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Home My WebLink About13-13865 CITY OF ZEPHYRHILLS 'r • 5335-8TH STREET �-'� (813)780-0020 13865 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 13865 Address: 6855 GALL BLVD Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL. Class 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: 2/12/2013 Name: GOLDEN CORRAL Total Fees: 55.00 Address: 6855 GALL BLVD Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542 Date Paid: 2/12/2013 Phone: (813)783-8969 Work Desc: FPM- HOOD CLEAN QUARTERLY-GOLDEN CORRAL 5. � � %'�(� / 7 � r �� I� � Z �1.:/ �; 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 � �s13a8o-oa2o City of ZephyrhiUsFire• � � 3�j�.� Fax-81�780-0021 Permit Applicafion Date Received � - - :--:=�"'x:<.�:� :,�,_.�,:_---�.,�-,�,. Phone Corrtact for Pertnit u��-. �r�>> _.. ,��g�.,>.: Ownets Name ANDERSON P Owne�'s Phone Number . � � � Owner's Address S j�!{ �Y Fee Simple Titleholder Name Titletiolder Phone Number C] � �� Fee Simpie Trtleholder Address �--�� "`:�;'�'�- _ Job Address GOLDEDT CORR.AL 6855 GALL BLVD. — Lot# �� 5ub Division -_ .,., ��r _ Pamel# � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent �� Comm Exhaust Kitchen Hood/Duct � Hazardous Matgial(fier II or RQ Facility)ANNUAL � Corrtrolled Bum � Hood Installation � Emer9ency Ger�ator<30 kw � LPMaturai Gas-installation � Emerge�cy Generator>30 kw � lP/Natura!Gas-ANNUAL Sale � Fre Protection Mairttenance-ANNUAL � Places of Assembly ANNUAL � m� � r Sprinkier � ❑ ❑ ❑ � � ��onal Bum Fre Alartn � p ❑ ❑ � � Spariders Flood Cleaning � ❑ ❑ p �� Sprinkler System Installations Hood SuPPression � ❑ ❑ ❑ C� � ��P�A��nkler SYs) � Rre Alartn installation � Tor�h Roofing/Tar Kettle F��P�ps � Waste Tire Storage ANNUAL Fire Works Flammable Appticatio�-ANNUAL Valua6on of Project Fue!Tanks � �}1@f: Contractor . Signature ��Y Re9ister� Y/N Fee Current Y/N Address License# ELECTRlCIAN - Signature Company Resistered Y/N Fee current Y/N Address License# PLUMBER 5ignature Company - Registered Y/N Fae Cumsnt Y/N Address � u�# MECHANICAL Company Signature Registered Y/N Fee cumerrt Y/N Address License# OTHER Signature Company Regiscered Y/N Pee currern Y/N Address License# Directions: ' Fil(out application completely. Owner&Corrtractor sign back of aPd��lion.notarized(Or,coPY��9�ed contract with owner) If over$2500.a Notice of Commencement is required(Mechanical worfc over$5000) SuPP�Y two(2)sets of drawir�s with applicabie documerdation Allow 10-14 days fpr review after submittal date. Par�ei#-obtained frpm Proper(y Tax Notice Jla (http ppraiser.pascogov.com) NOTt�E OF bEED RES�RICTIONS: The undersigned understands#hat this�it may be subject to°desd'restrictions° which may be more restrictive ti�an Courrty regula#ions. The underslgned assumes responsibility for compliance with any appllcabte deed restrictions. UNLlCENSED CONTRACTORS AND CONTRACTC?R RESPONSIBILITIES: If the owner has hired a contractor or contrac�ors to undertake work, they rnay be reyuired to be licensed in accordance with state and local regula�ons. If the contractor ls 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 irrtended coritractor ars uncerta;n as #o what licensing requirements may appiy#or the in#ended wor�c, they are advis�to contac#the Pasco County Building Inspection Division—Licensing Sedion at 727-847- 8U09. Furthermore, if the owner has hired a coritracto� or cantractors, he is adyised to have tfie contracto�(s) sign portions