Loading...
HomeMy WebLinkAbout13-14239 ` CITY OF ZEPHYRHILLS 5335-8TH STREET (sis)�so-oozo 14239 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 14239 Address: 7254 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: Improv. Cost: Date Issued: 5/31/2013 Name: HAUNG, JAMES Total Fees: 25.00 Address: 7254 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 5/31/2013 Phone: Work Desc: FPM- SEMI ANNUAL HOOD SUPRESSION FOR CHINA WOK � . �" i � � ��J �� � � 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,administradve 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 Ciry 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 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�3��so-oozo Crty ofZephyrhills"Fir:e�- Fax-aisasaooz� Permit Application Date Received =- Phone Contact for Pertnit � ;� Owner's Name L(f(� Owners Phone Number � �� � Owner's Address Fee SimpleTitleholder Name Titlehotder Phone Number � � � Fee Simple Titleholder Address �---�-� JobAddress G f� (f Lot# y � 5ub Division Paroel# � Bio-Hazard Waste 5torage-ANNUAL � Fumigation Tent �'""�- � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(l'ier II or RQ Facility) NUAL �� � Controlled Bum � Hood Installation ���.� Emergency Generator<30 kw LP/Natural Gas-Installation � Emergency Generetor>30 kw � LP/Natural Gas-ANNUAL Sale � �i � Fire Protection Maintenance-ANNUAL � �� Places of Assembly-ANNUAL ❑� em� � er 5prinkler ❑ ❑ L7 � � Recreational Bum J �� Fire Alartn � ❑ ❑ ❑ � � Sparklers � / �� _Y_... Hood Cleaning � ❑ ❑ ❑ � � 5prinkler8ystem Installations� Hood 5uppression ❑ O Standpipes(Sprinkler Sys) � Fire Alartn InstallaUon � Torch Roofingll'ar Kettle Fire Pumps � Waste Tire 5torage ANNUAL Fire Works Flammable Application-ANNUAL Valuation of Project Fuel Tanks QOther: Contractor Company 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 5ignature - Registered I Y�N I Fee Current Y/N Address License# OTHER � �� Company Signature ! %" _ Registered / Fee Current Y/N Address _ License# Directions: - Fiil out appiication completely. Owner 8 Contractor sign back of applicafion,notar¢ed(Or,copy of signed contract with owner) If over$2500,a Notice of Commencement is required.(Mechanical work over$5D00) Supply two(2)sets of drawings with applicab{e documentation Allow 10-14 days for review after submittal date. Parcel#-obtained frvm Property Tax Notice(httpJlappraiser.pascogov.com) NOTICE OF DEED RESTRICTIONS: unt re ulatgon s The undersig ed a'ssumes resp nsibiity for compl ance tw th any which may be more restrictive than Co y 9 applicable deed restrictions. UNLICENSED CONTRACTORSeAN,D bON qRAea�Rbe E ePOedS!Ba�I�oEdancef th s ate a d localeregulati nsc Ifrthe contractors to undertake wo , y Y contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanorlV'fortthe under state law. If the owner or intended contractor are uncertain as to what licensing requirements may app y intended work, they are advised to has hi edea contractor torg ontractorsp hel�s advised to'ha e' t�he contractor(s)s g� 8 0 0 9. F u rt h e r m o r e, i f t h e o w n e r portions of the "contractor Block"t ofn that hel is n'ot p�operly I censedl land is not en ttled t perm tting prv leges gn Pasco c o n t r a c t o r, t h a t m a y b e a n i n d i c a County. CONSTRUCTION LIEN LAW ha he pbeen 1provided wSh a tcopy of he�F o)rida Construct on L en Lawo�Homeowner's certify that I, the applican , licant is someone Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. tf the app' 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'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 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 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,tructionise iu derstan'd that a�sepah at permit may be req u ed for lelectr ct I work, this affidavit prior to commencing co plumbing, signs, wells, pools, air cond'a►oCe nse to p oceedewith the work and not alscault or'ty to violateecanclelaallter, or permit issued shall be construed to be set aside any provisions of the technicalconstruct onsoalviolations of any codesprE erytperm t iss ed shall be ome invatl d requiring a correction of errors in plans, unless the work authorized by Sdonedefor�alpe od of six (6) mhonths after t e timeethe workas commenced Anhextension the permit is suspended or aban may be requested, in writing, from f Work'cela es�ffor1ninety(90)rc nsecutive days, theeob iso ons de ed abal donedstra e justifiable cause for the extension. WARNING TO OWNER: YOUR FAILU TO YOUR PROPERTY TIF YOU INTOEND TO OBTA N FIANANC NG CONSULT PAYING TWICE FOR IMPROVEMENTS 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 affirtned)before me this Subscribed and sworn to(or affirmed)before me this by bY Who is%are personally known to me or has/have produced Who islare 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