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Home My WebLink About14-15232 CITY OF ZEPHYRHILLS f,. ,�_�-• 5335-8TH STREET `` - (813)780-0020 1523 ANNUAL FIRE PROTECTION MAINTENANCE PERMIT INFORMATION LOCATIOiV INFORMATION Permit Number: 15232 Address: 6855 GALL BLVD I 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 i Improv. Cost: OWNER INFORMATION Date Issued: 4/29/2014 Name: GOLDEN CORRAL � Total Fees: 25.00 Address: 6855 GALL BLVD , Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 4/29/2014 Phone: (813)783-8969 Work Desc: FPM - HOOD CLEANING SEMI GOLDEN CORRAL CONTRACTOR S APPLICATION FEES ANDERSON PRESSURE C A ING INC FIRE PERMIT FEES 25.00 5�� ° ,��4 5 � ,� Ins ections Re uired FIRE ACCEPTANCE Final 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: YOUIt FAILURE TO RECORD A NOTICE OF COMMENCEMNT M�4Y 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." ��•� , � , n �/�.��•t-� l. ,i' 1-/1 ""'_1� PERMIT OFFICER�� PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 , �-.5. ' `"`ats-7&o-0020 � Cify ofZephyrhillsFir�- � Fax-s�saao-oa2� ; � z ', Permit Applicafton -_ Date Received . � - �Fhone Corrtactfor Permit --=- . .�_.a �.�u. .�...._...,.._._- �., ��-�Y � ...... .. .: . . .. , w. ._._.��..__��,..��.•�-- .�_ �ax-,,�:-..�.:.: Owne�s Name ANDERSON PRESSURE Owne�s Phone Number •� � (� owners adaress_ 5104 MI7RRAY HILL DR — Fee Simple TiUeholde�Name " T�IeHolder Rhone Nurti6er � � � Fee Simple?'�UeholderAddress � a<:<�,._r.,:. .� ..•. � �� >.,-r-;€�=ti�e..��._";�a--�-�.��'�::a��"�.� �`��:�="'�..�"�� . -�<� °_L..�.a�::-`_._._'-'s- "�'s- `�'� „ �, . _: , --T- Job Address GOLDEN CORR.AT� 68SS GALL BLVD. Z��T S '�, 33 - ' Lot#~rv .� 5ub Division Parcel# .�--�:,.�"'=a��-��..:._.v:._.:r.�v.:.�,-�._„ :•_�.:., -..� :., :s �� .. .,....,..- �°-��s�;aE,�.+-� . ::�'.,�v , : ."--�:�-�..,,-x�,.w. �,5-:�--r,-:v�.:-:�.rz.M:�n,;�>...:��w�.:.'=r.a.�} � Bio-Heiard Waste Storege-ANNUAL . � Fumigation Tent ' � Comrti F�chaust fGtchen Hood/Duct � Hazardous Material(Tier II orRQ Facility)ANNUAL � Controlied Bum � Hood installation � � - Emergency Generator<30 kw � LPMatural Gas-Installation �� Emergency Generator>30 kw � LPMatural Gas-ANNUAL Sale � ` �� Fre Protection Mairrtenance-ANNUAL � � Places of Assembly-ANNUAL. � `� , � �y emi � er ,�( �/ Sprinkler .❑ ❑ ❑ ❑ .� � Recreational Bum Fre Alartn � Q ❑ ❑ � �. Sparkiers � � Hood Cieaning � ❑ ❑ ❑ � � Sprinkier System Installations . Hood Suppression � ❑ ❑ . ❑ � .� Standpipes(Sprinkler Sys) . � � Fre Alarm instailation � Torch Roofingffar Kettie _ a Fre Pumps � � Waste Tire Storage ANNUAL � Fire Works �. Flammable Application-.ANNUAL ,V31U8fiUfl Of P�OjECt � FuelTanks, � - - � Other. ��--'�,.��:•u.„n��--�,��.,�� .�,,�^s��._c,-.T��v-+:�-:�,•*�-g,.,_ - - - -•-_";I��s�.;.�:�—°��`' -- �x. Contracfor Company Signature ' Registered Y/N Fee Current Y/IV Address License# ELECTRICIAN �Company Signature � � R2gistered Y/N Fee Current Y/N Address license# PLUMBER Company Signature Registered Y/N Fee Curtent Y/N.- Address � - License# MECHANICAL Company Signature Registered Y/N Fee Current Y/N Address �License# OTHER � '� Company � Signature � Registered Y/N Fee Current Y/N Address License# • - - - .•�..�. -- - -- - - -- � ,�n�:�--�� Directions: . . Fill.out application completely. _. , . . Owner E�Contractor sign back of application,notar¢ed(Or,copy of signed contract with owner) lf over$2500,a Notice of Commencemerrt is required.