HomeMy WebLinkAbout13-14298 CITY OF ZEPHYRHILLS
5335-8TH STREET
' ' (si3)�so-oo20 14298
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 14298 Address: 7909 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: 34-25-21-0010-00100-0000
Improv. Cost:
Date Issued: 6/19/2013 Name: RUBY TUESDAY RESTAURANT
Total Fees: 25.00 Address: 7909 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/19/2013 Phone:
Work Desc: FPM- SUPPRESSION SEMI- RUBY TUESDAY
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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
wsts related to the aforementioned.
Compiete 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 RECORDING YOUR NOTICE
OF COMMENCEMENT."
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PERMIT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
s��-�eaoo2o City of Zephyrfiilis Fire Fax-s��-�so-oo2�
' " Permit Application
ate Received 6/18/2 013 Phone CoMact for Pertnit 3 5 2 7 3 2 5 3 2 6
wner's Name RT TAMPA FRANCHISE LP ATTN TAX&LIC DEPT �ers Phone Number �� C� �
�,ers nde.�ss 15 0 W CHURCH AVE MARYV I LLE TN 3 7 8 O 1-4 9 3 6
�e Simple Titleholder Name NA TlUeholder Phone Number C] C� C�
ae Simple Tttfeholder Address
�b Address 7 9 0 9 GALL BLVD (��
Lot# L_J
.�bDivision ZEPHYRHILLS COLONY COMP Y ���# 34-25-21-0010-00100-0000
a Bfo-Hazard Waste Storage-ANNUAL � FumigaUon Tent
� Comm Exhaust Kitchen Hood/Duct � Flazardous Material Rer II or R�Facilitya ANNUAL
� ControNed Bum � Hood Insfellation
� Emergency Generatw<30 kw � LP/Natural Gas-Installation
� Emergmncy Generator>30 kw � LPMatural Gas-ANNUAL SaN
� Fire Protection Mair»enanee-ANNUAL � Plaeas of Assembly-ANNUAL
❑� emi � er �
Sprinkler L! ❑ ❑ Reereational Bum �� �
Fire Alarm � ❑ ❑ ❑ � � SPerklers �
Hood Clearnng � p O ❑ � � SpriMcler System installatlons �
Hood Supprossion a ❑ �[ ❑ � � ��pp�(Sprinkler Sys)
� Fire Alartn Installation � Toreh Roofinp/Tar Kettle
Fire Pixnps � Waate Tire Storage ANNUAL
Fire Works �'�g ��
Flammable Application-ANNUAL
Valuation of Project
Fuel Tanks
Q Other.
'"��D� Compa�y AMERICAN FIRE & SAFETY SUPPLY
gnecure Registered Y/N Fee Currsnt Y/N
Address 953 NE OSCEOLA AVE STE 100 OCALA FL License# 06461500021985
.ECTRICEAN NA Company
gnature � Regtatered Y/N Fee Cumsnt Y/N
Address License#
_UMBER
�� NA C°mw"y
Regiatered Y/N Fee Currord Y/N
Add�ess License#
ECHANICA r--
NA c°"'Aa"y `
�nature Registered Y/N Fee Cunent Y/N
Address License i�
rHER NA c°'"pa"y --�
��°�° Regtsterod f Y�N I Fee CurtsM Y/N
Address
License#
rections:
FII out application completely
Owner 6 Contraclor sipn back oi appkication,notar¢ed(Or,copy oi signed contract with owner)
tf over S25p0,a Notice of Comm�encement ts roquirod(Mechanical work over 55000)
Supply two(2)sets oT dr�wings v,�th applicable documentation
Allow 1a14 days tor review after submittal date. Pa�el#-obtainad from Property Tax NoNce(hppJ/appraiser.pascogov,com)
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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 corripliance 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 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 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 entitied 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. tf the applicant is someone
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 AFFIDAVR: 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 permi#to do work and instaAation as indicated. I certify
that no work or installation has commenced prior to issuance af 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 afso certify that I understand that the regulations of other
government agencies may apply to the intended work, and that it is my responsibitity 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 a�davit 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
uniess the work 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.
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 OSTAIN FINANCING,CONSULT
WITH YOUR L NDER OR AN ATTORNEY BEFORE RECORDING YOUR N F COMMENCEMENT.
FIORIDA JURAT(F.S. 117.03)
OWNER OR AGENT CONTRACTO �
Subscribed and swom to(or affirmed)before me this S bscri an swom (or afflRned) re thi��
by
< by
Who is/are personally known to me or has/have produced Who is/are personally novm t me a slhave produced{
as identification. as identfication.
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Notary Public -� _ Notary Public
Commissbn No. �.._-gommisslon No.
o*�Y►��Ja mes Feathers ,
Name of Notary typed,printed or stampad Name of Notary typed,printed ar • '
q�'oF N Expires Sept. 17,2p16 i
Notary Public,State of Florida
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