HomeMy WebLinkAbout07-7110
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
7110
Permit Number: 7110
Permit Type: FIRE PROTECTION MAINTENANC
Class of Work: FIRE ALARM SYSTEM
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 38051 MARKET SQUARE DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 02-26-21-0010-03900-0020
10/16/2007
25.00
25.00
10/16/2007 Phone:
FIRE PROTECTION MAINTENANCE ANNUAL -FIRE ALARM
Name: FMC MARKET SQUARE INC
Address: 38135 MARKET SQUARE
ZEPHYRHILLS, FL. 33542
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FIRE LIGHT TEST-Final
FIRE SYSTEM ACCEPTANCE Fina
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."
..
CONTRACTOR SIG A URE P IT OFFICER
PERMIT,EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
'"
OCT/il/2007/THU 01: 11 PM
813-780-0020
Date ReceIved
Owner's Name
Owner's Address
ZEPHYRHILLS BUILDING
FAX No. 813-780-0021
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Fax-813-780-0021
P. 001
City of.Zephyrhllls Fire
Permit Application
Phone Contact for PermIt
Fee Simple Titleholder Name
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f~05"t ~Y\o ~ ~ ~AI \x\~. (' P~b~~\l1 ~~L ~~~,. ~ 50
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Fee Simple Titleholder Address
Job Address
Sub Division
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Contractor
Signature
ELECTRI I
Signature
Address I
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PLUMBER
Signature
Address I
MECHANICALI
Signature
Address I
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Blo-Hazard Waste Storage - ANNUAL
Comm Exhaust Kitchen HoodlDuct '
Controlled Bum
, Emergency Generator < 30 kw
Emergency Generator> 30 kw
Fire Protection Malnt9l1ancs - ANNUAL
Sprinkler
D
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,Fire Alarm
Hood Clean/Suppression
FJre Alarm Installation
Fire Pumps
Fire Works
Flammable Appllcatlon- ANNUAL
Fuel Tank..
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OTHER
Signature
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DIrections: ,
FIIJ out application completely.
owner 8. Contractor sign back of application. 'notarized (Or. copy of signed contract with owner)
If OVer $2500. a NotiCe of Commencement Is requIred (Mechanical work over $5000)
Supply two (2) sets of drawings with applicable documentatlon
Allow 10-14 days for review after submittal date,
I Owners Phona Numher
7 <lfb~\Y~_l \\~,
I Titleholder Phone Number I
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3 oS' 42-
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FumIgation Tent
Hazardous Material (Tier II orRQ Facility) ANNUAL
Hood Installation
LP/Natural Gas-Installation
LP/Natural Gas-ANNUAL Sale,
Places of Aliisemhly-ANNUAL
Recreational Bum
Sparklers
Sprinkler System Installations
Standpipes (Sprinkler Sys)
.t~ ~ c'1
~G ~S ,~'~
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I
Torch Rooting
, Waste Tire Storage ANNUAL
,
Valuation of Project
Company
Registered
Licenoa #
IC~/7N';::~u~D ~Orh1'
I Et=Oo06'~ I
I .y / N Fee Current I Y I N I
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I, Y I N Fee Current Y I N I
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I YlN I' Fee Current Y/N I
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C~mpany
Registered
License #
Company
Registered
License #
Company
Registered
LIcense #
Y I N I Fee Current , Y I N I
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Company
Registered
-~
OCT/f1/2007/THU Ol: 12 PM ZEPHYRHILLS BUILDING
FAX No. 813-780-0021
P. 002
~______'''_''--''''''''''''':,__---'-\o-...._....--..--__...____ ..-.-,----..-..", "~'-' ,-,..
:No::r:lce.QF-l>EED.RESTRICTlONS: The undersigned -understands that this permit m~y'he sl:lbJect 10 ~deed. restrictions.
