HomeMy WebLinkAbout07-7163
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
7163
Permit Number: 7163
Permit Type: FIRE PROTECTION MAINTENANC
Class of Work: FIRE-PROTECTION MAINTENAN E
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 11/06/2007
Total Fees: 25.00
Amount Paid: 25.00
Date Paid: 11/06/2007
Work Desc: ANNUAL - SPRINKLER SYSTEM
Address: 7839 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: MICROTEUJAMM HOTELS,LLC
Address: 7839 GALL BLVD
ZEPHYRHILLS, FL. 33542
Phone:
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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."
......
CON CTOR SIGNATURE 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
City of Zephyrhills Fire
Permit Application
Phone Contact for Permit
813-780-0020
Date Received
Owner's Phone Number
Owner's Address
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11;JfJ 119' LJ~ ~I b>'-1L/~ I
31.
Owner's Name
II
II
Fee Simple Titleholder Name
Titleholder Phone Number
Fee Simple Titleholder Address
Job Address
I (Y\\c\o-\-e.\ -t~3o...
I
~\\ t?i~&
I Parcel #
I Lot#
Sub Division
(Uti I AINt:U t"KUIVI t"'KUt"'t:K I T I AA NU 11l.t:)
D Bio-Hazard Waste Storage - ANNUAL
D Comm Exhaust Kitchen Hood/Duct
D Controlled Bum
D Emergency Generator < 30 kw
D Emergency Generator> 30 kw
D Fire Protection Maintenance - ANNUAL
Sprinkler [g}
Fire Alarm D
Hood Clean/Suppression D
D Fire Alarm Installation
D Fire Pumps
D Fire Works
D Flammable Application- ANNUAL
D Fuel Tanks
D Other:
D Fumigation Tent
D Hazardous Material
D Hood Installation
D LP/Natural Gas-Installation
D LP/Natural Gas-ANNUAL Sale
D Places of Assembly-ANNUAL
D Recreational Bum
D Sparklers
D Sprinkler System Installations
D Standpipes (Sprinkler Sys)
D Torch Roofing
D Waste Tire Storage
Contractor
Signature
Address
Company
Registered
License #
I :r n+e\ "a...+1 C",Y\e-C- h':'c-P
Y I N I Fee Current I Y I N
I
ELECTRICIAN
Signature
Address I
PLUMBER
Signature
Address I
MECHANICALI
Signature .
Address I
OTHER
Signature
Address
Directions:
Company
Registered
License #
Y IN I Fee Current
Y/N
Pn:.-4ec\-t crI-
I
I
I
I
I
I
I
I
I
Company
Registered
Y I N I Fee Current
Y/N
License #
Company
Registered
License #
Y I N I Fee Current
Y/N
Company
Registered
License #
Y I N I Fee Current
Y/N
Fill out application completely.
Owner & 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 documentation
Allow 10-14 days for review after submittal date.
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NOTICE OF DEED. RESTRICTIONS: 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 compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: 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 intended 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 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 entitled to permitting privileges in Pasco
County .
CONSTRUCTION LIEN LAW (Chapter713, 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/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and
that all work will be <:lone in compliance with d all applicable laws regulating.constructionizoningdandland
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
musttake to be in compliance.
If lam 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
tlleperm'itis suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
maybe 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.
WARNING TO OWNER: YOUR 'FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERT'f~IFX()'LJI""TI;~D.TO()t3T~INFINANCING, CONSULT
WITH Y(i).uRiLENDEROR.AN.A1TORN~IBEFORE:.R.EdORDING'YOtJR'NOTfCE OF COMMENCEMENT.
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uced
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'-~I;J-L~,-.J ti /frd
Notary Public
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Commission No. '3) "'I) L\ Y 5" <3 5 "3
".\:(c-ver-. 'D. \.\<2-'\\ 'f"-'" C'-,'-y___.
Name of Notary typed, printed or stamped
Notary Public
Commission No.