(Mechanicai worfc over$5000) . � Supply two(2)sets af drawings with,applicabie documentation Alfow 10-'14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(httpJ/appraiser.pascogov.com) . , NOTdCE�OF'DEED RES�RICTIONS: The undersigned understands#hat this permit may be subject to°deed„restric#ions° which may be more restrictive than Courtty regula#ions. The undersigned assumes responsibility for compliance with any appticabie deed restricfions. � - � UNUCENSED CONTRACTORS AND CONTRACTOR RESPONSIBILlTIES: !f the owner has hired a contractor or� contractors.to undertake work, they may be required to be licensed in accordance with state and loca{regulations. If the contractor�is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor viola�on under state law. lf the owner or intended contractor are uncertain as to what licensing reqtairements may apply for the in#ended work,fhey are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. furtherrr�ore, if the owner has hired a contractor or contractors, he is advised to have th� contractor(s) sign- � porfions of:the °contracfor Blocic" of fhis appiication for which fhey will be responsible. If you, as the owner sign as the. contractor,:fhaf may be an indication.that he is not properly licensed and is not enfitled to permitting privileges in Pasco County. � � CONSTRUCTtON LIEN LAW(Chapter 713, Florida Statutes,as amended): If vafuation of work is $2,500.00 or more, I .:- certify that 1, the appiicant, have been provided with a copy of the °Ftorida Construction Lien Law—Homeov�me�s � Protection Guide" prepared by�the Florida Department of Agriculture and Consumer Affairs. (f the applicant is someone ,_ other#han the"owner", 1°certify that I have ob#ainsd a copy of the above described document and promise in good faith to deliver it to the°owner"prior to commencement. � - CONTRACTOR'SIOWNER'S AFFIDAVIT: f certify that all the iriformation in this application is accurate and �that all work wiil be done in compliance with all appiieab'le:Jaws regulating con_struc#ion zoning and land _ _ ^ � developmen� Appfication is hereby made fo obtain a permit to do work and installation.as indicated. 1 certify thaf no work or ins#allation�has cornmenced prior to issuance of a permit and that all work wiil be performed to meet standards of all taws regutating consirucfion, County and City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also certify that ! understand that fhe regulations of other . . �goyernment agencies may apply to the intended work, and that it is my responsibility to idenY�fy what actions! :must take to:be in corraptiance. If 1 am the AGENT FOR THE OWNER, I promise in good faith to inform fhe owner of the permiiting conditions set forth in _ this affidavit pr+or to commencing construction. I understan�i that a separate permit may be required for electrical work, -plumbing, signs, wells, pools, air conditioning, gas, or other insfallations not specifica(ly included in the appiication. A permit issued shall be consfrued#o be a ticense#o proceed with the wor{c and not as authority#o viola#e, cancel, alter, or. set aside any provisions of the technical codes, nor shatl issuance of a permit prevent the Building Official from thereafter requiring a correc�on of errors in plans, construction or violations of any codes. Every permit issued shali become invalid unless#he inrork authorized by such permit is commenced withi� si�c months of permit issuance, or ff work a�athorized by the permit is suspended:nr abandoned for a period of sbt(6)months after#he fime the work is commenced. An extension may be requested, in writing, from #he Building Official for a period not to exceed ninety (90) days and will demonstra#e justi#iable cause fo�the extension. lf work ceases for ninety{90)consecutive days,fhe job is cvnsidered aband�ned. WARNINGiTO OWNER: YOUR �AtLURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YDUR � PAYING TWICE�OR IMPROVEMENTS TO YDUR PROPERTY.�IF YOU 1NTEND TO OBTAIN F9NAf�CING,COfdSULT WITH�YOUR LENDER OR AN�4lTORNEY BEFORE RECO DING YOUR N ICE OF CflMMENCEMENT.� FLORIDA JURAT(F.S.117.03) .. ��Q�r j_- _ - - � ��,I�� . ,ri��. OWNER OR AGENT CONTRACTOR.=�� ="��"t - , . Subscribed and swom to(or affirmed)before me this Subscn'bed an swp�rt-to(or a Rned)before me thfs � by - b�. Who islare personaAy known to me or haslhave produced Whb islare personally kr�own to me or has/have produced as ideMificafion. as fdentific�tion. . � Notary Public , Notary Pubiic Commission No. Commission No. . - � Name ot Notary iyped,printed ar stamped Name of Notary typed,printed or stamped � i _ . j I . i � L � .