of the "contractor Blodc" of this application for which they will be respons�ble, If you, as the owner sign as the contrac#or, tha# may be an indiption tfiat he is not properly Iicensed and is not entitled to permitting privilsges in pasco Courrty. � CQNSTRUCTlON UEN LAVY(Chapter 713, Florida Statu#es,as amended). !f vatuation of work is$2,5Q0.00 or more, I certify that i, the appiicant, have been provided writh a copy of ths °Ftorida Construc#ion Lien Law—Homeoyvner's Protec#ion Guide" prepared by the Fioritia Department of Agriculture and Consumer Affairs. If the applicant is someone other#han the'owner", 1 certify that i have ob#ained a copy o#the above described document and promise in gnQd#aith to defiver it to the°ouvrreP'prior ta commencement. - CONTRACTOR'SIOWNER'S AFFlDAVIT: I c�rtify that ail the information in this appiication is accurate and that al1 work witi be done fn compliance writh all app�icab'le, [aws regulating construction, zoning and land developmen#. Application is hereby made to obtain a permit to do wor{c and installation as indicated. t certify that no work or instaNation has commenced prior to issuance of a permi#and tfiat ail work will be perfortr�ed ta meet standards of att laws rec,�ulating construcfion, County and City codes, zoning reguia�ans, and land development regula#ians in the jurisdiction. I also certify that 1 understand that fhe reguia#ions of other �govemment agencies rr�ay apply to the intended work, and that it is my�ponsibility#o identiFy what actions 1 ;must take to be in,compliance. If I am the AGENT FOR THE OWNER, 1 promise in good fa;th to infarm the owner of the permi#ting condfions set forth in this affidavit prior to commencing cons�ction. I understarxi that a separa#e ��t may be rey�ireci for electrical worlc, plumbing, signs, weiis, poofs, air cond�troning, 9as, or ath+� installations not s�ty included in the appiication. A permit issued s#�aH be construed#o be a license#o procesd wi#}�the yvork and rto#as authority#o violate, cancel, aiter, ar set aside any provisions of#he techn'ical codes, nor shall issuanc:�flf a permit prevent the Building Officiai from thereafter requiring a correction of errors in pians, construc#ion or violations of any codes. Every permi#issued shali become invalid untess #he in►ork authorized by such permit is c:ommenced withic�six mort#hs of permit issuance, or i#work authorized by the permit is suspended or abandoned for a pe.riod of six(S)months a#ter the#ime the wor�c is commenced. Ara extension may be requested, in writing, #rom thQ Buildi�g Official for a period not to exceed ninety (90) days and will demonstra#s justifiabie cause#o�the ex#ension. If work ceases for ninety(90)consecutive days, the job is considered aband�ned. WARNINGITO OWNER: YOUR FAILURE TO RECORD A N0710E OF COMMENCEMENT MAY RESUl.T !N YOUR PAYING TWiCE FOR IMPROVEMENTS TO YOUR PRUPERTY. IF YOU 1NTEN�TO OBTAIN FlNANCENG, CONSULT WITH YOUR LENDER OR AN TTORNEY BEFORE RECO 1 G YOUR E OF COM�AAEN ENT. T FLORiDA JURAT(F.S. 117.03) ' ��, '�' �� OWNER OR AGENT CONTRACTi)R: " i " . S�xibed and swom to(or aHirtned)before me ttus Subscxibed swo�r#o(or ed)before roe this ---- by Who is/are perso�lly known to me or hasRiavs produc�d Who is/are perso�nally��me or hasmave praduced as ider�ificatlon. as iderrilfication. I Notary Pubiic , Notary P�lic Commission No. Comm�ssion No. f Name of Notary typed.Pri►►ted or stamped Name of NotarY tYP�.P��ted or stamped I - f � � f I � �