613 , Y CITY OF ZEPHYRHILLS 5335-8TH STREET (si3)�so-oo20 13613 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 13613 Address: 6855 GALL BLVD Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL. Ciass of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 03-26-21-0010-01600-0020 Improv. Cost: Date Issued: 11/29/2012 Name: GOLDEN CORRAL Total Fees: 25.00 Address: 6855 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 11/15/2012 Phone: (813)783-8969 Work Desc: FPM-QUARTERLY HOOD CLEANING FOR GOLDEN CORRAL �� Cr� ,�` 3 d � °= -�„� `G./ L-�C..S '�+ `�v . � �� . �� ✓ 5 S � �� . �Z-�; ina Chapter 633, Florida Statutes,authorizes the City to charge and wllect user fees to pay for the wsts 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$100.00, whichever is greater. All work shall be pertormed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECO IN Y R NOTICE OF COMMENCEMENT." ' PERMIT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION -8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 " 813-780-0020 City of Zephyrhills-Fir$• Fax-sisaso-oo2i Permit Applicafion _ Date Received �� Phone Coritact for Permit _.. ......... - - _ . �...�:�„A'F"i.,`-:xvc�,�_....o.y. � .�...�:, .>.�::�..:......:a�.>w.=7i'��La�X:3Z3�i=..:S'+�_3'�"wa.."'?7::xTS�'i ,..-.s s. r. ... ..........«a.�..r.�..�w-.....x_.....:a......_,. .x...s... .a_ ....�«. 3v¢'&"�-�.:�`�-" ,� Owners Name ANDERSON PRE Owners Phone Number �� Owner's Address 51QLr �� Fee Simple TiUeholder Name Tttleholder Phone Number � � � Fee Simple Titleholder Address .<r.,�,-,..�.=r«,,.,,,x.�,n_.:�„-p;=�=- R,..�•� - � .. r ,_ u..:�a:s:��r.�-.�..�.�.....:.. ....:..f�"«,�,�.,�._v.M,,:-�F?,�:='��-. r,s... ....� - ...a� .X�.�. =�_.. .��,s -��.t�:.y.�>�x�i+�:::_;."s�:.. ':;�.'}'��°° Job Address GOLDEN CORRAL 685 5 GALL BLVD. Z�� — F Lot# � Sub Division Parael# -... _. .. : .._,d....__:::�� :�:�.-,�, �^�".� . ,. :�>�..-'°��'� , . •,-�:�.�;�=.;�c»:.�,�,'�;_::.=�=M��.: � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct a Hazardous Material(Tier II or RQ Facility)ANNUAL � Controlled Bum � Hood Instaliation � Emergency Generator<30 kw � LP/Natural Gas-Installation f /,, � ! � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL S �� w / � Fire Prntection Maintenance-ANNUAL � Places of Assembly-ANNUA �y em� �n r Sprinkier � ❑ ❑ ❑ � � Recreationai Bum �.0 Fire Alarm � p ❑ p � � Sparklers Hood Cleaning � � ❑ ❑ � � Sprinkler System Installations Hood Suppression � ❑ ❑ O � � Standpipes(Sprinkler Sys) � Fire Alartn Instaliation � Toroh Roofing/Tar Kettle Fire Pumps � Waste Tire Storege ANNUAL Fire Works Flammable Appiication-ANNUAL � Valuation of Project � Fuel Tanks Q Other: ._.. z ,, __ . ��.�� .��->-�- � �: _-_ •� . CoMractor Company Signature Registered Y/N Fee Current Y/N Address ucense# ELECTRICIAN Company Si9nature Registered Y/N Fee Current Y/N Address License# PLUMBER Company Signature Registered Y/N Fee Curreni Y/N Address License# MECHANICAL Company Signature Registered Y/N Fee Current Y/N Address License# OTHER Company Signature Registered Y/N Fee CurreM Y/N Address License# . �:;�=�-.m.�: �,x._� , ,. _.nH,��.;;�,�_=�=._�.;�.,s,..�.,. - - .._.. �,;:•�-:.,��:�,..�.�,,>:-_wn�,..:g,,.�,-�,:@, ,- � Directions: Fill out application completely. Owner&Contrador sign back of appiication,notarized(Or,copy of signed corrtract with owner) If over$2500,a Notice of Commencement is required(Mechanical work over$5000) Supply two(2)sets of drawings with applicable documetrtation Allow'10-14 days for review after submittai date. Parcel#-obiained from Property Tax Notice(httpJ/appraiser.pascogov.com) NOTtCE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" which may be more restrictive than County reguiations. The undersigned assumes responsibility fo�compliance with any applicabte deed restricfions. UNLICENSED 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 local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under s#ate law. if the owner or intended coniractor a�e uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised #o have fhe contractor(s) sign portions of the "contractor Biock" of this application for which they wil! be responsible. If you, as the owner sign as the confractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. � CONSTRUCTION UEN LAW(Chapter 713, Florida Statutes,as amended): If valuation of work is $2,50Q.00 or more, I certify that i, the appticant, 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 appiicant is someone other#han 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'S/OWNER'S AFFtDAVIT: i certify that ail the information in this application is accurate and thaf ail work wiil be done in compliance with all applicab1e faws regulating construction, zoning and land development. Appiication is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or instailation has commenced prior to issuance of a permit and fhat aii work will be perFormed to meet standards of all laws regulating construction, Cvunty and City codes, zoning regulations, and land development regulations in the jurisdiction. 1 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 f � must take to be in compliance. if I am the AGENT FOR THE OWNER, 1 promise in good faith to inform the owner of the permifting conditions set forth in this affidavit prior to commencing construction. I understand that a separate pennit may be required for electrical work, plumbing, signs, wetis, pools, air conditioning, gas, or other instailations not spec�cally included in the application. A permit issued shall be construed #o 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 sha11 issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permi#issued shatl become invalid unless the Work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the p+ermit is suspended or abandoned for a period of six(6)months after the bme 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 just�able cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. WARNiNGfTO �JWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT !N YOUR PAYING TIMICE FOR lMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING� CONSULT YV1TH YOUR LENDER OR AN ATTORNEY BEFORE RECOt2DING YOUR NQTICE OF COMMENCEMENT � FLORIDA JURAT(F.S.1 i 7.03) . �T�?>�-��,__ . _ .l.=�`��`�"i:' �-�,, � ..• .._ n -�s, . ��-., . _ .�v°� OWNER OR AGENT CONTRACTOR .;�� -.r++�---'° Subscribed and swom to(or atihmed)before me this Subscribed and sworrt to(or afflrtned)before me thls by bp Who islare personalry knoMm to me or hasThave produced Who is/are personalty known to me or has/F�ave produced as identification. as identifiqtion. Notary Public Natary Public Commissivn No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,prfnted or stamped , . I I i I i