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Home My WebLink About13-14041 CITY OF ZEPHYRHILLS � . , 5335-8TH STREET .. (si3)�so-oo20 4041 ANNUAL FIRE PROTECTION MAINTENANCE q ,�. ti��;.�, Permit Number: 14041 Address: 5734 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: 11-26-21-0010-2600-0250 Improv. Cost: ....µ ;:;�. e�� ,��; Date Issued: 3/29/2013 Name: MAGNUSON HOTEL Total Fees: 25.00 Address: 5734 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 3/29/2013 Phone: (813)782-5527 Work Desc: FPM- FIRE ALARM ANNUAL-MAGNUSON HOTEL �;.,: ; �„.. �;��, ,r� „�, ,ah��a_, �;�+.,9�" � I 5. � �/ ('� � � �(�.-(_3 � � ,- � � ;� x ��„ 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 ai�-�eaoo2o City of Zephyrhilis Fire Fax-e�3a8°'°°2� Permit Application Dete Rfloeived ' - Phone Cont�t for Permit � r_� �� Owners Name QI dt�'� Ownera Phone Number � � Owners Address q�r 1� Ze /`� • ` �L Fee Simple TitlehWder Name Titleholder Phone Number � � �� Fee Simple Titlehdder Addtess Job Address 1 C� I �I� �� '� " Lot# C� Sub Division Pa�el# o Bio-Hazard Waste Storage-ANNUAL � Fumigation Terrt Q Comm E�diaust Kitcrien Hood/DuCt a Hazardous Material(Tier II or RQ Facility)ANNUAL Q Cor►trWlCd Bum a Hood Instedlation oEmergency Generatpr<30 kw Q LPMatur�Gas-Installatlon n Emergenc�,Generator>30 kw � LPMahuet Gas-ANNUAL Saie �� Fire ProteClion Maintenance-ANNUAI � � Placea o(Assembly-ANNUAL � �_�'.J� Sprinkler � ❑ 0 ❑ � Rea�eati0nal Bum ,//1� � Fire Alertn � ❑ � � � 5�� / r _ Hood Cleaning � � ❑ O � Sprinkbr Sysiem Installations Hood Suppression � ❑ ❑ ❑ � Standpipes(Sprinkler Sys) � Fire Alartn Instatlation � Tach RoofingfTar Ketde Fire Pumps � Waste Tire Storage APpdUAL Fire Works Flammable AppficaGOn-N�IUAL �� Valuation of Project Fuei Tanks Q Other: cawaaa �"'c'a"y 5�� Registered Y!N Fee Cument Y/N Address LiCense# ELECTRlCIAN C��y � « Signature � a Re9iistered Y/N Fee Current Y/N Address ��# PLUMBER Company Signature Registered Y/N Fee Curtent Y/N Address LiCense# MECHANICAL COm��Y Signawre Registered Y/N Fee Curtent Y/N Address LicenSe# OTHER Company signature RegisEered Y/N Fee CurreM Y/N Address License# Direc�fOns: FII out application cornpietelY. Owner 8 C�b�ctor sign back of application,nosarized(Or.copy of signed conVact with owne� tF over$2500.e Notice of COmmenCement is required(MeCheniCai wotic over S500U) Supply two(�sets of drawings with applicable documentaUo� Allow 10-14 days tor review after wbmitt�date. Parcel#-obtained from Property Tax Notic�(hQpJ/appraiser.pascogov.Can) NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: 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 �equired 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 Building Inspection Division—Licensing Section at 727-847- 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 application 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 privileges in Pasco County. CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is$2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide° prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the"owne�', I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owne�'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 land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating 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 govemment agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. 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 perrnit 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 ninety (90) days and will demonstrate just�able cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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 RECORDING YOUR NOTICE OF COMMENCEMENT FLORIDA JURAT(F.S. 117.03) OWNER OR AGENT CONTRACTOR �� Subscribed and swom to(or affirmed)before me this ubscribed and swo� o(or affirtned)before me this br �a9-i3 by � {?uss� ll Who is/are personally known to me or haslhave produced Who islare personally known to me or has/have produoed as identification. FIov1 dw..�r�Vers L.i c.ec�sr _ as identification. Notary Public Notary Public Commission No. mission No. � � ��'{'S cp o�� 72 v�►-��►�'e.r �d d-e i/ Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped .•..�...... .`�"�;. JEI�M�IFERRADDER . �:. MY COA�MISStON A EE 145629 � ' EXPIRES:Novamber 13,2015 %>,;pf fl,•• ` Bonded Thru Nofiry PudiC Unde�wrRers