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Home My WebLink About13-14580 CITY OF ZEPHYRHILLS ' S335-8TH STREET �ais��so-oo20 14580 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 14580 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: 10/0�/2013 Name: GOLDEN CORRAL Total Fees: 25.00 Address: 6855 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 10/01/2013 Phone: (813)783-8969 Work Desc: FPM-QUARTERLY HOOD CLEANING FOR GOLDEN CORRAL ;��:�: �=� �� M:�: � �� T � � ��lJ�-�- ./�� _tJ-�- . �—,�s - �c� l�StG� �� .e�� / � �_��,� �3�/.� / i � � ��'� � � ,� `,`' /�� '' . ��-�'� �C� �� . �� i � ' �1,�' �--_---�-�� . � ;�" -�` ,.�_Y :G:` _ "'�_:�t�," _, � `K �;:,��_' "'` - � �. -��.y ina Chapter 633, Florida Statutes,authorizes the City to charge and aollect user fees to pay for the costs of fire prevention and protection related acdvities 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 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." .- . ,. 0., t 'i '�j�, �;r;, 'Y.: '�..�. , .<;..: ; -�z PERMIT OFFICER�` PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 "R �ai3aso-oo20 ` 1 `�� CityofZephyrhiilsFir�• Fax-e�saso-ao2� . � � PeRnit Application Date Received �� K .. Phone Contact for Pertnit �..�r.w,,..E�a ....�g.>.:��: Owners Name ANDERSON P Oumets Phone Number � �� Owner's Address 510LF M[J�Y Fee Simple TiUeholder Name TrHetiolder Phone Ntxrtber �� Fee Simpie?irieholderAddress �a�:�,- �: Job Address GOLDEN CORRAL 6855 GALL BLVD. Z� — Lot# �C� �l Sub Division ��e�# � � Bio-Hazard Waste Storage-ANNUAI � Fumigation Tent � Comm 6chaust Kitchen liood/puct a FlazaRious(Naterisl(Tier tl or RQ Facility)ANNUAL � ConUofled Bum � Hood lnstaqation aEmerge�cy Generator<30 kw � LP/Natural 6as-Installa8on � Emergency Generator>30 kw � LPMaturai Gas-ANNUAL Sale � Fira Protection Mairrte�ance-ANNUAL � Places of Assembly ANNUAL � ❑[� � � � . Sprinkier ❑ ❑ ❑ � a Recreationai Bum ❑ c� c� y�� Fre Alartn ❑ ❑ ❑ Sparklers Hood Cleaning �\dj ❑ ❑ C� � Sprinklsr System Installa ns�. � Hood Suppressio� � ,� ❑ ❑ � � StarulPiPes tSPrsnkler Sys) `�5 � Fre Alartn Installation � Tor�h Roofinglfar Kettle �J � , � 3�/ Fre Pum s � �� P � Waste Tire Storage ANNUAL � _ Rre works �) /� Flammable qpplic�tio�-ANNUAL v � � � Valuation of Fuel Tanks Q Other. � Cor�tr-actor Co��Y . Signature Registered Y/N Fee Ce�rrent Y/N Address License# ELECTRICIAN Company sigrrature Registered Y/N Fee Cument Y/N �� License# PLUMBER ��y S'9"ature _ Registered Y/N Fee cumsnt Y/N Address . License# MECHANICAL �m�rn Signature Registered Y/N Fee CurreM Y/N Addtess License# OTHER Company Signaa,re Reyistered Y!N Fee currern Y/N Addrass License# DirecUons: - Fill out application completely. Owner&Corrtractnr sign back of ePP�ication,notarized{Or.cnpy of signed contract with owner) H wer$2500,a Notice of Commencement is raquired.(Mechanicai worlc over$5000) supp�y two(2)sets or drawings wia,app{ioable documerrtation Allow 10.'14 days for re�riew after submittal date. Parcel#-obtained ftom Properly Tax Notice(hUpJ/appraiser.pascogov.com) NOTiCE OF DEED RESTRICTIONS: The unclersigned understands#hat this �it may be subject to"deed"res#rictions" whfch may be more restrictiYe than Coun#y regu)ations. The undersigned assumes responsibility for compliance with any applicabie deed rest�ictions. UNLICENSED CONTRACTORS APID CONTRACTOR RESPONSIBlL1TIES: tf the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and focai regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violati�on undsr s#ate law. if tMe owner or irrtended contractor are uncertain as to what licensing reyuirements may appiy for the intended work,#hey are advised to contaci