HomeMy WebLinkAbout07-7335
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
7335
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
7335
FIRE PROTECTION MAINTENANC
FIRE-PROTECTION MAINTENAN E
COMMERCIAL
Address: 5538 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-05700-0250
12/18/2007
25.00
25.00
12/18/2007 Phone:
FPM-HOOD CLEANING SCHEDULED 12/22/07 - LITTLE CEASARS
~'rvL((~ -do
TfQ~ ~
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 ATIORNEY BEFORE RECORDING YOUR NOTICE
OF COMMENCEMENT."
"--'
P IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
813-780-0020 City of Zephyr hills Fire
. / / Permit Application
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I ? .-Ij-.QZ 0 fI~ {/7'I71f I Owner's Phone Number I II I J I
I Z3 Of ?oJt1 H:/JC I1jJl(/( Pi I
I I Titleholder Phone Number II II I
I I
I S-S-3 &
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Owner's Name
Owner's Address
Fee Simple Titleholder Name
Fee Simple Titleholder Address
Job Address
Sub Division
Gfl LL
~LVO
I
Fax-813-780-0021
L\ ~I,€-
i~ /2-.-z.../07
Parcel #
c~~
I Lot#
(U~ I AINt::U f-KUM t-'KUt-'t::K I Y I AX NU 11l;t::)
D
D
D
D
D
~
D
D
D
D
D
D
Bio-Hazard Waste Storage - ANNUAL
Comm Exhaust Kitchen HoodlDuct
Controlled Bum
Emergency Generator < 30 kw
Emergency Generator> 30 kw
Fire Protection Maintenance - ANNUAL
Sprinkler
Fire Alarm
~uppression
Fire Alarm Installation
Fire Pumps
D
D
0- Q(-\-~
D
D
D
D
D
D
D
D
D
D
D
D
Fumigation Tent
Hazardous Material (Tier II or RQ Facility) ANNUAL
Hood Installation
LP/Natural Gas-Installation
LP/Natural Gas-ANNUAL Sale
Places of Assembly-ANNUAL
Recreational Bum
Sparklers
Sprinkler System Installations
Standpipes (Sprinkler Sys)
Torch Roofing
Waste Tire Storage ANNUAL
Other:
Valuation of Project
Fuel Tanks
Fire Works
Flammable Application- ANNUAL
Company
Registered
License #
Y I N I Fee Current
Contractor
Signature
Address I
ELECTRICIANI
Signature ,
Address I
PLUMBER
Signature
Address I
MECHANICALI
Signature ,
Address I
OTHER
Signature~
Address
Directions:
Y/N
Company
Registered
Y I N I Fee Current
Y/N
License #
Company
Registered
Y / N I Fee Current
Y/N
License #
Company
Registered
,Y I N Fee Current
Y/N
License #
Company
Registered
100\ OQ.~ c.e....e.u l~
Y I N I Fee Current Y I N
License #
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 Y-'ork 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 (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.
WARNING!TO OWNER: YOUR FAILURE TO RECORD A 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 COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03)
I
OWNER OR AGENT
Subscribed and swom to (or affirmed) before me this
by
Who is/are personally known to me or has/have produced
. as identification.
CONTRACTOrl ~...-- ~/'
Su~Cribnd and swom to (or affirmed) before e this
JZ- \<6 07 by L~ D ~...t2~~+h
Who is/are personally known to me or as/have produced
Q ~~ <2. i J. <L as identification,
Notary Public
~.....~
Notary Public
Commission No,
i
Commission No.
Name of Notary typed, printed or stamped
i
Name of Notary type .
Pasco County Parcel: 11-26-21-0010-05700-0250001
Page 1 of 1
Search Again Show Map Generalized Buildina Schematic Estimate Taxes Frequently Asked Questions
Other Parcel Cards: 1 12 I 3 I ~ I 5 I ~ 12 I ~ 121 10 1111 1~
Other Agency Data: Tax Collector School Board Suoervisor of Elections
Data Current as Of: I Weekly Archive - Saturday, December 15, 2007 I
Parcel ID 11-26-21-0010-05700-0250 (Card: 001 of 012)
Classification 11 - Retail Stores, One Story, All Types
Mailing Address Assessment (totals)
WELLESLEY DEVELOPMENT CORP Ag Land $0
C/O NYE COMMERCIAL MGMT INC Land $259,141
34619 STATE ROAD 54 W Building $965,967
ZEPHYRHILLS, FL 335412132
PJ]y~i~aL~.ddr~$~See ~lU2 addr~~e_$ (First Shown) Extra Featu res $11,136
5518 GALL BLVD Total Assessment $1,236,244
ZEPHYRHILLS, FL 33542-3958 Save Our Homes $0
Leaal Description (First 4 Lines)
CITY OF ZEPHYRHILLS PB 1 PG 54 Taxable Value $1,236,244
PORTION OF VACATED RR R/W DESC
AS COM SW COR OF BLOCK 89 TH
S63DG 28' 30"W 60.00 FT TH
Land Detail (Card: 001 of 012)
Line e Des<riptlon. Zoning I Units me< Condition Value
1 1100 ISTORE 1FLRII 00C2 II 7,000.00 I .69 1.25 $67,291
2 00 ISTORE 1FLRII 00C2 II 51,160.00 I .00 I 1.25 I $191,850
Additional Land Information
cres " 1.34 II Tax Area " 30ZH " FEMA Code 1/ X IICommerical Codell M3012DR
Building Information - Use 11 - Retail Stores (One Story) (Card: 001 of 012)
Year Built 1989 Stories 1.0
Exterior Wall 1 Concrete or Cinder Block Exterior Wall 2 None
Roof Structure Shed Roof Cover Min Roof(Corr. or Sh M)
Interior Wall 1 Drywall Interior Wall 2 None
Flooring 1 Carpet Flooring 2 None
Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 1.0
I Line II Description II Sq. Feet I Repl. Cost New
1 BAS 1,360 $141,032
2 II CAN " 160 II $4,978 I
Extra Features (Card: 001 of 012) I
Line II Description II Year II Units I Value
1 II PAV ASl' II 1989 II 2,314 I $781
2 II SWC II 1989 II 110 I $124
3 II CLFENCE II 1989 II 66 I $23
Sales History
Previous Owner " N/A
Year II Month II Book/Page II Type Amount
1988 II 07 II 1721/0483 II WD : $500,000
I 1977 II 11 II 0916 / 0132 I $312,000
Se.a[kILAQ..gjn Show Map Generaliz~o BuiJJ:ling.$chematic ~timate Tqxe...s. freauent.ti...Asked Ouestion!?
