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Home My WebLink About13-13966 CITY OF ZEPHYRHILLS 5335-8TH STREET �sis)�so-oo20 13966 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 13966 Address: 37915 EILAND 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: 03-26-21-0010-06400-0031 Improv. Cost: Date Issued: 3/11/2013 Name: GOLDEN PANDA Total Fees: 25.00 Address: 37915 EILAND BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 3/11/2013 Phone: Work Desc: FPM-QUARTERLY HOOD CLEANING FOR GOLDEN PANDA a 5. r (,��-� C � .�., � ��r , � . ., , 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 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 813-780-002D City of.Zephyrhills Fire Fax-813780-0021 �Permit Appfication Date Received ^�R Q r, Phone Contact for Pertnit Q' � � .s'Tf —�'�� 'r.ii�"m��.�"�k;.�i."�..+.a:.:w...r�...�zw,�..�,..�,K u Owner's Name � S [�� j� Owner's Phone Number . 8 �3 �'�S 935� /� �� Owner'sAddress ��. �J q7 ,/v/� � 3367� Fee Simple Titleholder Name TiUeholder Phone Number C� � � Fee Simple�TitleholderAddress a �� Job Address GOLD�IV p ND,q �7g�s ��-/� ,�L Q Lot# Sub Division Parcel# Rfi. � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier il or RQ Facility)ANNUAL � Controlled Bum � Hood Installation � Emergency Generator<30 kw � LP/Natural Gas-Instaliation � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL 5ale � Fire Protection Maintenance-ANNUAL � Pfaces of Assembly-ANNUAL � emi � er Sprinkler � ❑ ❑ ❑ � � Recreational Bum � Fire Alartn � C! ❑ ❑ � a Sparklers 7 �� Hood Cleanin ✓ �� 9 � � ❑ ❑ � � Sprinkler 5ystem Installations r � Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) � '� � Fire Alartn Installation � Torch Roofing/Tar Kettle � Fire Pumps � Waste Tire Storage ANNUAL � Fire Works �•,,,� � Flammable Appiication-ANNUAL Valuation of F�roject � Fuei Tanks Q Other: Contractor � Company S Signature Registered Y/N Fee Current Y/N Address License# ELECTRICIAN Company 5ignature � Registered Y/N Fee Current Y/(� Address License# PLUMBER Company Signature Registered Y/N Fee Curtent Y/N Address License# MECHANICAL Company Signature Registered Y/N Fee Current Y/N Address License# OTHER Company Signature Registered Y/N Fee Current Y/N Address License# Directions: Fiil out application completely. Owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner) If over$250�,a Notice of Commencement is required(Mechanical work over$5000) Supply iwo(2)sets of drawings with applicabie documentation Allow'10.'14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http:/lappreiser.pascogov.com) NOTICE OF"DEED:RESTRICTIONS: �"fhe undersigned understands�that this permit may°.be�subject�to"deed"-restrictions" which may be more restrictive�than County�regulations. ?he-undersigned assumes-responsibility for compliance with any app(icable deed restrictions. UNLICENSED •CONTRACTORS�AND �CONTRACTOR�RESP.ONSIBILITIES: 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.Buifding Inspection�.Division—Licensing Section at727-847- 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 appiication 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 privifeges in Pasco County. CONSTRUCTION LIEN LAW(Chapter713, Florida Statutes,.as amended): If valuation of work is$2,500.00 or more, I certFfy that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide° prepared by the �lorida 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 all work will be done in compliance with all applicable laws regulating construction, zoning and tand development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or instaliation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regutating 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 1 must take to be in compfiance. 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 ninery (90) days and wilt demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE 70 RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYINGTWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTENDTO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEPIT. FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTOR Subscribed and swom to(or affirtned)before me this Subscribed and bwom to(or affirtned)before me this by Y Who is/are personally known to me or haslhave produced Who is/are personally known to me or has/have produced as identification. as identlfication. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary iyped,printed or stamped