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Home My WebLink About14-15524 f ,/� ` Y CITY OE ZE HYRHI�LS f' 5335-8T a i'REET r' �s13�� o-oozo 1.55�24 ANNUAL FIRE PROTE TION MAINTENANCE :�`t � .. -- -- . __._.._ .� -��¢�::��b PERMIT`INF�ORMATION ' ��" � '�;' ��:.. A'�'�C►GATIt3N;i1NF$O.RMATI4N:��-�,�` �: Permit Number: 15524 Address: 5214 GALL BLVD Permit Type: FlRE PROTECTI(JN MAINTENANC ZEPHYRHlLLS, FL. Class of Work: FIRE-PROTECTIC)N MAINTENAN E Township: Range: Book: Proposed Use: COMMERCIAL �ot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHIL.LS Est. Value: ParceM Number: 11-26-21-0010-16600-0250 Improv. Cost: : .r"�'��>��:.�"t��;r{;)INNE�R�INF�ORMA�TIC>N ,,�{. .�:�.�" Date Issued: 7/25/2014 Name: �VICHRIS INC Total Fees: 25.00 Address: 5214 GALL BLVD Amount Paid: 25.00 ZEPHYRHiLLS, FL. 33542 Date Paid: 7/25/2014 Phone: (813�782-9556 Work Desc: FPM- HtJOD CLEAN QUARTERLY- IL�AGE iNN .. ., - -- - � ��r�.�.:CONTRACTOR S � ° � - "`�'` . ',APPLICATION"FEES `'' � . �''�:.- ��:�� ` `�� ` S =y;..� ;��;�. GO{VINlERI lAL KIT HEN H U 1NG FI� PERNiIT F ES 25.00 � . ,' � ./J � � ^ � /'� ✓ � .... , . _ ,.... ��t¢ 4 �`t '� .;�.` .F� � �r ;�.. . ' Iris ectiori Re. uired� ��., -au � ` '��".�,�� , ;�m;-�.> �,§:".�� .• F1R ACGEPTANCE Fina Chapter 633, Florida Statutes,authorizes the City to harge and collect user fees to pay for the casts of fire prevention and protection related activifiies such as i spections, plan review, administrative fees, and other costs related to t e aforementioned. Camplete Flans, Specifications and Fee Must Accompany Ap lication. Commencement of wark withaut written appraval of the Fire Department's Fire Marshal or required permits or pening up for commercial activity without an approved final inspection shall be charged dauble permit fee per day af o eration ar a minimum of$i00.00, whichever is greater, All work shall be perFormed in accord nce with City Codes and Ordinances. "1NARNING TO OWNER: Y4UR I�URE TC1 RECORQ A Nt}TICE OF COMMENCEMI�T MAY RESULT IN YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTE D TO t1BTAIN FINANCING, Ct)NSULT WITN Y4UR LENDER OR AN ATTQRN ,Y BEFt�RE RECORDING YC}UR NOTICE . OF COMM NCEMENT." _-� �. 1 .� �.�� -� ��- , PERMIT t�FFICE PERMIT EXPIRES IPl 30 DAYS ITHOUT APPROVED INSPECTION CALL Ft3R INSPECTION -8 HOUR NOTICE REQUIRED ZEPHYRHILLS FTRE RE CUE DEPT- 813-780-0041 � s�s-7ao-oo2o City of Ze hyrhills Fire Fax-813-780-0021 ' ' Permit pplication Date Received Ph ct fo � ..c-;�:�r: �-.. ...m..�...__,.. „.. �,�� , ,-.�:.: -.: ,�.. . _._.,.„ ..��ca:;W,v:-x.iu.... _ .......,..._�...-s:�.._.....,,�:a=a°::r ...._:_.-��z� _,......_.__.:__ ....�.. _w...,.._ �,.�.. _ ,m .�.... ..:::.....s,. ne ont ermit Owner's Name � �� y"��. � �(. v�L Owners Phone Number �� lf�`t p[ �j�0� Owner's Address �� • IV S Vu� �, �iWD/SY�L�� `C�-•�Cyo/�( Fee Simple Titleholder Name Titleholder Phone Number � � � Fee Simple Titleholder Address -`c.- ��'_--- -_---';zcr:,- r-i.�,-- _ _ - _ - ,..�:;�_ t-a-m;.. •--r�.�,�.�, .`;�:5�'q.,`°.�.-..�:.;-^'°_°'^ _ ."_rC.,�.�..,.--�.:i.V:.....`.'_`1'..� - �2� �s`r ,:s:��'x'� r-�:.<.t,,- - - ' . 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(�,f�w��V�A` �.�, L,LJ` "1 �-�3� i �Lot#Y � Sub Division Parcel# � .;Y=„ - -�s:-t.,. -_ ,»•c,�; ,�`Ta+• - _ �:-s:. -�,:•. �:;,-rz-T-m- °,•-n:;,-,•�r-�,:F.---�?'�-_rr: ,,"i-; v:�.;.z_�,.._a,..,..._�;taw^.:.W..�...a..._,..�e;.,,....:.__�.�...a.v...,.._,t...._:.�.e,..._.ea...""`�..".sA",:.,.......�..._..n�...._.._. .w��.„e,..v:,..�__....,...�.�t_5:°z:.:�_�,._a��.,..-._._,.�:'�,..t_�..�x..x.�.. .:..�.::.}...___ws:x�,.,.u.........�«_._._-..�.+ � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent x � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL � Controlled Bum � Hood Installation � Emergency Generator<30 kw � LPlNatural Gas-Installation � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale � Fire Protection Maintenance-ANNUAL � Piaces of Assembly-ANNUAL tr y emi �n t er Sprinkler � ❑ ❑ ❑ � Recreational Bum IP Fire Alarm � ❑ ❑ ❑ � Sparklers �l Hood Cleaning � �- ❑ ❑ � SprinklerSystem Installations Hood Suppression � ❑ ❑ ❑ � Standpipes(Sprinkler Sys) � Fire Alarm Installation � Torch Roofing/Tar Kettle � Fire Pumps � Waste Tire Storage ANNUAL � Fire Works � FlammableApplication-ANNUAL Valuation of Project � Fuel Tanks Q Other: --_.:k':1 - , ':s^, _ '.rr..r�... -`.. - _`Z,��.,�,� [="^Si^_' :- „-__ _ ••tt;:`a^° "T>s'^.