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Home My WebLink About14-15562 � ( ; CITY OF ZEP�HYRHILLS �,.- � 5335-BTH�STREET `" (sis)�s q�-aozo -•562 ANNUAL FIRE PROTECTIBN MAINTENANCE PERMIT INF4RMATION LOCATIQN lNFORMATtON Permit Number: 15562 Address: 6855 GALL BLVD Permit Type: F1RE PROTECTION MAINTENANC ZEPHYRHILLS, FL. Ciass of Work: FIRE-PROTECTiC3N MAINTENAN E Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Stabdivision: CITY OF ZEPHYRHI�LS Est. Value: Parcel Number: 03-26-21-0010-0160Q-0020 tmpcav. Cost: OWNER 1NFORMATtQN Date Issued: 8/11/2014 Name: GOLDEN CORRAL Tota! Fees: 25.00 Address: 6855 GALL BLVD Amount Paid: 25.00 ZEPHYRHI�LS, FL. 33542 Date Paid: 8/11/2014 Phone: (813)783-8969 Work Desc: FPM- NC}QD CLEAN - SEMI GOLDE GORRAL CONTRACTOR S APPLICATION FEES AND RSO PRE SURE � A G!N F(RZ PERMIT�S 25.Q0 �I �./ � � � �� (/"�J �� Ins ection Re uired FIRE ACG PTAN�E Fina Chapter 633, Florida Statutes,au#horizes the City to harge and callect user fees to pay far the costs of fire prevention and protectian related activities such as i� spectians,plan review,administrafiive fees,and ather costs related ta t�e aforementianed. Complete Plans, SpecificatEons and Fee Must Accampany Ap lication. Commencement of work without written approval of the Fire Department's Fire Marshal or required permits or pening up for commercial ackivity without an approved final inspectian shall be charged double permit fee per day of peratian or a minimum af$100.�0, whichever is greater. Afl work shal( be pertormed in accordance with City Codes and Ordinances. "INARNING TO tJWNER: Y4UR AI�URE TC1 RECORD A NClTICE OF COMMENCEMNT MAY RE�ULT IN YOU�R PAYING TWICE FOR IMPROVEMENTS TQ YOUR PROPERTY. IF YC}U INTENLl TO t�BTAIN FINANCINC, Ct1NSllLT WITN YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF C4MMENCEMENT." ' � �. �jy � { r) {;� �.��.,�.,. 1��4 PERMIT C?FFICER '�- PERMIT EXPIRES IN 30 DAYS ITHOUT APPROVED INSPECTION CALL Ft}R�NSP�CTI01�D i 8 Ht}UR NQTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 I � . _ i �813-7so-oozo City ofZep yrhitlsFir�- Fax-s�saso-oo2� , ' Permit A p(ication __ Date Received -- -Phone Corrtactfor Permit _�Y._..�.,:,�. _. . ...:,:�,��:�-.�:�.�:-_:..—�.._-_ ._- ,:i. _ : . .- � .. - - - - - .�_7..��-.�..,,�:�,�.,_.,.� ..: Owner's Name AIVDERSON PRESSITRE Owners Phone Number •Rl � � � OwnersAddress. SI.O�F MURRAY HILL D r Fee Simple TiUehoide�Name T�lelioider Fhone Number � l�J � Fee Simple'f'iUeholderAddress � ' �.�i.°�..s�m;w�.s�r..>.�-�'..sa:._ `"��"-,�_h'_"�.-.....�a�^-�r,�F�'•�','f�i�:'=.-��'�k�=?�^_-.a�"�.�,..'Y�''S''r�-`�.�:��ti`�;iz.�'��.�"''a'?::aur•. ...•,=ws"�"�'c.",b*s.i��.:�._ns;_._.:.—`�-" - ° _ - - - -_- - _ _ sc,-�:,.-'w'%';.�"�-�E:a;:-z�'��'-r Job Address GOLDEN CORR.AL 6HSS GALL BLVD. ��1?,�LT S 3 — . •Lot# � Sub Division Parcel# :-;--�.,'=x.�... ...._. .. - - :��° -- -�;s.��,,:��- _ �r =-€.�;.:.:=>r,-��;_::�.:�.�-.� ��.--��x::�.r.�M=�._:r.�:�e.:: � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent - � Comm.Exhaust FGtchen Hood/Duct � Hazardous Matedal(Tier II orRQ Facility)ANNUAL � Contrnlled Bum � Hood installation �, - Emergency Generator<30 kw � LPMatural Gas-installa6on � Emergency Generator>30 kw � LPMatural Gas-ANNUAL Sale - � Fre Protection Mairrtenance-ANNUAL � Places of Assembly-ANNUAL �y emi � er Sprinkler � ❑ ❑ ❑ � � Recreational Bum Fre Alartn � ❑ ❑ ❑ � � Spatklers. r�� v - � �� Hood Cieaning � ❑ ❑ ❑ � � SprinklerSystem Installations Nood Suppression � ❑ ❑ ❑ � Standpipes(5prinkier Sys) � Fre Alartn Instaliation � Torch RoofinglTar Kettle � Fre Pumps � Waste Tire Storage ANNUAL � Fire Works � � ,Flamma6leApplication-ANNUAL , Valuation of Project Fuel Tanks Q Other: r,��'a`°:.:�"�a°A�"`_��;'�='�'�"�§=T°" �°_sxVry.�-r.--=--,--.,--_'^'t'�..-„�:�:,�'�.-r�y;��z�-�_��Lt'�':>�..•�;�-.rt<-'�"�.�- Contractor Company Signature Registered Y!N Fee Curtent Y%IV Address license# ELECTRtCtAN Company 5ignature 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# • . .....__.. .._ ,;..- -=-�..- . . �„-..,- . ��-. _,- z.y=='-^�-'�" -` - - - -- - - - - _.,�..:..._,-�s..-,....7---:._�ez Directions: � FII out appiica4on completely. � Owner&Contractor sign back of appiiccation,notarized(Or,copy of sig ed contract with owner) , ,tf over$2500,a Notice of Commencemetrt is required.