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Home My WebLink About12-13717 CITY OF ZEPHYRHILLS 5335-8T}i STREET r,�-'� (si3)�so-oozo 1�717 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 13717 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: 12/18/2012 Name: SUNRISE EATERY Total Fees: 55.00 Address: 5963 GALL BLVD Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542 Date Paid: 12/18/2012 Phone: (813)782-0401 Work Desc: FPM-HOOD CLEAN QUARTERLY- SUNRISE EATERLY � � d'� 1 2 ? I�I 2, ina Chapter 633, Florida Statutes,authorizes the City to charge and collect 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 aforemendoned. 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 INSPECiION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 s��7so-oo2o City of.Zephyrhills Fire Fax-813-7g0-0021 , �Permit Application Date Received Phone Contact for Permit � � .- �°.;�-....�.�s«a�•.;..- ., Owner's Name /� Owners Phone Number g �� I�ti�-j r•, j� I! �S.�J,_ Owners Address 3 L� � � .t"�` Fee Simple Titleholder Name TiUeholder Phone Number � � � L.� Fee SimpleTitieholder Address �t�,. Job Address '� l.-�— ��}'� �1� � Lot# C Sub Division Par�el# p � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent � Comm E�chaust Kitchen HoodlDuct � Hazarrlous Material(Tier II or RQ Facility)ANNUAL � Controlled Bum � Hood Installation � Emergency Generator<30 kw � LP/Natural Gas-Installation � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL 5ale � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL ��/ � CI�Tr y emi �n er � Sprinkler � ❑ ❑ ❑ � � Recreational Bum �r �� J Fire Alartn � ❑ ❑ D � � 5parklers n Z �Ho-od Cleaning � ❑ ❑ � � Sprinkler System Installations �J r " � ,��,.-�u C� ,�i"� Hood Suppression ❑ ❑ p � � Standpipes(Sprinkler Sys) td V�"' � p�� Fre Alarm Installation � Torch RoofingRar Keme �(�;C''�� g � � Fire Pumps � Waste Tire Storage ANNUAL �1Y�, ��e�r � Fire Works �'�f-� ��c 1D Flammable Application-ANNUAL Valuation of Project � FuelTanks Q Other: Contrector Comparry sJ � y" Signature Registered �I CY��N I Fee Current Y/N Address License# ELECTRICIAN Company Signature Registerad Y/N Fee Current Y/N Address License# PLUMBER Company Signature Registered Y/N Fee Current Y/N Address License# MECHANICA Company 5ignature Registered Y/N Fee Current Y/N Address License# OTHER Company Signature Registered Y/N Fee Current Y/N Address License# Directions: FII out application completely. Owner 8 Contractor sign back of application,notarized(Or,copy of signed contract with owner) If over$2500,a Notice of Commencament is required(Mechanical work over$5000) Supply two(2)sets of drawings with applicable documerrWtion Ailow 1 D-14 days for review after submittal date. Parcel#-obtained frnm Property Tax Notice(http:/lappraiser.pascogov.com) -�- �.. P 1�CS�-�!i� � �" Z��C� ec�,c� ��'�e � �1a; ( �� C!� _ '] _ � / / � � S�Z .�7 � � � � �'` �� Fe j L�� rLt, �ls' �G- /`��? -` ,C�Gt C-�� NOTICE OF DEED�RESTRIGTIONS: The undersigned understands that this permit�may'be:subject to"deed"'restricttons" which may be�more•restrictive�than County•regulations. -fhe undersigned assumes-responsibility�forcompliance with any applicable deed restrictions. UNLICENSED •CONTRACTORS:AND 'CONTRAGTOR �RESPONSIBILITIES: !f�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 {aw, both the owner and contractor may.be cited-for a misdemeanor viofation under state law. If�the owner or intended contractor are uncertain as to what licensing requirements may app�y 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 contraetors, 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 proper(y licensed and is not entitied-to permitting privileges in Pasco County. CONSTRUCTION LIEN LAW(Chapter713, Flcrida 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 Canstruction Lien Law—Homeowner's Protection Guide" prepared by�the Florida�Department of Agriculture and Consumer Affairs. If the applicant is someone other than the"owne�', I certify that I have obtained a copy of the abave described document and promise in good faith to deliver it�to the°owne�'prior to commencement. - CONTRACTOR'SIOWNER'.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 prior 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 regutations in the jurisdiction. I also certify that I understand that the regulations of othe� govemment agencies may apply to the intended work, and that it is my responsibiliiy to identify what actions I must take to be in compfiance. If I am the AGENT FORTHE OWNER, 1 promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. 1 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 shatl be constrved to be a Iicense 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 nineiy (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 IN YOUR PAYING7VYICE FOR IMPROVEMENTS TO YOUR�PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH�YDUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTOR Subscribed and swom to(or affirtned)before me this Subscribed and swom to(or affirtned)before me this by bY Who is/are personally known to me or has/have produced Who is/are personally known to me or has(have prodt�ed as identlfication. as idenUficaiion. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,prirrted or stamped Name of Notary typed,printed or stamped