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Home My WebLink About13-14021 • CITY OF ZEPHYRHILLS 5335-8TH SIREET (si3)�so-oozo 14� ANNUAL FIRE PROTECTION MAINTENANCE 'f Permit Number: 14021 Address: 5327 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: 11-26-21-0010-13300-0010 Improv. Cost: Date Issued: 3/25/2013 Name: THE COUNTRY KITCHEN ON 301 Total Fees: 25.00 Address: 5327 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 3/25/2013 Phone: Work Desc: FPM- SUPPRESSION ANNUAL-ABBOTT STATION � � � �l V � -(� - �� ,� 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 pertormed 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�020 Ci of Ze h rhills Fire H p Y Fax-813-780.0021 Permit Application Date Received � 2 5-�� Phone Contact for Pertnit �/3 �"y"96 a�.-,«,�,-,,.... ... -�aa�-.:. �a��.�.�.:.�..�er.��-�.�..r=:�.� �.��n.�.��=�:H,�K-. Owner's Name o ,�j {�`��' Owner's Phone Number �'� Zl y77 Sj�,� Oumer's Address s-3�� C / �fj L-� � ' u (l �/ Fee Simple Titlehoider Name Titleholder Phone Number � � �� Fee Simple Titleholder Address K� _,. - .,. �� _ - .��.•a�G... _, � - - �=axr.eg€> _ '� Job Address �z G�-- � Lot# Sub Division Parcel# �° � � � ,�. .,�..;..:-��-�«� � � . . „�,; �;�:��=�!a,.�:3w,..-s ..�r�s;.�s. .-� . ��-_�ze�. e��'�r-��: :�.-�rss��_.�'_+;:�:,�^�-:�.-:s,.a�s�*�:.�^°>.,;�- ..�,-w.:��*�.,3��n�?�r,. a Bio-Hazard Waste Storage-ANNUAL a Fumigation Tent a Comm Exhaust Kitchen Hood/Duct a Hazardous Material(Tier II or RQ Facility)ANNUAL � Controlled Bum � Hood Installation � Emergency Generator<30 kw � LP/Natural Gas-Instaliation � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL ❑�y emi �n er I� ///J, �j / � ❑ ��T� Sprinkler ❑ ❑ ❑ Recreational Bum � Fire Alarm � ❑ ❑ ❑ � � Sparklers Hood Cleaning � ❑ p O � � Sprinkler System Installations �� /'�� / Hood Suppression � ❑ p � � � Standpipes(Sprinkler Sys) � Fire Alarm Installation � Torch Roofing/Tar Kettle � Fire Pumps � Waste Tire Storage ANNUAL � Fire Works � Flammable Application-ANNUAL aValuation of Project Fuel Tanks Q Other: �. ,<�.:�. ,.....,-e �u:.�,a>-,-,�. �� _�,� _ ._ .. ,_��-,�,�rir�. ��.- .. � � Contractor � Com an Signature ��'�-'""'' �,c�� P y �/'< <'y4!�'�e�l�- Registered N Fee Current Y/N Address , �,7, U'lU � ��d U'C Cc l�; 3�f G 3� License# ELECTRICIAN Company Signature Registered Y/N Fee Current Y/N Address License# PLUMBER Signature Company Registered Y/N Fee Current Y/N Address License# MECHANICAL 5ignature Company Registered Y/N Fee Current Y/N Address License# �THER iignature Company Registered Y/N Fee Current Y/N Address , License# )irections: Fill out application completely. Owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner) If 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 aker submittal date. Parcel#-obtained from Property Tax Notice(http:!lappraiser.pascogov.com) NOTICE OF DEED RESTRICTIONS unt re ulat ons. The undersign d a's umes spons bilty for compl a'nce w th any w hic h m a y b e m o r e r e s t r i c t i v e t h a n C o y 9 applicable deed restrictions. UNL I C E N S E D C O N T R A C T O Rhe AN,D bONeq�►ed o be E enOsedSiBac'coEdance t h s a te a d l o c a le e g u l a t i o nr sc I frthe contractors to undertake wor , y Y contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor�vif�lat�he under state law. If the o�v sed to conaact the Pasc�o Cou ty BuadingSlnspection D v s onreL ce s ngtSect on ap 27-847- intended work, they are a 8009. Furthermore, if the owner f{hi haedlicationtfortwh ch theyrwill be espo s bleelftyouaas the owntea sign asSthe portions of the "contractor Block o pp contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in asco County. CONSTRUCTION LIEN LAW(Chap�een 13 ovided wsh a tcopy of rthe aF o)rida Construct on L en L aw00Homeowner's certify that I, the applicant, have P licant is someone Protection Guide" preparedrti y that I Ihave obta ned ancopy of Ithetabove d scr bed docum'ent and prompse in good faith to other than the"owner , I ce fy deliver it to the"owner" prior to commencement. CONTRACTOR'SIOWNER'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 land development. Application is s comymenced pror to ssuanc1e of a perm a d Ithat lalltwork wil tlbe performed Ito that no work or installation ha meet standards of all laws regulating construction, County and City codes, zoning regulations, and lan development regulations in the �O�t e10ntended workcand that'i is myeespo s bility toeiden fy what act otns I government agencies may app y must take to be in compliance. If I am the AGENT FOR THE OWNE�R tr ction1Se lu de�stanld thatna�s pahat permit may be r q u ed for Ielectr cal work this affidavit prior to commencing c plumbing, signs, wells, pools, air co e a1OCe se to p oceed with thle twork and not afs au�t or'ty ao violateecancelaa'I�ter, or permit issued shall be construed to b set aside any provisions of the'ncha Sa�c°nse�uct onSOafviolations of any cod sprEverytperm t iss ed shall be ome in al'd requiring a correction of errors p , unless the work authorized by such P�efo�a�Se d of six(6) mhonths after the timeethe workas commenced An exte sion the permit is suspended or abandone P may be requested, in writing, from i hWO k aelases�fforini ety(90)rconsecutive days, the job isOcons de ed bal donedstra e justifiable cause for the extension. WARNING TO OWNER: YOUR FAILS TO YOUR PROPERTY TIF YOU NTOEND TO OBTAINnF NANC NG CONSULT PAYING TWICE FOR IMPROVEMENT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S. 117.03) CONTRACTOR OWNER OR AGENT Subscribed and swom to(or affirmed)before me this Subscribed and swom to(or affirmed)before me this bY bY Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced as identification. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped