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HomeMy WebLinkAbout13-13997 , , � CITY OF ZEPHYRHILLS 5335-8TH STREET (sis��so-oozo ��,gg� �. - ANNUAL FIRE PROTECTION MAINTENANCE < Permit Number: 13997 Address: 5014 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: 11-26-21-0010-20700-OOAO Improv. Cost: Date Issued: 3/20/2013 Name: CHATTERBOX CAFE Total Fees: 25.00 Address: 5014 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 3/20/2013 Phone: Work Desc: FPM- SUPPRESSION SEMI- CHATTERBOX 5. � _ , . � ( � �- C�� , � , 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 F'ermft Application Date Received _ � ^ Phone Contact for Permit (3 Lt 7�i �� y �� Owners Name � C C�� ��� /t -- - , L Owners Phone Number � �� �� Owners Address ���� ��vl, �� i � � I (t 7 Fee Simple Titleholder(Vame � � �� Titleholder Pfione Number Fee Simple Titleholder Address - - :,�� Job Address Lot# �� Sub Division �� .�-.q-�... -- Parcel# aBio-Neza d Waste Storage-ANNUAL 9 ���`� ���`�' -�;,,, 0 o Fumigation Tent Comm Exhaust Kitchen Hood/Duct a Hazardous Material(Tier II or RQ Faciliry)qNNUAL � Controlled Bum a a Hood InstallaGon Emergency Generator<30 kw a - aLP/Natural Gas-Instaltation Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale aFire Protection Maintenance-ANNUAL � �� ��� � Places of Assemb�y-ANNUAL � ❑� emi � er � Sp�nkler � � � ❑ Recreational Bum Fire Alarm � � � � � ❑ Sparklers Hood Cleaning � � � � Hood Su Sprinkler System Installations ppression �r ❑ �/ ❑ � a � �� Standpipes(Sprinkler Sys) Fire Alarm Installatio� a � Torch Roofinglfar Kettle Fire Pumps � � Waste Tire Storage ANNUAL Fire Works � FlammableApplication-ANNUAL �� Q Fuei Tanks Valuation of Project Q Other: ♦'�L.F°YaN:J�54.-3ts'o-sm45^^b� CO�itr'dCtOf �, � °� Signature Company m G - � �-���J�� Address y7�/ �G Registered Y/N Fee Current Y/N �=c�rr C�- ELECTRICIAN T I � License# [� �Y���1 �on fa�o�� Signature Company Registered Y/N Fee Current �'/N Address License# PLUMBER Signature Company Registered Y/(� Fee Current �'/N Address License# MECHANICAL Signature Company Registered Y/N Fee Current Y/N Address License# OTHER Signature Company Address Registered Y/N Fee Current Y/N ?irections: "'" License!F Fil out application completely Owner&Co�tractor sign 6ack of application,notarized(Or,copy of signed contract with owner) ff over$2500,a Notice of Commencement is required(Mechanical work over$5000) Supply two(2)sets of drawings with applicable documentation Allow 10-14 days for review after submittal date � Parcel f�-obtained from Property Tax Notice(httpJ/appraiser.pascogov.�om� D RESTRICTIONS� The undersigned undersn�e sitned a'ss�umes esponsibilbry for:�compl a�e wth�any Np�{CE QF DEE ulations. The u 9 which r?�ay bc� nore restrictive than County reg appiicat�ie d�ed restrictions o be licensed in accordance with state and local regulations. If the NSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES. If the owner has hired -a-c°�nrraolation UNLICE be required be cited for a misdemean contractors ta undertake work, they may �aw, both the owner and contractor may � for the contractor is not licensed as required by o County Building Inspection Division--Licensing Section at 727-847- u nder state law If the owner or intended contract�or are uncertain.as to what licensing�requirements ma tractor s sign intended work, they are advised to contact the Pas ' ation for which�they will be responsible. If you, as1the o v 1e�esgn Pasco 8009 Furthermore, if the owner has hiredl'C contractor or contractors, he is advised to h�tt n e con g portions of the "con trac t o r B l o c k" o f t h i s a p P ro erl license d a n d i s n o t e n t i t l e d t o p e r 9 P contractor, that may be an indication that he is not p P y If valuation of work is $2;500.00 or more, I County. Chapter713, Florida Statutes,-as amended)� CONSTRUCTION LIEN LAW ( rovided with a copy of the "Florida Construction Lien Law—Homeowner's licant, have been p licant is someone certify that I, the aPP the Florida Department of Agriculture and Consumer Affairs. If the app� Protection Guide" prepared by of the above described document and promise in good faith to other than the"owner", I certify that I have obtained a copy " rior to commencement. that all the information in this application is accurate and deliver it to the"owner p construction, zoning and land CONTRACTOR'S10WNER'S AFFIDAVIT: � Ce��fi' licable laws regulati�g that all work will be done in compliance with all app velo ment. App�ication is hereby made to obfao 15 uance of a p t and'that'alltwork willdbe performed'to de P that no work or installation has commenced p��o County and City codes, zoning regulations, and lan meet standards of all laws regulating construction, that f understand that the regulations of other development regulations in the jurisdiction. I also certify govern ment agencies may apply to the intended work, and that it is my responsibility to identify whaf actions I must take to be in comp�iance. d that a separate permit may be required for electrical nor A GENT FOR THE OWNER, � promise in good faith to inform the owner of the permitting conditions set o�rt in If I am the A construction I understan 1�cat� this affidavit prior to commencing as, or other installations not specifically included in the app plumbing, signs, wells, pools, air conditioning, 9 I issuance of a permit prevent the Building Official froc�e invalid ed shall be construed to be a license to pro�ed with the work and not as authoriry to violate, c e ce, a er, or p e r m i t i s s u e r m i t i s s u e d s h a l l b set aside any provisions of t he tec h n i c a l c o d e s, n o r s h a ermi t i s c o m m e nced within six months of pe�h it�is�s k?s c o m m e n ced. Anhext nsion r e q u i r i n g a correction of errors in�ph ns, construction or violations of any co de time v e ry p unless the work authorized by s P eriod of six(6) months after the the permit is suspended or abandoned for a p from the Building Official for a period not to exceed ninety {90) days and will demonstra e may be requested, in writing, g0 consecutive days,the job is considered abandoned justifiable cause for the extension. If work ceases for ninety� ) T�CE OF COMMENCEMENT MAY RESULT IN YOUR WARNING TO OWNER: YOUR FAILURE TO RECORD A NO MENCEMENT. OR IMPROVEMENTS TO YOUR PROPER D�NG YOUR NOTI E O�BTAIN FINANCING, CONSULT PAYING TW�CE F RNEY BEFORE RECOR WITH YOUR LENDER OR AN � FLORIDAJURAT(F.S ��7•0 CONTRACTOR J affirmed)before me this OWNER OR AGENT Subscribed and swom to( Subscribed and swom to(or a ed)before me his by by Who is—lare personally known to me or ha asadentficztion• who is� e�a personally knovvn to ma°de b��o�roduced Notary Public Notary Public Commission No. Commission No Name of Notary tYPed,printed or stamped Name of Notary lyped.Printed or stamped