HomeMy WebLinkAbout13-13832 CITY OF ZEPHYRHILLS
5335-8TH STREET
• - (si3)�so-oo20 138
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13832 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: 2/04/2013 Name: VICHRIS INC
Total Fees: 25.00 Address: 5214 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/04/2013 Phone: (813)782-9556
Work Desc: FPM- HOOD CLEAN QUARTERLY- VILLAGE INN
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A A inal
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 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
FEB/20/2007/TUE 11 : 10 AM ZEPHYPHILLS BUIL�II'�G FAX No, 813-780-0021 P. 002
�s�3-'7so'oo2o City of.2ephyrhills�!C�!-�e?•. 'Fax-813-780-0021 . .:;�w:
' �- -� PsrmitApplication=--� • " - •-•;,�„`
c:..�:..3�".�.�-.'�. __. - - — � = r--.�-----
.Date Received .. �'P1-ione Contact�for Pormtt -
� � ,_.� . : -
pwnar�Nsme• •` ' �� _ Own�rs Phone Number ,�� � _ .310 0� _..._
pwner'sqddress a� to .�% .J .0 '� ' 7 � — ��2 ��o
Fea Slmpte�lUeholder Name �! �- lltleholder Phone Numbcr � �"
Fee 5lmpte"TSilaholderAddresa
Job Address Lot# �
Su1�bNlston 'Parcel#
� �Bio-Hazard Waste 5torage-•AtJNUAL • � �umtga6onTent � " • .
� Comm�xh�ust Kitchen Hood/buct� . � ' � Hazardoua Materlal(fier II or R4 Fadll�r)ANNUAL
� Conirolled Bum � Hood InBtallailon
� Emergency Oenerator�30 kw _ � LP/Natural Gas-Instaliatfon •
� 'Emergency Ganeratnr�$01(w � LP/Natural Gas-ANNUAL 3ala _
� Plra Protaction Malntenance-At3NUAL � -Plaees of Assemb►y-ANNUAL _
• ' � em� � c
Sprinkler D p ❑ � � � I�ecresfional Sum.. ��
Fre Afarm D ❑ ❑ � .� SparKlers � 3�
Nood ClesNng � O O � � 5prinkler 5yatem InstsllaGons �
' Hood Suppressfon - C] CJ C] � � Standplpea(Sprinkler 5ys)
' � F��artn instsllanon � � � 7or�ch Rooflng/1'ar Kettle
FIro Pumpa ' " � Waete'11re StorageANNU1U.
Fire works � - �
Flammable Appllcallorr ANNUAL ' VafuaSon of proJect �
� ,Fue{Tanks "
�� Other: �
GoMractor _ ° Company �
5ignature t,(su� Registered /N Fee Currant Y/N
AddrE9e • License# -
�LECTRICIAN Company
signature • Registered Y E N FBe Cttrrertt Y/N
Address uc�nse# �
PLUMBER ' . . . Company ��
SEgnaiura Reglatsred Y/N Fea Current Y/�
Address � � License# •
MECHANiCAL Company
Slgnatura Regtster�a .Y/N Fea Current Y�/N
Addreea -Llcanae�f '
pTHER Company • �
Slgnature � Reg;sterad Y/N �ae Current Y/N
Addrass • L1canBe#
DfrecUone: �
Flf out appllcaUon complatmly.
Owner&Contra�l0i e18n 6ack of appllCaflon,no�r�ed(Or,copy of slqned contraa[Wfth owner)
lf over�25oQ a NoUce of Commencemenf Is raqu�red.(Mechantcat work over 35000)
Suppy iwo(2}sets of drawings with appGcable documentation '
Allow 1a14 dsys for rovlew sfter eubm�tral date. Parzet�R-obtained iProm Property Tax No6ca(httpJlappraiser.pascogov_corn)
FEB/20/2007/TUE 11 : 10 AM ZEPHYPHILLS BUILDIf'JG FAX No, 813-780-0021 P. 003
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c�tian:�=�--= . . .