the Pasco County Building Inspection Divisiotr--Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or coratractors, he is advised to have th� contractor(s) sign portions of the "contractor Bloc�c" af this application for which they wili be responsible. If you, as the owner sign as ffie contractor, that may be an indication tlrat fie is not properiy iicensed and is r�t entiNed to permitting privileges in Pasco County. � CONSTRUCTiON UEN LAW(Chapter 713, Fiorida Statutes,as amendedj: If vatuation of work is $2,500.U0 or more, I cerEify that 1, #he applicant, have been provided with a copy of the `Ftorida Construcfion Lien Law—f-lomeowner's Protection Guide" prepared by fhe Florida Department of Agriculture and Consumer Affairs. ff the applicant is someone other than#he'ow�r", 1 certify that I have obtained a copy o#the above describeii document and promise in good faith to deliver it to the°owrter"prior to commencement. - CONTRACTOR'S10YVNER'S AFFIDAVIT: I certify that ail the inforrr�ation in this application is accurate and thaf all work wil� be done in compliance with all applicab'le. taws regulating construction, zoning and land deveiopmerrt. Appfic�ation is hereby made to obtain a permit tv do work and ins#aUation as indicated. 1 certify that no work or ins#aNation has carnmenced prior ta issuance of a permi#and that aii work w�t be per�ormed to meet standards of all laws reguia#ing construcfion, County and City codes. Zoning regulations, and iand devetopment regula#ions in the jurisdiction. i aiso certify tha# 1 understand that the regula#rons of other �govemmen#agencies may apply ta the in#ended work, and that it is my responsibility to identiffy wMat actions 1 :must take to be in comptiance. tf I am the AGENT F�R THE OWNER, i promise in good faith to iriform the owner of tfie permitting conditions set forth in this affidavit prior to commencing construction. ! understand that a separate permit may be required for electricai work, plumbirag, signs, weils, poois, au condi#ioning, gas, or o#her fistaliations not s�ecifically inciuded in the appl'ication. A permi#issusd sha11 be consfrued#o be a license#o proceed with the work and not as authortty to vialate, �ancel, alter, or set aside any provisions of the technical codes, nor sha11 issuance of a permit prevent the Building Officiai from thereafter requiring a coRection of errors in plans, construction or viola#ions of any codes. Every permi#issued shati become invalid uniess the inrorlc aut�to�zed by such permit is commenced withic�si�c montt�s of permit issuance, or i#work a�thflrized by the permit is suspended or abandoned for a period of soc(B)months after#he time the work is commen�d. An sxtension may be reques#ed, in writing, from #he Building Official far a period not to exceed ninety(90) days and will demonstra#e justfiable cause for the extension. !f wwk c�ases for ninety(90)consecutive days, the j�b is considered abaruioned. WARNlNG�TO OWNER: YOUR FAiLURE TO RECORD A NOTICE Of C�MMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR lMPROVEMENTS TO YOUR PR�PERTY. 1F YOU 1AITEND TO OBTAIN FINANCiNG,CONSULT �YOUR LENDER OR AN ATTORNEY BEFORE REC N YOUR E OF COMMENCEMENT. .,,, FLORtDA JURAT(F.S.117.03) ��l� , ��. OWNER OR AGENT CONTRACT�R= � "�. - j Substxibed snd swam to(or aflirtned)betore me ttus Subscribed sw�trtto(or a ed)before me this - --- by Who is/are perso�aly known�me or haslhave produc�d Who is/are persor�raily��me or t�slMave praiuced as identification. ��d�p��. , �� Notary Pubiic , Notary Pubf�c Comrr�ission iJo. Commission Plo. I Name of Notary iyped.p�or stamped Name of Notary typed,Pririted or stamped 1 I � � I I .< �