Other Parcel Cards: 1 I .2 I .3 I .4 I 5 I ~ I Z I ~ I 2 I 10 I 11 I 12
Other Agency Data: Tax Collector School Board Supervisor of Elections
http://appraiser.pascogov.com/searchlparce1.aspx?sec=11 &twn=26&rng=21 &sbb=OOI 0&... 12/1812007
~
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
7341
Permit Number: 7341
Permit Type: FIRE PLACE OF ASSEMBLY
Class of Work: FIRE-PLACES OF ASSEMBLY
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid: ,..J" ~?S-'
Date Paid: Phone:
Work Desc: PLACES OF ASSEMBLY - ACTIVITY ROOM
Address: 37411 EILAND BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 03-26-21-0010-05300-0000
12/19/2007
~C> ~s<-'- ~ r).
~ ncJod)
12-1-2- d 07
OCCUPANCY LOAD:
Occupancy by more than the number of persons above shall be considered
dangerous and unlawful. Occupant load determined by Florida Fire
Prevention Code, NFPA101, Section 7.3.1.2
FIRE MARSHAL OFFICE: 813-780-0041
~
-1- - --'I~ -R-
PERMIT EXPIRES IN ONE (1) YEAR FROM DATE OF ISSUANCE
THIS PERMIT NEEDS TO BE POSTED IN VISIBLE LOCATION IN MAIN ASSEMBLY AREA
ZEPHYRHILLS FIRE RESCUE DEPT - 6907 Dairy Rd, Zephyrhills, FL 33542
813-780-0020
.
Date Received
Owner's Name
Owner's Address
City of Zephyrhills Fire
Permit Application
Phone Contact for Permit
Fax-813-780-0021
~\.~C. I Owne""t'ooeN,mbe,
~ ~\~,FI-
I I Titleholder Phone Number
I
~ laQQJ J~J
~~~ I
" II I
I
Fee Simple Titleholder Name
Fee Simple Titleholder Address
Job Address
Sub Division
131Y
I
Parcel #
I Lot#
lUt; I AINt:.U I-KUM t-'KUt-'t:.K I Y I AX NU 11~t:.)
D
D
D
D
D
D
D
D
D
D
D
D
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
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 D
Fire Alarm D
Hood Clean/Suppression D
Fire Alarm Installation
Fire Pumps
Fire Works
Flammable Application- ANNUAL
Valuation of Project
Fuel Tanks
Other:
Contractor
Signature
ELECTRICIAN
Signature
Address I
PLUMBER
Signature
Address I
MECHANICALI
Signature .
Address I
OTHER
Signature
Address
Company
Registered
,*ense #
Company
Registered
License #
Company
Registered
License #
Company
Registered
License #
Company
Registered
License #
Directions:
Y I N I Fee Current
Y/N
Y I N I Fee Current
Y/N
Y I N I Fee Current
Y/N
,Y I N I Fee Current
Y/N
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.
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 responsibitity,for compliance with "any
, :applicable dead restrictions. ;< .
, UNLICENSED CONTRACTORS AND CONTRACTORRESPQNSIBIt,.ITI~: If thlll OWl)er has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and rocaf regulations. If the
contractor is not'licensed as required, b.y law, I both 'the. qwn~r sInd contrac.tor !)lay becitecJfor a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what Iicensing'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 is 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.
WARNING!TO OWNER: YOUR FAILURE TO RECORD A 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 COMME;NCEMENT.
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
asidentiflcation.
CONTRACTOR ,. 'r
. 'SuMcrlbed aml~WOrt1 to (or affirmed) before' I1Ile tAis'
by
Who is/are personally known to me or has/have produced
as identification.
Notary Public
Notary Public
Commission No,
I
Commission No,
Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamped
I
I