=�"�t,l�Tl;CtE+C):F;D�EDR�STRICTIONS: The.underslgned-und��n�is_�hat�thls.permlt ma_y.be:subject�to�"de�d":�.estr.ictl9�t���tr�
�.::.� � ,:.•�-• - - -Th .g � tY: PI� .�!'i�a���
�;,��-swhiCh'emay�emore-restrictive'than County`regulatfort5�.`a e�ur,rd�r.s� �ted�assumss:re�ponsibll! �oT:com iar,r�a.wlth��►
'—;appiicable�deed restrictlons. �� :�«ii��T,�:.- =_ - -c-r:�'vl;;,,i��
::�""'L1NL':I��ENSED �CONTRYAGT.pRS�AND=CONTRQCTOR'=RESFIC?NSIBIL:I'T'tE•S^=',If�the 'owner has-hired'�a�contractor� '�._�,_W-�'
.:coniractors-to undertake work,�they may�be required:to be ilcensed�in��accordance with state and iocal-regulations. lf.the_=-:-��
contractor is not licensed as requlred�.by law, 'both-the ownar:and.contractor'may.be citad'for:a-misdemeanvr,violafiori. -- �
under�state law. If�the owner or intended�cantractor:are uncerfafn=as�to what llcensing�requirements may:appiy�for-the-�-:�- >
iniended work,'the,y are�advised�to contaet the�Pasco CountyiBuilding:insp6Ction.DlVision—Licensing Secfion:at727=847
-.80D9. =F.urfhermore, if the owner has hired a contractor or contractors,:he fs advised�to •have-tha contractor(s) $fgn
portlons af the °confractor Black" of thls applfcafionfor which-they will be responsible. If you, as�the owner��sian:as.fhe
-• � �contractor,'fhat�may�bean indlcafion:that�he isnot-pr.operly licensed,and is not entitled�to�permitf(ng_privileges in�;Pasco = ��.Y
-County. - '; �
=CONSTRUCTEON.LIEN�LAW (Chspter7�l3,'F►nrlda`Statufies,�s�amended): lf�valuatlon�ofworkis�$2;500.DO.or�mor�,:l
aertify �that I, -the appflcant, have been pcovided-with a copy .of�the °Fiorida Construction Lien Law-^Homeowner's
�Pratection Guide" prepared by�the �lorida Department of Agriculture;and Consumer Affialrs. If the appficant is•someone. .
other�than the'"owner", 1 oerfifiy that I have obtained.a copy of.the-above described document and promise in goodfalth�to
deliver It to tha"ownar prior�ta commencement. I
GONTR.ACTDE2'.SIOrNN�R'S AFEIDAVIT: I certify that all the informatlon in this applicafion Is accurate and .
Y �that all work will .be done in complianee with all applicable (aws regulating construcilon, zoning and land
development. Applicatlon is hereby rt�ade to obfain a permit to do work and Installatlon as tndicafed. l cartlfy
that no work or installation has commenced prlor to IsSUance of a permlt�and'that�a{I work wllt be performed to
meef standards of all laws regulafing consfruction, County and Gify codes,.zaning regulations, and land
development �ragulaiions in�the jurisdicflan. 1 .also ce�lfy-that l uhderstand that the regufations of other
_ 9ovemment agencaes may apply�to the lntended work, and that It is rny responsibility to identify what ac6ons I
must take'to i�e in compllanca.
.If( am�tha:AG�NT FDl2'TN�OWNER, I pr'omise iri good faith to inform the owner of�ihe permltting conditions setiorth in
thls affidavit prlor�to�commencing construction. f understand that a separate permit may.be required for eiectrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specl�ieally tnciuded In the applicatlon. A
permit issued shall ba construed to be a license to proceed with the work and not as authority to vialate, cancel, atter, or
set aside any provislons of the�techni�al codas, nor shall Issuance of a psrmit prevent the �uflding OfFcial from thereafter
requiring a c�rrectlon of errors In plans, constructton or violations of any codes. Eve.ry permE�.tssued shall become Invaiid
unless the work autliorized'by such perrnit is commenced within six monfhs of�perrnit issuance, or if work aufhorized by
fhe permi# is suspended or abando�ed for a period of six(6) months after the fime the work is commenced. Ar�exfension
may be requested, in writing,from the Bullding Officiat for a period no#to exceed nlnety (90) days and wlli dernonstraie
justifiable cause for the extension: If work ceases for ninety(90)consecutive days,the job is considered abandan�d.
� ''WARNtNG TQ OWN�R: �YOUR"�AILURE TO�R�CORD�A'NOTICE'OF-�COMM�NCEM�NT M;4Y'�RESEILT=IN YOUR = - •
PAYIN�TW10E��R IMPR01/�MENTS TO YpUR PROPERTY. lF YOU tNTEND TO OBTAIN FlNANCtN�, CONSULT
W1TH Y UR L ND�R OR.AN A'fTORN Y�BEFOR�RECORDINC OTICE OF OMM NCE NT.
FLORIDA JURAT(F.S.11 � �
OWN�R GR AGE ` CONTRAC7 "'��-��—� `�`�
Subscribed and swom ed) ore me Ulfs 5uhscdbed and bY or aHtrmed)before m9 thls
by �
Who islare personally known In me o sThave produced Who is(are persoll2liy Kn0 to me or haslhave produCed
as identificatlon_ , . 'as identtfic�a6on.
Notsry Public Notary Publ�c
Gommiesipn No. Commission No.
Name of Not�ry typed:printed or stamped tJame of Notsry typed.Pnnted or stHmped