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Home My WebLink About14-14888 CITY OF ZEPHYRHILLS � 5335-8TH STREET 14 (813)780-0020 ' ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 14888 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: 1/10/2014 Name: GOLDEN CORRAL Total Fees: 25.00 Address: 6855 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 1/10/2014 Phone: (813)783-8969 Work Desc: FPM- HOOD CLEANING QUARTERLY- GOLDEN CORRAL � �� /J/- � � yUv ; C/ 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 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 commercial activity without an approved final inspection shall be charged double permit fee per day of operation or a minimum of$100.00, whichever is greater. All work shall be performed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." �., � � �}� � �`,� , �?.1' .Jx--�.�..; r � PERMIT OFFICE PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 `�— �s13-780—OU20 City of Zephyrhills Fir�• Fax-$�saso-oa2� ' � Permit Apptication = Date Received Phone Corrtact for Pertnit .�,�� t -.ig «:�,..._, .Y. ��>�.�-..�---��..b. �. _ -�.��: Owners Name �i1QD�$�N � Owner's Phone Number � L� Cj� Owners Address_ 51�F �Y ' Fae Simpie Titlaholder Name Titletiolder Phone Ntanber � C� C� Fee SimplelitleholderAddress .., -i��: Job Address GOLDEI�T CORR.AL C HS S GALL BLVD. Z� — Lot# C--� Sub Division Paroel# �'..�__:: - ._ �,� ,��.'�`�---_., � Bio-Hazard Waste Storege-ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Harardous Material(Iier II or RQ Facility)ANNUAL � Conholled Bum � Hood Instaltatian � Emergency Cenerator<30 kw � LPMatural Gas-Installatfon � Emergency Generator>30 kw � LPlNatural Gas-ANNUAL Sale a Fire Protection Mairrtenance-ANNUAL � Places of Assembly-ANNUAL �y m� � r �� Sprinkler � ❑ ❑ � � � Re�reational Bum ]� �i I Fire Alarm � ❑ ❑ 0 � � Sparklers ' ("1 Hood Cleaning � ❑ ❑ O � � Sprinkler System Installations Hood Suppression � ❑ ❑ ❑ � � ��P�P��r SYS) � Fre Alartn lnshdllation � Toroh Roofing/Tar Kettle Fre Pumps � Waste Tire Storage ANNUAL Fire Works Flammable Appfication-ANNUAL Valuation of Project Fuel Tanks Q 0�'1@f: � - Corrtractor CompanY Signature ' Ragistered Y!N Fee curreM Y/N Address Licerue# ELECTRlCIA ��Y sigrrature Registered Y/N Fee Cument Y/N �d� License# PLUMBER CO��Y S�9�� f2eg�stered Y/N Fee Current Y/N Address - License# MECHANICAL CO�rn 5�9�� Registered Y/N Fee Current Y/N Address License# OTHER Company Signature Registered Y/N Fee Currerrt Y/N Address License# - DirecUons: FII out application mmpletely. Owner S Contracbor sign back of application,rmtar¢ed(Or,copy of signed contract with owner) tf over$2500.a Notice af Cortvnencement is required.(Mechanical woric over$5000) Supply two(2)sets oF drawings with a�licabie documeMation Allow 90-14 days for review after subrtilttal date. Paraef#-obtained from Property Tax Natice(htlpJlappraiser.pascogov.com) NOTICE OF�EED RES�RtCT10NS: The undersigned u�ndersigned assu�m s respons b I�ty for compliance vv�th any whic� may be more restrictive than Cour�#y re�� applicabie deed restrictions. UNLtCENSED CONTRACTORS AND GONTRACTOR RESPOldSIBlLITIES: !f the owner has hired a contractor or con�ors to undertake work, they may be requ�red to be licensed in accordance with state and local regulations. If the contrac#or is not ticensed as required by law, both the owner and rr.ontractor may be dted for a misdemeanor violation under state law. tf the owner or intended contractor are uncertain as to v+rhat licensing requirements may apply for the intended work,they are advised to�ontact the Pasco County Buiiding lnspection Division—Licensing S!ection at 727-847- gppg, Furthermore, if the owner has hired a contractor or c�ntractors, he is advised #o have the contractor(s) sign portions of the "contractvr Biodc" of this application for which they wiil be responsible. If you, as the owner sign as tMe cantractor, that may be an indication tt�at he is not properiy licensed and is not entitied to permitting privileges in Pasco Courrty. CONSTRUCTION LIEN LAW(Chapter 713, Florkia Statut�,as amended): If vaivation of work is$2,500.00 or more, 1 certiiy that �, the applicant, have been provided with a copy of the °Fiorida Constructian Lien Lavv--Homeownei's pratec#ion Guide° prepared by the Flarida Department of Agriculture and Consumer Affairs. 1f the appiicant is someone ��an the°oHrner", l 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'S/OWNER'S AFFIDAYIT: I certify that all the information in #his application is accurate and that all work wi11 be done in compiiance with atl app�icab'le, taws regulating consbvction, zoning and land developmer�#. App!'�cation is hereby made to obtain a permit to do work and installativn as indicated. i certify that no work or instaNation has corn+�enced prmr to issuance of a permit and that all work w�t be perFormed to meet standards of al! laws regulat�g construction, Coun#y and City codes, zoning reguiations, and tar�d development regulations in fhe jurisd'�ction. i atso certify tha# 1 understand that the regulafsons o# other j government agencies may apply to the intended work, and that it is my responsibility t4 identify what actians 1 ;,must take to be in compiiance. if 1 am the AGENT FOR THE OWNER, 1 promise in good faith to infarm the owner of the permitt+n9 conditions set forth in this affidavit prior to commencing construc�on. 1 understand that a separa#e permit may be rs4uired fior elecfical work, plumbing, s�gns, wells, poats, air corxiiki�oning, gas, or o#h� instaliations no# specif'�ca11y inciuded in the application. A permit issued shaq be construed#o be a license to proceed with the work and not as authority#o violate, �ancel, aiter, or set aside any provisions of the technical c�des, nor shatl iss�ance of a permi#prevsnt the Building Officia!from thereafter requiring a correction of errors in pians, construction or viola#ions af any codes. Every permit issued shaii become invalid unless #he inrork authorized by such permit is commenced v+rithic�si�c months of permit issuance, or iF work authorized by the permit is suspended or abandoned for a period of sbc(6)months after the time the work is commenced. An exter►sion may be requested, in vvriting, fi'om #he Buiiding Officiai for a period no#to exceed ninety (90) days and wi11 demonstcate justfiable cause for the extension. if work ceases for ninety(90)consecutive days,#he job is considered abandoned. WARNING�TO OWNER: YOUR fAiLURE TC? RECORD A NOTiCE OF C�MMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR MAPROVEMENTS TO YOUR PROPERTY. IF YOU iNTEND TO OgTAIN FiNANC1NG, CONSULT WITH YOUR LEN ER OR AN TTORNEY BEFORE RECO fNG YOUR E F COMM��d�„�, FLORfiDA JUfiAT(F.S.117,U3) �ll�.-�-' . , '�. _ OVMNERORAC�ENT CONTRACTOR,� r --- Sub�cxibed and swom to(or atfirmed)before me this S�scxibed swo�rt�o(or a ed)before me thls by W�iyare —persor�ialiy��o me or traslhave produced Who isiare P��N k��to me or hasThave produc�d as ider�fcation. as ideMitication- I Notary Public . Notary Pubi'ic Commission iJo. Commtssion tJo. � Name of Notary tYP��P�'��°t�� Name of NotarY h�P�•Prf��or siamPed j i � � I _ I . I