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Home My WebLink About13-14230 � CITY OF ZEPHYRHILLS 5335-8111 STREET .' :� r° (si3)�so-oo20 14 ANNUAL FIRE PROTECTION MAINTENANCE r Permit Number: 14230 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: 5/28/2013 Name: GOLDEN CORRAL Total Fees: 25.00 Address: 6855 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 5/28/2013 Phone: (813)783-8969 Work Desc: FPM- HOOD CLEAN QUARTERLY- GOLDEN CORRAL 5. , �,,1 S� �_, ,�(_ ( � , ; 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 acdvities such as inspections, plan review,administrative fees,and other wsts 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 RESU�.T 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." �~ � , , ,.. ��•�� PERMIT OFFICE PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION -8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 s�3aaaoo2o City of Zephyrhills-Firs• FaX-s�aaso-oo2� Pertnit App(ication Date Received � , • �,_�=�.�0..... . , .�^ . ,y _ Phone Contact for Permit M�,�_�� ._ ..��s.;�c�.�°�-w�;�:�:�-�:.,—�s�zc.�a^.:��-��.. �.� �� _ Ovmers Name ANDERSON PRES Owner's Phone Number � � � Owner's Address 51QLF M(JgRAY Fee Simple Titleholder Name TiHeholder Phone Number C� C� � Fee Simple Titleholder Address � .-M:�.�<- ,;, ",��=�c . ... ..>.. . _ r . . .....z x. .s_ ....,y.....,._ ._.._.. ... ..,__. _. s.: < >�': °�l��°,+R�'.. .a, z.� ,."�n".;:��'� �.s�s��'�.`:4�:<<'�:.__;:`�'�'-��.;a::,�' Job Address GOLDEN CORR.AL 6855 GAI,L BLVD. Z��n,� — Lot# �� Sub Division Par�el# _ --�>�---�:.,,,... ..:�� .�, �• - :�_�.u.��wa�'��tas�:.:��•°�r - .;_...:..< ��;.�::��=-�r.:��;�N-.-,£�-, � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent � Comm F�chaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL � Controlled Bum � Hood Installation � Eme►gency Generator<30 kw � LPMatural Gas-Installadon t� � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale , � �Z�v � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL r� �y emi �n er Sprinkler � ❑ ❑ ❑ � � Recreationai Bum Fire Atarm � ❑ ❑ ❑ � � Sparklers Hood Cleaning � ❑ ❑ p � � Sprinkler System Installations Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) � Fire Alartn Installation � Torch RoofinglTar Kettle Fire Pumps � Waste Tire Storage ANNUAL Fire Works Flammable Appiica6on-ANNUAL Valuation af Project Fuel Tanks Q Other: .:_<_::�:`.�..."�r^°'K ----r,.�_�_�:� ��ia�i.�b< .__ .:� ,ti=i ..�� Contractor Comparty Signature Registered Y/N Fee Current Y/N Address License# ELECTRICIAN Company Signature Registered Y/N Fee Current Y/N Address License# PLUMBER Company Signature Registered Y/N Fee Current Y/N Address License# MECHANICAL Company Signature Registered Y/N Fee Current Y/N Address License# OTHER Company S'9^ature Registerad Y/N Fee Current Y/N Address License# , _ ,m. . ..,,�.. .z � . .. . ... -ti36_nY��._—�..._:.....,.. . . '_"_�_. , � „ D�rections: _ _ �:.-.;.:..::�;.�- .�_,�.� ..�.,�,...:.�.�.: - ° Fill out application completety. Owner 8 Cotrhactor sign back of application,notarized(Or,copy of signed contract wfth ovmer) If over$2500,a Notice of Commencemetrt is required(Mechanical work over$5000] Supply two(2)sets of drawings wifh applicable documerrtation Ailow'10.14 days for review after submittai date. Parcel#-obtained from Property Tax Notice(htlpJ/appraiser.pascogov.com) NOTICE OF DEED RESTR1CT10NS: The undersigned understands that this permit may be subject to"deed"restrictions° which may be more restrictive fhan County regulations. The undersigned assumes responsibility for compiiance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undartake work, they may be required to be licensed in accordance with state and local regulations. If the conhactor 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 appiy for the intended work, they are advised to contac#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 #o 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 contrac#or, that may be an indication that he is not properly licensed and is not entitled #o permitting privileges in Pasco County. � CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutss, as amended): If valuation of work is $2,500.00 or more, I certify that 1, the applicant, have been provided with a copy of the °Fiorida Construction Lien Law—Homeowners Protection Guide° prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone ottier than the"owner°, I certify#hat 1 have obtained a copy of the above described document and promise in good faith to deliver it to the"owner" prior to commencement. - CONTRACTOR'SlOWNER'S AFFIDAVIT: i certify that all the informabon in this application is accurate and that ail work will be done in compliance with all appiicab'le laws regutating construction, zoning and land development. Appiication is hereby made to obtain a permit to do work and instailation as indicated, I certify that no work or installation has commenced prior to issuance of a permit and that all work wili be perFvrmed to meet standards of all laws regulafing construction, County and City codes, zoning reguiations, and land development regulations in the jurisdiction. i also certify that ! understand that the regulations of other �government 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 fhe owner of the permitting conditions set fvrth in this affidavit prior to commencing construction. 1 understand that a separate permit may be required for electrical work, plumbing, signs, weils, pools, air condi#ioning, 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 authvrity to violate, cancel, alter, or set aside any provisions of#he technical codes, nor shatl 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 shaH become invalid unless #he inroric 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 ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned. lll(ARNINGITO OWNER: YOUR FAILURE TO RECORD A NOTfCE OF COMMENCEMENT MAY RESULT IN YOUR PAYIN(�TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU iNTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N�TICE OF COMMENCEAAENT ,� FLORIDA JURAT(F.S.117.03) ��r ��°py _ �r�"�/y �ll . y � � 'y�,�°J M�w , . nc��:" i'�� . P�^??_rti 1• Fi:. rf ��".'l OWNER OR AGENT CONTRACTOR_ .:��:.�,,� � �..�..�.-� , - = Subscribed and swom to(or affirmed)before me tMis Subscribed and sworrt to(or aifirmed)before me this by � Who is/are pe►sonally knovm to me or has/have produced Who is/are personatly known to me or hasRiave produced as ideMffica6on. as identifiption. Notary Public . Notary Public Commission tJo. Commisssion No. Name of Notary typed,printed or stam ed , P Name of Notary typed,printed or stamped I I I I