�;.u,?:3:.':'. '_, _-'y=�i y.- ,_ - :-.- .:_. .:✓+.ti r_:>`i':•4---.�.kC.p';•ss.��-c- '1..., ' '.�-- - � . .a,. x.e.�.�....«.........H: ,3'1"V° ::i.n _...�. .a s.� .• -w�. � 'uK^. .... . `��.v....m �..... ':T''- ::.1:...'a.�.2�.�ii:'�t��'. ��x �.�. -.+,�. .n. ..ls.-?1.:.`."..,1 '='_Y':�.:�v..�i�� Contractor Company 1�1f1�t �.. ��(, .f Signature Registered Y/N Fee Current Y/N Address License# f7 S ELECTRICIAN Company Signature Registered Y/N Fee Current Y/N Address License# PLUMBER Company Signature Registered Y/N Fee Current 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.-. - _. , .w .v...,. .. - �.,.,.:,.; n- , . ._ _ .. ;,n.�_ n=.a. .,�.. -- - .� _� � -.-- .,,- -. �,. -�. ..f�... .._, ..... _;.^y`.`-t.�c�.c..::._,anr.-:-:..,. - .r-^.,-,a,:.ocp.:-•�:,:= , .-.__. _ .. ...__.. . . ._�=,.'�.. .. , _ _. .- --- . _ . . . :.-__.... . ....:...._ ._ ,. �. �-..,...h. r:.;�o-.:.,... z^�s..a�.��T.,,_....... ... Directions: Fiil out application completely. Owner&Contractor sign back of application,notarized(Or,copy of si ned contract with owner) If over$2500,a Notice of Commencement is required(Mechanical w k over$5000) Supply two(2)sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. Parc I#-obtained from Property Tax Notice(http://appraiser.pascogov.com) � --- - - -- — - i ' NOTICE OF DEED RESTRICTIONS: The undersigned un erstands that this permit may be subject to"deed° restrictions" which may be more restrictive than County regulations. Th undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR R SPONSIBILITIES: if the owner has hired a contractor or contractors to undertake work, they may be required to be icensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the o er and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are ncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco Cou ty 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 wh ch they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properl licensed and is not entitled to permitting privileges in Pasco County. � CONSTRUCTION LIEN LAW(Chapter 713, Florida Statu es, 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 griculture and Consumer Affairs. If the applicant is someone other than the"owne�', I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owne�' prior to commencement. - CONTRACTOR'S/OWNER'S AFFIDAVIT: I c rtify that all the information in this application is accurate and that all work will be done in compliance wit all applicable laws regulating construction, zoning and land development. Application is hereby made to o tain a permit to do work and installation as indicated. I certify that no work or installation has commenced pri r to issuance of a permit and that all work will be performed to meet standards of all laws regulating constr ction, 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 intend d 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 ith to inform the owner of the permitting conditions set forth in � this affidavit prior to commencing construction. I underst nd that a separate permit may be required for electrical work, I plumbing, signs, wells, pools, air conditioning, gas, or ot er installations not specifically included in the application. A permit issued shall be construed to be a license to procee with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall i suance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or vio ations 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 ( ) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official fo a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninet (90) consecutive days,the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECOR A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PRO ERTY. IF YOU�INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN A RNEY BEFORE RE ORDING YOUR OTICE OF C NCEMENT. FLORIDA JURAT(F.S.1 .03) � OWNER OR AGENT � C NTRACTOR Subscribed and swo to( ffi eii)before me is S bscribed and s om to(o �r ed)before ' - by �by Who is/are personally known to me or has/have produced ho is/are personally known to me or has/have produced �----� — -- --- --- as_identification. asidentification. Notary Public Notary Public Commission No. C mmission No. Name of Notary typed,printed or stamped N me of Notary typed,printed or stamped