(Mechanical wo over$5000) Supply two(2)sets of drawings with applicabie documentafion � Allow 10-14 days for review after submittal date. Parcel -obtained from Property Tax Notice(httpJ/appraiser.pascogov.com) . � {VOTICE OF UEED RESTRMCTtONS: The undersigned understands#hat fhis permif may be�ubject ta"deed"res#rictions" which may be more restrictive than County regulatians. The ndersigned assumes respansibality for compliance with ar�y appticabte dsed restrlcfians. . UNLICENSED CONTRACTORS AND CONTRAGTOR RES ONSIBILITIES: If the owner has hired a contractar crr con#racfors to undertatte work,they may be required to be ti nsed ir�accordance w�fh state artd local regul�tions. 1f t�e contrac#ar•is not licensed as required by law, t�oth the awner and cantractor may be cited for a misdemeanor�iolation under state law. 1##he uwn�r or intended contractot are unc�rtain as to vsrhat licensing requirements may apply#or the infendeei work, fhey are advised to contact the Pasco County Buifding Inspectian pivision—Licensing Sec�fian at T27-8��- 8009. �urthermore, if the owner has hired a contractar or�contractors, he is advised to have fh� contractar{s) sign {�ortions of:the "contractor Btocic" of this agpliaation for which they will be responsible. tf you, as the awner sign as the car+trac#ar, fha# may be an indication fhat he is not properly I�censed and is not entitled to permitting privileges in Pasco County. ' CONSTRUCTiON UEN LAW(Chapter 713, Florida Sta#ut ,as amended): If vaivation of wark is$2,b00.00 ar more, 1 _ certify that !, the applicant, have been pravided with a c�py of fhe "Florida Construcfion Lien Larrv--Homeowner's Pro#ecfian Guide� prepared by fhe Flarida Department of Ag culture and Consumer Affairs. tf the applican# is someane other#han the"ovvner", I certify that i hawe obtained a copy of the above described document and prarnise in good faith to deliver it to the"owner"priar to corr�mencemen#. - 'CONTRACTOR'SIOWNER°S AFFIDAVIT: i cert�Y fhat�II the information in this application is accurate and th�t all wark will be done ;n compliance wifh all applicab'le: (aws regulating constructitrn, zoning and land devetoprrtent.–Appiication is herebymade fo ob�in a permit-to du work and instatlation�sindi�ated: I-certify- � that no work or instaNa#ion�has cornmenced prior to issuance of a permit and tha#ail work v+rili�e perf'ormed to meet s#andards of atE lav�rs regulating construction, Counfy and City codes,. zoning regttlafions, and �and developrnent regulations in the jurisdiction. I alsa certrFy that � understand tha# the regulations of other �govemment at�encies may appiy to the intended.�rork, and that it is my responsibility to identify what actians 1 ;must fake to:be in compliance. !f 1 am the AGE�1T FOR THE OVIINER, ! promise in good fai to inform the awner af the permitting conditions set farth in this af�riavif prior to commencing construcfion, 1 undersfan fhat a separate permit may be required for�lec#ricai work, plumbing, s�gns, wells, poals, air conditioning, gas, or othe� instaliations not spec�cally included in the application. A perrni��SSU�d shal( be constn�ed#o be a license#o proceed wifh#he work and no�as authori�y#a viola#e, ca�tcel, alter, or set aside any provisions of the teahnical codes, nor shall iss ance of a permit prevent the Buiiding Official frvm#.�rereafter requiring a c�r��ction of ercors in plans, cons#cuc#it�n or vialat ons of any codes. Every per�it issued shatf become invalid unless#he inrork aut�arized by such permi� is cammenced ti�ir�si�c m4nths af permit issuance, or if work auffi�orized �y fhe permit i,`s suspended.or abandoned for a period of six{6� onths afker#he time the wark is commenced. An��rtension may be recjuested, in writing, from ths Building {?ff'icial fc�r a period rtot to exceed nine#y(90} days and wilt demortstr�te justifiable cause�o�the extension. ff work ceases for ninety( 0)consecutive days,fhe job is cansidered ab�ndoned. WARNING�TO t�WNER: YOUR �AILUf�E TO RECORD A NOTiCE OF COMMENCEMENT MAY RESULT!N YDUR PA'Y1NG TW10E FQR lMPROVEl1flENTS TO Y4UR PRQPERTY. !F YfJU iNTEMD TQ+Q►BTAtN FiNANCING,CC►i�SU�T WITH�YOUR LENDEi2 OR AN A'iTORNEY BEFORE RECO DfNG 1tOUR N CE OF COMMENCEMENT..� FLORIDA JURAT(F.S.717.03) � ��`�'C�►�'f ,- „ �"�*",��y'�'�,�/�[�. >f-'.'e�, �' OWNER Qii AGENT CO TRACTOR,- � `�::� % . Subscribed and swam to(ar affirmed)before me this Subscn'bed an swo�rf to(or a rmed)before me this by E by Who is/are personalty knaw'n to me or hasit�ave produc�d Wtio islare persanaiiy known to me or haslhave produced as identification. _,_, � as Identific�tion. . � Na#ary Public Natary Public Commission No. Corr�mission No. � I Name of iVofary typed,printed or sl�mped Na e of Notary typed,printed or stamped i I I I - � � � � R