HomeMy WebLinkAbout13-14737 � CITY OF ZEPHYRHILLS
� 5335-8TH STREET
(sis)�so-oozo 14737 I
ANNUAL FIRE PROTECTION MAINTENANCE
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Permit Number: 14737 Address: 7833 GALL BLVD
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book:
Proposed Use: COMMERCIAL Lot s :
Square Feet: � � Block: Section:
Est. Value: Subdivision: CITY OF ZEPHYRHILLS
Improv. Cost: Parcel Number:
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Date Issued: 11/15/2013 q Name: BEEF O BRADY'S
Total Fees: 25.00 Address: 7833 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/15/2013 Phone:
Work Desc: FPM-ANNUAL HOOD SUPPRESSION FOR BEEF O' BRADY'S
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Chapter 633, Florida Statutes,authorizes the City to charge and collect user fees to pay for the oosts 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 rnmmercial activity without an a
inspection shall be charged double permit fee pproved final
per day of operation or a minimum of$100.00, whichever is greater. All
work shail be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE
OF COMMENCEMENT."
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PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION OFFICER-' `
CALL FOR INSPECTION - 8 NOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
813-780-0020 City of Zephyrhills Fire
Permit Application Fax-813-780-0021
3te Received
Phone Contact for Pertnit �� 78 p ."��
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wner's Name �` � � � ��
Owners Phone Number
ovners Address ��33 �Ta\� �V a �,� ,3,�s��
:e Simple Titleholder Name � �� ��
Titleholder Phone Number L�
ae Simple Titieholder Address
�b Address Q
�b Division
Lot# ��
, . Parcel#
� Bio-Hazard Waste Storege-ANNUAL a � � '"
� Fumigation Tent
Comm Euhaust Kitchen Hood/Duct
� � Hazardous Material(Tier II or RQ Facility)ANNUAL
Controlled Bum
� Hood Instailatfon
Emergency Generator<30 kw a
� LP/Natural Gas-Installation _
� Emergency Generetor>30 kw a LP/Natural Gas-ANNUAL Sale
Fire Protection Maintenance-ANNUAL � �`'f' \'�
Places of Assembly-ANNUAL r `
❑ _r y emi � er ❑ �
Sprinkler � � � �
❑ Recreational Bum ��
Fire Alartn O ❑ ❑ � � Sparklers % %�
Hood Cleaning � � ❑ �
� � Sprinkler System Installations /
Hood Suppression � p � yr � �
� �°�! Standpipes(Sprinkler Sys)
Fire Alartn Installation �
� Torch Rooflng/Tar Kettle
Fire Pumps �
� Waste Tire Storage ANNUAL
Fire Works
� Flammable Application-ANNUAL
a Fuel Tanks Valuation of Project
[] Other.
ntractor . _
nature Company '�'; � �.(� �R� `
Address o o g$ , , 3
Registered Y/N Fee Current Y/N
:CTRICiAN 6 3 License#
�atu►e Company
Address Registered Y/N Fee Current Y/N
IMBER License# �—
iature Company
Add►ess
Registered Y/N Fee Current Y/N
:HANICA
License#
ature Company
Address Registered Y/N Fee Current Y/N
ER License# r�
�ture Company
Address Registered Y/N Fee Current Y/N
tions: License#
Fill out application completely.
Owner&Contractor sign back ot appiication,notarized(Or,copy of signed contract wlth owner)
If over$2500,a Notice of Commencement is required(Mechanical work over$5000)
Supply two(2)sets of drawings with applicabie documentation
Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice h //a raiser.pascogov.com)
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NOTICE OF DEED RESTRICTIONS T n� �e ulations. The undersig ed alssumes responsi�i�ty for compl a'nce w th any
w hic h m a y b e m o r e r e s t r i c t i v e t h a n C o u y 9
applicable deed restrictions
UNLICENSED CO N T R A C�T O RheANIDy ON q�►ed oRbe E enOsedS!Bac'coEdance.th s ate and oca leegu la tionrsc Ifrthe
contractors to undertake w , Y
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor vif atthe
under state law If the owner o toncont�act the Pasco County BuadingSlnspection'D v sI on reL cens ngtSect on at 27-847-
intended work, they are advised
8009 Furthermore, if the ownerof his aedlicationtfor which theyrwill�be respo s blee�lftyouaas the owntea sign as the
portions of the "contractor Block pP
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in asco
County. If valuation of work is$2,500.00 or more, I
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended):
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared�bY that I Ihave obta ned anc py of Ithetabove d scr bed documlent and prompse ntgood a th to
o t h e r t h a n t h e "o w n e r", I c e f y
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 � he ebplmade oltobtain a permit to do wo kuand g tallatontas indicateda I certfy
development. Application is Y
that no work or installatio�sa eCU at nenconstructions County a d Citytcodeshazonli g regulat ons,andeand
meet standards of all la g 9
development regulations i a the �o�t elCnitended workCand that't is myeespons bility toeiden ifytwhat act ons I
government agencies may pp y
must take to be in compliance.
If I am the AGENT FOR THE OWNER,tructionise �u de�stan'd that a�separat permit may be r q g d for lelectr ct I work,
this affidavit prior to commencing con
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to bcal codesenor shale ssualncehof a pe mitprevent thehBu ding IOff�cal from thereafter
set aside any provisions of the techn
requiring a correction of errors in plans, �o'{SSrC t�°mencedl within s zamonths of perm t p sr a'nce, o tlif wolrk authorized by
un les s t h e w o r k a u t h o r i z e d b y s u c h p e r
the permit is suspended or abandoned Bui dlnerio�c al fo6a per ohd ot to ex tceed tn nety r(90) days and will demo strate
may be requested, in writing, from the 9
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandone .
WARNING TO OWNER: YOUR FAILURO OUR PROPERTY TIF YOU NTOEND TO BTAIN FIANANCSNG, CONSULT
PAYING TWICE FOR IMPROVEMENTS T
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 swom to(or affirmed)before me this --by
bY Who is/are personally known to me or has/Mave produced
Who is— /are personally known to me or has/have produced as identification
as identification.
Notary Public
Notary Public
Commission No.
Commission No.
Name of Notary typed,Pnnted or stamped
Name of Notary ryped,printed or stamped