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Home My WebLink About12-13624 CITY OF ZEPHYRHILLS 5335-8TH SIREET (sis)�so-oo20 �� 13624 ' ANNUAL FIRE PROTECTION MAINTENANCE ' Permit Number: 13624 Address: 5214 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: 11-26-21-0010-16600-0250 Improv. Cost: Date Issued: 11/19/2012 Name: VICHRIS INC Total Fees: 25.00 Address: 5214 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 11/19/2012 Phone: 813 782-9556 Work Desc: FPM- HOOD CLEAN QUARTERLY VILLAGE INN , � � Z �� Z %C- , ina 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 rnmmercial 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 a�s-�so-oozo City of Zephyrhilis Fire Fax-813-780-0021 Permit Application Date Received Phone Contact for Permit � � � • Owner's Name Owner's Phone Number � � Owner's Address �j . � — -J• , -?jZ2 Fee Simple Titleholder Name Titleholder Phone Number � � � Fee Simple Titleholder Address Job Address � 1 1 —� ✓�' � ��3 2 Lot# � -8nb'�'rvtSRSFS' S Parcel# � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent � Comm Exhaust Kitchen HoodlDuct a Hazardous Material(7ier II or RQ Facility)ANNUAL � Controlled Burn � Hood Installation � � Emergency Generator<30 kw � LPlNatural Gas-Installation � i �� Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale ( „/fj � i- � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL �j ry emi �n er S� Sprinkler � ❑ O ❑ B � Recreational Bum /�r�� / 1v Fire Alarm ❑ ❑ ❑ � � Sparklers J Hood Cleaning ❑ ❑ ❑ � � Sprinkler System Installations Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) � Fire Alarm Installation � Torch Roofing/Tar Kettle � Fire Pumps � Waste Tire Storage ANNUAL Fire Works � Flammable Application-ANNUAL Valuation of Project � Fuel Tanks Other Contractor Company Signature c�.� Registered /N Fee Current Y!N Address License# ELECTRICIAN Company —1 Signature Registered Y/N Fee Current Y/N Address License# PLUMBER Company Signature Registered Y/N Fee Current Y/N Address License# MECHANICAL Company � --� Signature Registered Y!N Fee Curtent Y/N Address license# OTHER Company Signature Registered Y/N Fee Current Y/N Address License# Directions: 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 two(2)sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http:!lappraiser.pascogov.com) NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to"deed" restrictio�. wt�ich may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any appiicable deed restrictions 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 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 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 properly licensed and is not entitled to permitting privileges in Pasco County CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes,as amended) If valuation of work is$2,500 00 or more, I certify 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 Agricu�ture 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'S/OWNER'S AFFIDAVIT� I certify that all the information in this application is accurate and 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 nrior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I 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 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 understand that a separate permit may be required 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 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 violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6) months after 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 NOTI COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEME TO YOUR PROPER . IF YOU IN ND TO O FINANCING,CONSULT WITH Y E AN ATT RN BEFORE RECO ING YOUR NO ICE OF O ENCEMENT. FLORI JURAT(F.S 117.03) t OWNER GEN. CONTRA \ Subscribed an r affirmed)before this Subscribed an rn to(or a irmed)be e e this - by by Who is/are personally known to me or has/h e pr uced Who islare personally known to me or h s/ha e produced as identification. � entification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped