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Home My WebLink About07-7281 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL FIRE PROTECTION MAINTENANCE 7281 Permit Number: 7281 Permit Type: FIRE PROTECTION MAINTENANC Class of Work: FIRE-PROTECTION MAINTENAN E Proposed Use: COMMERCIAL Square Feet: Est. Value: 23,260.00 Improv. Cost: Date Issued: 12/07/2007 Total Fees: 25.00 Amount Paid: 25.00 Date Paid: 12/07/2007 Work Desc: FPM-SPRINKLER SYS - QUARTERLY Address: 6719 GALL BLVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 03-26-21-0010-03300-0010 Name: SUN MEDICAL CORP Address: 6719 GALL BLVD ZEPHYRHILLS, FL. 33542 Phone: 813783-6189 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." .... P IT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPEcnON CALL FOR INSPEcnON - 8 HOUR NOnCE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041 , 813-780-0020 Date Received Owner's Name Owner's Address Fee Simple Titleholder Name City of Zephyr hills Fire Permit Application Fax-813-780-0021 c 11 'j l.\. f \ I '{(It {c:" ( (~,\ft' r Phone Contact for Permit I tJ I') Ills-IS- I : I I Owner's Phone Number 18-/ '3.. I Titleholder Phone Number I I I~-Cdl I Fee Simple Titleholder Address Job Address Sub Division II II I3f I Lot# Parcel # (Ut:ll AINt:U I-KUM I-'KUI-'t:K I Y I AX NU 11L;t:) D D D D D D D D D D D D Bio-Hazard Waste Storage - ANNUAL Comm Exhaust Kitchen Hood/Duct Controlled Bum Emergency Generator < 30 kw Emergency Generator> 30 kw Fire Protection Maintenance - ANNUAL Sprinkler 0 Fire Alarm D Hood Clean/Suppression D Fire Alarm Installation Fire Pumps Fire Works Flammable Application- ANNUAL Fuel Tanks D Fumigation Tent D Hazardous Material (Tier II or RQ Facility) ANNUAL 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 ANNUAL Other: Valuation of Project Contractor Signature Address I ELECTRICIANI Signature . Address I PLUMBER Signature Address I MECHANICALI Signature . Address OTHER Signature Address Directions: Company I Registered License # I Company I Registered License # I Company I Registered License # I Company I Registered License # I Company I Registered License # Y I N I Fee Current Y/N Y/N Y I N Fee Current Y I N I Fee Current Y/N Y I N I Fee Current Y/N Y I N I Fee Current Y / N I 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. 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 (Chapter 713, 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 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 I government agencies may apply to the intended work, and that it is my responsibility to identify what actions I 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, ~igns, 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 ik 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. WARNINGITO OWNER: YOUR FAILURE TO RECORDA NOTICE OF COMMENCEMENT 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 MENCEMENT. FLORIDA JURAT (F.S. 117.03) , I OWNER OR AGENT Subscribed and sworn to (or affirmed) before me this by Who is/are personally known to me or has/have produced as identification. CONTRACTOR mS;1bed and s \Z I D" by ~s/are personally known to me or has/have produced oe\Je i f {f as identification. Notary Public ~~<..~~ Notary Public , Commission No. I Commission No. Name of Notary typed, printed or stamped i Name of Notary typ ~ 19i .~ Karen L. Miller ..~ \~ . . . . ~October 29,2010 II..- T~~... . ._.....,... _.....7019 {t1- II ~~ ~ Date of Work: Not Scheduled District : 292 Technician Work Report Technician Miguel A Rivera Task Number Scheduled Start Service Request Service Request Customer Acct Customer Name Site Name Contact Name Site Address City state BillTo Name BillTO Address: City State Owner Jessica Montoya 12116136 In planning Time Type Number 942689 Sun Medical Center Inspection-Auto Gen 8454622 Payment Terms: Immediate Mike prilliman/ Prop Mgr Phone 813-7151515 6719 Gall Blvd, zephyr hills FL zip 33541-2571 Century 21 Bill Nye Realty, 34619 State Road 54, zephyrhills FL Inc Zip 33541 Contract Number: 125251 Inspections: Sep 2007, Dec 2007, Mar 2008, Jun 2008, Sep 2008, Dec 2008, Mar 2009, Jun 2009, Sep 2009, Dec 2009, Mar 2010, Jun 2010, Sep 2010, Dec 201 Task Type Task Name Problem System Summary Notes Service Plan: SP-TEST/INSP Medium Current Inspection: Dee 2007 1 Person Inspection SP-Dee 2007 priority : Inspection SYSTEM-SP-WET SPRINKLER Wet Sprinkler System Dee 2007 Created BY AutoGen Serial: CONTRACT COVERAGE ANNUAL (SEP) AND QUARTERLY (DEC/MAR/JUN) INSPECTIONS OF ONE WET RISER. LEGACY ACCOUNT NUMBER LEGACY CUSTOMER NUMBER - 00281477 INSPECTION INSPECTION - This Site Not Covered By East Pasco Med. Per Gwen GENERAL SERVICE SERVICE - W/O 01/04 84020004 09/21/03 Special Action Not Released For Units - Status Changed To Not-an-Contract - $1,397.61 Over 4 Months Past Due See Scd006 For Details