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HomeMy WebLinkAbout14-14920 ° - CITY OF ZEPHYRHILLS 5335-8TH STREET (sis)�so-oo20 14920 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 14920 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: 1/22/2014 Name: RUBY TUESDAY RESTAURANT Total Fees: 25.00 Address: 7909 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 1/22/2014 Phone: Work Desc: FPM-SEMI ANNUAL HOOD SUPPRESSION FOR�RUBY TUESDAYS A 5. �, �' l / ! ,1 r /�� ` �.,i Y inal 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$100.00, whichever is greater. All work shall be performed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." --ti � .' r ��� �� ,� � ,, ��,� � PERMIT OFFICE PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 , s�3-�8aoo2o City of Zephyrhiils Fire Fax-e�3-7so-oo2a Permit Application ate Received Phone Contact for Pertnit 3 5 2 7 3 2 5 3 2 6 wner's Name RT TAMPA FRANCHISE LP ATTN TAX&LIC DEPT ��ers PhonaNumber �� � � wner's Add�ess 15 0 W CHURCH AVE MARYV I LLE TN 3 7 8 O 1-4 9 3 6 3e Simple Titleholder Name NA TiUeholder Phone Number C� � �� �e Simple Tkleholder Address �b Address �9 0 9 GALL BLVD Lot t� C� �bDivision ZEPHYRHILLS COLONY COMPANY pareel# 34-25-21-0010-00100-0000 a BiaHazard Waste Stora e-ANNUAL --- - 9 � Fumigatlon Tent � Comm Exhaust Kitchen Hood/Duct � Hazardais Material(Tier II or acility)ANNUAL Controlled Bum Hood Installation �� � a Emergency Generator<30 kw � LP/Naturel Gas-Installatio ��I � a Emergency Generator>30 kw � LP/Natural Gas-ANNUAL � Fire ProtecUon Mairrtenance-ANNUAL � Places of Assembly-ANNUAL � ,p� � em � er � L i Sprinkler � ❑ ❑ ❑ � � Recreational Bum i f� � Fire Alartn � p ❑ O � � Sparklers � Hood Cleaning � O ❑ ❑ � � Sprinkler System Installations Hood Suppressfon � Q T$ ❑ � � Standpipes(Sprinkler Sys) � Fire Alarm Installation � Torch Roofingffar Kettle Fire Pumps � Waste Tire Storege ANNUAL Fire Works Flammable Application-ANNUAL Valuation of Project Fuel Tanks Q Other: �niractor Company AMERICAN FIRE & SAFETY SUPPLY 9"et�'B Registered Y/N Fee CurteM Y/N Address 953 NE OSCEOLA AVE STE 100 OCALA FL Licenae# 06461500021985 .ECTRIClAN NA Company gnature � Regfstered Y/N Fse Cument Y/N Address License# _UMBER NA Company gr78t� Registered Y/N Fee Current Y/N Address License# cCHANICA NA C°"'pa"y 3�t�� Registered Y/N Fee Curtent Y!N Address License# �HER NA Company — �nature Registered Y/N Fee CumeM Y/N Address License# rections: • Fill out applicaUon completely. Owner 8 Contractor sign beck oi appiicetion,notanzed(Or,copy of signed cont2ct with owner) if over E2500,a Notice of Commencement is required(Mechanical work over 55000) Supply two(2)sets of drawings with applicable dxumentation Ailow 10.14 days for review after submittai date. Parcel#-obtained from Property Tax NoUce(http://eppraiser.pascogov.com) c 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 compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBfLITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be iicensed 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 appty 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 entitled 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, f certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowners Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If 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'S/OWNER'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, 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 se arate plumbing, signs, wells, pools, air conditionin p Permit may be required for electrical work, g, gas, or other installations not specifically included in the application. A permft 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 unless 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 justifiabte 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 OBTAIN F ANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTIC F COM CEMENT. FLORIDA JURAT(F.S. 117.03) � i OWNER OR AGENT '` -•�'' CONTRACTOR ,�.� � � Subscribed and swom to(or affirtned)before me lhis ubscribed bY ,`�� �� ��r'���swom to(or affirm be�J e me this Who is/are personaily known to me or has/have roduced �"u-=�!LbY �/, ��/ /�/P/l'�/" p Who is/are personally known tq e r has/have produced as iden6fication. _��r�.,.,��`�f�as identification. Notary Public - — Notary Public Commission No. Commission No. *""�� Jame ? � My Comm.#EE835580 Name of Notary typed,printed or stamped � , � Name of Notary typed,pri ad �ubNc,Stata cf Florida c