Name of Notary typed, printed or stamped
CD
KAREND. HERRMANN
Notary Public, State of Florida
My comm. expires July 13, 2009
Comm. No. DO 445853
- -
I """'.;'/."'" MELISSA LWOOD
f~m~ ""(~~ Notary Public - State of Florida ~
[. . . . ~My Commission Expires Oct 22, 2llO9 ~
~~~ ~Q""~ Commission # DO 443216
""".9r.r.;",,<" . Bonded By National Notary Assn.
,.",-- ._,
Oct. 31, 2007 9 : 18 AM
INTERNATIONAL FIRE PROTECTION
No. 3908 P. 1
2007-2008 HILLSBOROUGH COUNTY BUSINESS TAX RECEIPT
r\CIUTlES OR MACI1lNl:!:i 0 J I<CQO.16 0 -, $l!.O.T5 0 '11:MPI.0YEElI 15 I
OCC. CODe BUSINESS TYPE
090.015 FIRE SPRINKLE~S- CONTRACTOR
2007 -20DO2 MERCANTIlECT
. LOCATION ~NT CITY 33563-1151
EXPIRES 9-30-2008 FOI.IO NO
RENEWAL r 186289.0000
H. WASTIi 1 AX
SURCHARGe
40.00 36.00
NAME
MAILING
ADDRESS
MAlTHEW J JONES
INTERNATIONAL FI~E PROTECTION INC
1402 MERCANTlLE CT
PLANT CITY FL 33563-1151
BUSINESS TAX RECEIPT
DOUG BELDEN, TAX COLLECTOR
813-635-5200
THIS BECOMES A TAX RECEIPT WHEN IfAUOATEO.
PAID - 20282 - 85
08/27/2007 ... 76.00
HAS Hellf&V PIlIO II f'RlVLEGE TAX TO ENGIIGE
IN BUSINESS, PROFESSION. OR OCCUPllrlON$PECIFIEll HF.RfON.
-1-\\~' L~ G.~ "- \Y\/\\~
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Nov. .5. 2007 2:20PM
INTERNATIONAL FIRE PROTECTION
No. 4002 P. 2
, INTERNATIONAL
. FIRE PROTECTION INC,
"Complete Fire Protection Service"
www.candoifp.com
October 31, 2007
City ofZephyrbills
To Whom It May Concem:
This letter is authorization for the following persons to act on my behalf in all matters
pertaining to submitting plans and picking up permits:
Wayne W. Lenigan
Jason G. Dean
Robert N. Fredrickson
FL DL#L525-899-S2-367-O
F1,D~1)5oo-427-73-229-0
FL DL#F636-774-65-444-0
SS#204-42-5220
S5#591-50-8837
SS#265-61-6644
My Florida State Competency License number is: 56212700012005
Sincerely,
International Fire Protection, Inc.
~
State of Florida
County of Hillsborough
Subscribed and sworn before me this 31st day of October. 2007. By Ma~thew 1. Jones who
is personally known to me.
Notary Public: '--j,/ .-'-- --0 .~~
,
Printed Name: Karen 1). Herrmann
~--
My Commission Expires: July 13, 2009
Seal:
CD KAREND.HERRMANN
. _ Notary Public. State of Florida
My comm. expires July 13. 2009
Comm. No. DO 445853
1402 Mercantile Court · Plant City, Florida 33563-1151 · 813.754-1383 · Fax 813-754-1638
24-HOUR EMERGENCY SERVICE
Nov., 5. 2007 2:20PM INTERNATIONAL FIRE PROTECTION
No. 4002 P. 1
.INTERNATIONAL
eF1RE PROTECTION INC.
"Complete Fire Protection Service"
Fax Cover Sheet
Date:
October 31, 2007
Total # of Pages: 2
(Including cover page)
Fax to:
City of Zephyrhills
Attn:
Karen Miller
Fax#:
813-780-0021
From:
Karen Herrmann
Message:
Power of Atty for Robert Fredrickson. Please let me know if you
need me to mail the original.
Thank you,
Karen Herrmann
kherrmann@candoifp,com
813-754-1383 = Phone
813-754-1638 = Fax
1402 Mercantile Court- Plant City, FL 33563 Office (813) 754-1383 Fax (813) 754-1638
24 Hour Emergency Services