.which may be,'more restrictive than 'County regulations. TAB undersigned assumesresponsibility'for compliam:e with ,any
applicable deed restrictians, , ,'. "
UNLICENSED CONTRACTORS AND 'CONTRACT-OR RESPONSIBILITIES: 'If the owner has hired a contractor or
contractors to' undertake work,' they may be required to' be licensed in acoordance with 'state and local regtilatlons. If the
contractor Is not licensed as required by law, both the ,owner arid contractor may be,Clted for' a',rnisdemeanor violation
under state law_ If the owner or intended contractor arB uncertain as to.what licensing 'requirements may apply for the
Intended work. they are advised tocontad the Pasco ,County Building Inspection Divlslo~icenslng Section at727-847-
8009. 'Furthermore, if the owner has hired a contractor or contractors, he is advised to havs the contractor(s) sign
portions ,of the "contractor Block" of thisapplication'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 enlitled to permitting' prJ.vllsges in Paaco
County. "
CONSTRUCTION 'LIEN 'LAW (Chapter713, Florida Statutes, as amendtld): IfvaJuation 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. tfthe 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 "ownerD prior to commencement. "
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that iiltthe information In this applicationJs accurate, and
...... ,--;that- allwork-will be <lone In.. compliance-wlth-,aIl,-applioable..laws -regulating'-Gonstniotiol'l,.::zoning--and"land..--------
development. Application is hereby made to obtain a perm_it to do work and installation as indIcated. t 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 regulatingconstruclion, County and City codes. zoning regulations, and land
developm!'Jnt 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 TI-lE OWNER, t promise In good faith to inform the owner of the permitting conditions set forth:in
thls affJ,davtt priortP, comm~ncli':1g construction. I understand that a separate permit may he required for. el.eetricaJ' work,
plumbing; si!}ns; weJls,pools, air conditioning, gas, or other installations not specifioally.lncluded In the application. A
p.ef.m.lt',is~!:!€l.dsh;;!II'b.e coiis,trued to be a,:license to proceed .wfth the work and not as authority to violate, cancel, alter, or
set.;isltje. ani.provl~lon!5 of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
, requirlrng,a'wrrectlon of errors in pl~ns, construction or violations of any codes. Every permit Issued shall become Invalid
.',un.I!i~~j~~~~~~~.~i.JtrprizBd'bY such ,permit iscommen?ed WIthin six months o.f p8rmlt'is~u~nce. or if ~ork authorized by
,'Jf~e':p(;}tm1t":ls sus,p~nd~d or abandoned for a period of SIX (6) months after thebme the work ,IS commenced. An extension
,ma'y?be requested. -In ,writing, from the Building Official.for a (*lrlod not to exceed ninety (90).days andwtll demonstrate
. :j~~*1~t,jle ~use for. the extension. If work ceases for ninety (90) consecutive days, the job is considerBd abandoned.
Notary Public
~~~~
Notary Public
Commission No.
Commis51on No.
#-Ll,urY ~ rck6o~~
Name Df Notzuy typed. printed or stamped
Nama of Notary typed, prlnt~ or stamped
PINELLAS COUNTY CONSTRUCTION
LICENSING BOARD
THIS CERTIFIES THAT Larry McDonald
DBA Commercial Fire & Communications Inc
STATE CERT # I-EF0000785
HAS REGISTERED HISIHER LICENSE AND
FILED PROOF OF REQUIRED LIABILITY
AND WORKERS' COMPENSATION INSURANCE
WITH THIS BOARD.
IN GOOD STANDING UNTIL SEPTEMBER 30, 2008
DATE OF ISSUANCE 10/1/07
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COMMERCIAL FIRE & COMMUNICATIONS~
€i.,,51 0 ~ B., .12 S"TH N
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GOVERNOR
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SECRETARY; J '
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2007 - 2008
FILE # 2008000769
Administrative/Service Charge
City of Largo
DBA: COMMERCIAL FIRE & COMMUNICATIONS INC
Business Name & Mailing Address
Physical Address, Owner, Phone
COMMERCIAL FIRE & COMMUNICATIONS INC
L MCDONALD
PO BOX 1350
LARGO, FL 33791-350
6510 125TH AVE N #B
LARGO, FL 33773
LARRY MCDONALD
727-530-4521
, _, Business Description:
ALARM CONTRACTOR I
Classification
ADMINISTRATIVE
NAICS No.
Qty.
Pzo.
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Amount
PCCLB: REG
SERVICE CHARGE
00
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::'~6:;;:-' EF00007.5
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1- ~05
$10.00
Certificate
Engaging in any business occupation is subject to zoning restrictions. The collection of
this Business Tax/Administrative Service Charge does not authorize the holder to operate
in violation 'of any City ordinance, law or regulation. Each holder is solely responsible
for notifying the Community Development Department, in writing, of any change in status,
location or ownership. Renewal notices will be sent to the last known address and owner
of record. Issuance is in no way intended as an approval or disapproval of the holders
competence or skill.
This Business Tax Receipt expires 30 September 2008. Penalties are provided by F.S. 205 if
not renewed before 1 October 2008. Additional penalites of up to $250 may apply if not
renewed by 31 December 2008.
THIS IS NOT A BILL NO REFUNDS
POST IN A CONSPICUOUS PLACE
CDPR3026.RPT
To: C/~ O~ 2er>t,Yrh;/!(
I, Larry McDonald of Commercial Fire & Communications. Inc.
do hereby authorize the following person(s) to act as myagent(s).
ke/~+-h I<bde/V~~~
for the following location only:
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Submit & pick up permits
Sign Applications For The Qualifier
I understand that I am the licensed qualifier responsible for the application as submitted
by my agent(s), as referenced above. Thank You for your assistance.
As Always,
(() -/ -r- () 7
Date
STATE OF FLORIDA
COUNTY OF PINELLAS
The foregoing instrument was acknowledged before me this /..S.--/..!i. day of
/)c!..:TIJ~t::L , 20~ by ~'7' me..>JOxJ~ who is versonally
known to me or who has produced a as identification
and who did/did not take an oath.
~~~___'d J~~,
-- Notary Public