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HomeMy WebLinkAbout12-13723 _ CITY OF ZEPHYRHILLS ' 5335-8TH STREET (si3)�so-oo20 13723 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 13723 Address: 7643 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: 3425-21-0010-03100-0000 Improv. Cost: Date Issued: 12/20/2012 Name: CHILI'S BAR& GRILL Totai Fees: 25.00 Address: 7643 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 12/20/2012 Phone: Work Desc: FPM-SEMI ANNUAL HOOD SUPPRESSION FOR CHILLI'S �, �� � C� �, , �3 1 ' �, i ina Chapter 633, Florida 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,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. 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 . II13-780-0020 City of Zephyrhills Fire Fax-813-780-0021 Permit Application Date Received �� Phone Contact for Permit C5� 7 3 2 5 3 2 6 Owner's Name �r't'};FI F lcri�a inc c o r�,�r�in r Foez h �..omp3��; Owner's Phone Number C� � � PO Hor 802206 Owner'sAddress ll�lla;. 't'x 75��o-??nh Fee Simple Titleholder Name Titleholder Phone Number C� � � Fee Simple Titlehoider Address JobAddress �E'�-j Gall t:��ule�iard, zeptryr�hill:;, f'I� 33Sa1 �I321 � Lot# � SubDivision zephyrhi_lls S��ipeL Cenr,ci A Parcel# 3] 25 zl olln )onon u0.10 � Bio-Hazard Waste Slorage-ANNUAL � Fumigation Tenl � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL � Controlled Burn � Hood InstallaUon � Emergency Generator<30 kw � LPlNatural Gas-Installation , � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL,SaIe � oFire Protection Maintenance-ANNUAL � Places of Assembly-AN�UAL /� �� try emi �n t er �� Spnnkler � ❑ ❑ ❑ � � Recreational Burn � � �'` Fire Alarm � I I I_I LJ � � Sparklers ,` � _..�'",,.� Hood Cleaning � ❑ ❑ ❑ � � Spnnkler System Installatians Hood Suppression � [] � f I � � Standpipes(Sprinkler Sys) � Fire Alarm Installation � Torch Roofing/Tar Kettie aFire Pumps � Waste Tire Storage ANNUAL � Fire Works ❑ Flammable ApphcaUon-ANNUAL � Valuation of Project � Fuel Tanks � Other Contractor Company �� � � � � Signature Registered Y/N Fee�urrent Y/N Address 953 NI? Osceo7a Avenue, ucala, P'1� 34�170 License# n6-96150002198:� ELECTRICIAN Company Signature Registered Y/N Fee��urrent Y/N Address License# PLUMBER Company Signature Registered Y!N Fee Current Y/N Address License# � MECHANICAL Company Signature Registered Y/ N Fee Current Y!N Address License# � OTHER Company Signature Registered Y/N Fee Currenl Y/N Address License# —� D�rections Fill out application completely Owner 8 Contractor sign back of appl�cation,notarized(Or,copy of signed contract w�th owner) If over$2500,a Nohce of Commencement is required(Mechanical work over$5000) Supply two(2)sets of drawings wilh applicable documentation Allow 10-14 days for review after submittal dale Parcel#-obtained From Properry Tax Nolice(http//appraiser pascogov com) NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to"deed" restrictions" which may be more restrictive than County regulations The undersigned assumes responsibilit�y for compliance with any applicable 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 l_ien 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'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that aii work wi�i 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 ail work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the �urisdiction 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 technicai 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 con:sidered abandoned WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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 RECORDING YOUR NOTICE OF CO CEMENT. FLORIDA JURAT(F S 117 03) OWNER OR AGENT CONTRACTOR � Subscribed and swom to(or affirmed)before me this Subscribed � swom to(or affirmed)be �Tfi�. by 12-19- �_, Who islare personally known to me or has/have produced Who is/a personally kno to me or has/have produced as identificatfon. � -- as identification l Notary Pubhc ,.--_�/ /j/ `�'�J3 Notary Pubhc Commission No \. Commission No � o�RY��,G James Feathers Name of Notary typed,printed or stamped Name of otary ty ed printed or tamped • . • 5B0 '"� Expires Sept. 17,2016 �O�n`�Notary Public,State of Plord: