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HomeMy WebLinkAbout14-15503 CITY OF ZE FIYRHILLS .. ,� 5335-8TH STREET �sis��s -oozo 15� 3 ANNUAL FIRE PROTEC ION MAINTENANCE �;�`{,,�:`;�'��i���PERMIT��INFORMA►TION `�'."� j - _ `°�' �:::;�L`OCATION�INF,ORMATION��. _ '"'e��' �P Permit Number: 15503 Address: 7643 GALL BLVD Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL. Ciass 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: 34-25-21-0010-03100-0000 Improv. Cost: ` ` 'w�,, ""OUVNER'INFAORMATION _ �����f� _ ; ` �... '=��.�,�''�°,4,w:,.<.. � r " � �. �� Date Issued: 7/21/2014 Name: CHILI'S BAR& GRILL Total Fees: 25.00 Address: 7643 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 , � Date Paid: 7/21/2014 Phone: Work Desc: FPM- HOOD CLEAN QUARTERLY- C ILIS 3^5� ,�"" ,. �,, -Y* _ 5�¢-raz.'.r 3',;",;u m� •'�CONTRACTOR S . "�-� ��� � � p APPLICATION FEES: ` � ���°` � � �� ��R� = �SUNSHINE PRESSURE CLEA ING FIRE PERMIT FEES 25.00 � r � - �� ��u , � � � , .�_.v �. .. _ . - e;,..., -� �- . -- _ -�,� _- - � :�°� €:���..s� .�:,`a,- =° �� Ins ection 'R uired� �_ � : :'�����.•'.�=�. FIRE ACCEPTANCE Final Chapter 633, Florida Statutes,authorizes the City to harge and collect user fees to pay for the costs of fire prevention and protection related activities such as i spections, plan review,administrative fees,and other costs related to t e aforementioned. Complete Plans, Specifications and Fee Must Accompany Ap lication. Commencement of work without written approval of • the Fire Department's Fire Marshal or required permits or pening up for commercial activity without an approved final inspection shall be charged double permit fee per day of o eration or a minimum of$100.00, whichever is greater. All work shall be performed in accord nce with City Codes and Ordinances. "WARNING TO OWNER: YOUR F ILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT IN YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTE D TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORN Y BEFORE RECORDING YOUR NOTICE OF COMM NCEMENT." � �. � �fi ����-�- - PERMIT OFFICE PERMIT EXPIRES IN 30 DAYS ITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RE CUE DEPT- 813-780-0041 a�s-7aa-oo2a City af Zep yrh"slls Fire �ax-s��-7so-oo2� Permit A plication Oate Rece;ved, ���—� Pho�e Cor�tact far Permit � C__� �___� r.:___._,�.�..::�......._.�_. - ___�—__o- _,., - .,-n ____...._.__..�_..:._�_. _.._.�� __�,..,._�... -.�_�_.. _..___,_.:.__�=�___..,._��_�._.._._ . �- . Owner's Name t `l f 'C' Qwrser's Phor�e Number �� �� � Owner's Address �'�� G✓e � � U(� Fee Simple Titleholder Name Titleholder Phone Number �� �� [� Fee Simple Titleholder Address i`°'m_.�_....._.�.....,.�- - - �_.�..__ "� Job Address � ��___� Lot# Sub Division Parcel# .._�.<.':.�.-�-�°.::".....o_._o__..�,�~.�°.:..�,,,�_...,.�,n.�.�-..._�....:<...y,�_�..,.._,,.�.,.�.=.�_�.n,� _ _.�..���-�:---•--°::.:..�..��,., .�..._9_�_._,�,�~- .°°-�°rv.cw�..,,�=,.�,T...�..,...�.n_,.__.�Y_.:.a � Bio-Hazard Waste Storage-ANNUAL � � Fumigation Tent o Comm Exhaust Kitchen HoodlDuct � Hazardaus Materiai(Tier Il or RC2 Facility}ANNUAL � Controlled Bum � Hood Installatian � Emergency Generatar<34 kw � LP1Natural Gas-Instaila#ion � ergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale � Fire Protecfion Maintenance-ANNUAL � Places of Assembly-ANNU,4� !d�{/ �y emi � er 'v t� Sprinkier � ❑ 4 Cl � Recteational Bum < <y( { �, Fire Alarm � �O � Sparklers Naod CSeaning � ❑ ❑ � Sprinkler System Installations Hood Suppressian � ❑ ❑ ❑ � Standpipes(Sprinkler Sys) � Fire Alarm tnstallatian � Torch RoofingtTar Kettle � Fire Pumps � Waste Tire Starage ANNUAL � Fire Works � Flammable Application-ANNUAL � �, Valuatian of Project � Fuel Tanks Q Othe : ��__.R__._.,�.�e..�.. __ _ ��.�.�,n-- ��._.._._�...,��. .. __--�-��,�-.�,t�..-.�_,�.��.>,.�'......�� .�.�;�..�_.�.�..�.�_�-.p...�__--:-� Contractor Company St,1,ti,.5 �.t ,S,Cwc. Cc,�.h,�F,�, Signature Registered Y!N Fee Current Y/N Address License# ELECTRIGIAN Gompany Signature Registered Y!N Fee Current Y/N Address License# PLUMBER Company Signature Registered Y 1 N Fee Current Y!N Address License# MECHANIGAL Gompany Signature Registered Y/N Fee Current Y/N Address License# OTHER Company Signature Registered Y/N Fee Current Y 1�1 Address License# Directions.._.�.,..___.._.-_._____ _...���:. _,�.,�._._._.__.�, _�.,�.._.�.__� ___.-. __._w�a__.,,..a....A......._.__,.._.�_ -,.T_._......�_:m_._�..._..._^_.,._._e_�....._.�__�__ Fill out application completely. Ownar&Gontractor sign back af appticafian,notarized(dr,capy of si ned contract wifh owner} If over$2500,a Notice of Commencement is required(Mechanicat wo over$5000) Supply two{2)sets of drawings with applicable documentation AIIow 10-14 days for review affet submittal date. Parc t#-obtained fram Property Tax Nofice{hEtp:llappraiser.pascogov.com} fdOTIC� OF DEED P2�SY92oC�VONS: 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 com�liarrce�with any applicable deed restrictions. UNLICENSED �ONTI2ACTO�tS AIVD CONT9�ACTOR �tESPO�ISI�ILI�'lES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed 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 in tended contractor are uncertain as to what licensing requirements may apply 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 uvill 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 LI�YV LAVY(Chapter 7'03, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's 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/ONVNER'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 affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit 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 justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned. W�►VtN11NG TO OdVRI�R: YOl9V2 �AILi9RE TO ��COQ2� A WOTICE O� COMMEPdCEMENT CVIAY R�SULT IN YOUR PAYING TWIC� FOR IM�ROVEMENTS TO XOUR PROPERTX. IF YOI� 9NTEND TO OBTA9N FINANCeNG, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECOItDING YOUFt YVOTICE OF COMM�NCENIENT. FLORIDA JURAT(F.S. 117.03) OWNER OR AGENT CONTRACTOR Subscribed and swom to(or affirmed)before me this Subscribed and swom to(or affirmed)before me this by by Who is/are personally known to me or has/have 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,printed or stamped Name of Notary typed,printed or stamped