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Home My WebLink About07-7347 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 TORCH POT ROOFING PERMIT 7347 Permit Number: 7347 Permit Type: FIRE TORCH POT/TORCH ROOFI Class of Work: FIRE-TORCH ROOFING Proposed Use: COMMERCIAL Square Feet: Est. Value: Improv. Cost: 7,000.00 Date Issued: 12/21/2007 Total Fees: 50.00 Amount Paid: 50.00 Date Paid: 12/21/2007 Work Desc: TAR KETTLE-TORCH POT ROOFING Address: 7643 ALL BLVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 34-25-21-0010-03100-0000 Name: CHILI'S BAR & GRILL Address: 7643 GALL BLVD ZEPHYRHILLS, FL. 33542 Phone: 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. ~ TOR SIGNATURE P -I:O~I~ER PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041 Owner's Name Owner's Address 813-780-0020 City of.Zephyrhills Fire Permit Application 17"..........,.,'"'''''''''' Fee Simple Titleholder Name &~~~L"," I,~.~.:~~:~=L", I film' "_ .,,~,,'" lA-FieNe IIf-Cf!Jt5 I ZC;3~ We;f"FCJ~ ~~6EN I I ~im=~~ ~mam:~"'\j/.,~~ >ll ~ 176'1; 3 IflrLL 6LI/: I Fax-813-780-0021 Phone Contact for Permit ~I#UJ.._ ~ h.~ ~. J ,_,_::JL.__JJ" I II II ?1'i'fY'~"~,'''''''''': Owner's Phone Number I Titleholder Phone Number II II Fee Simple Titleholder Address - -- ~~D't'ii ~ "'" 7""- ...~'---""'!il:m~~_~1Ii; I Lot# Job Address Sub Division ...W"'-Ak;""",,,, ....A~~=: n17f m~~~,~'--r:l>.lI Bio-Hazard Waste Storage - ANNUAL D o D D o o o D D o ~ o D D D D D ~ D D D D D D ..... 7'O!ir;- Company I Registered License # I Company J Registered License # I Company I Registered License # I Company I Registered License # I Company I Registered 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 Fuel Tanks ~~~-m~1 v IJ:' Other: Contractor Signature Address I ELECTRICIAN Signature I Address I PLUMBER Signature Address I MECHANICALI Signature . Address OTHER -Jf Signature Address Directions: ~,~;Bi:X:~W_"-"'."Vi-_'- N.<---_,.""".,...._.,.-,",','.,_;.;;;~.-,~:"""_-:',-... Parcel # tUb I AII'III:.U r-KUIVI t"'KUt"'I:.K 1 Y I f\A I'IIU 11\"'1:.) 'q Jl _rliJ!il!l~~._____ :JlR"Ti~~rYfril':~""'~!!'~! t1~- 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 --- flOl Sparklers U ~ \ n Sprinkler System Installations P! rn ~6~. ~, 1\ 'a-s'/O. ~ Waste Tire Storage ANNUAL f () /.... ........ _ arv,...... J- ~ lz ZO - \~ ('-"--'VC-J-{ ll~uu. ~Gn~ -h::>"T~ ~ I r"}. bOO. <!!2- I Valuation fdf Project rvu.d -+-0 ~~ .~ Standpipes (Sprinkler Sys) Torch Roofing = 1W'1'<1'~'~~"W""V "I!lll!'ll Y/N Y I N Fee Current Y/N Y I N Fee Current Y I N Fee Current Y/N Y I N I.. Fee Current Y/N Y I N Fee Current Y I N I License # I I Llmt~",~, ~-"'$.'''''~''::''<WU>~~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. -_......-_..._._-~.._.~-_..--~..,_..-..._..~.- .._~.--._...--.. . ~ .NOT,ICE-OFDEED.RESTRICTIONS: The undersigned understands that this permit m~ybe 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 .clted 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 . CONSTRUCTIONUEW.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'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and .. -that. all.work -will be {ione in. compliance.with..aU.-applicable.-laws. regulatiRg.-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 government agencies may apply to the intended work, and that it is my responsibility to. i~entify what actions I musttake 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 maybe required for electricalwork, plumbing, signs; wells,-pools, air conditioning, gas, or other installations not specifically included in the application. A ~rmit:issuedst!all:b~ construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or setaside' anYprovisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter . requiring.acorrection of errors in pl~ns, construction or violations of any codes. Every permit issued shall become invalid .unl,ess:-ttie:jiI(ork'authorized.by such permit is commenced within six months ~f permit issuance, or if work authorized by tfie:p:erITifi,js..sus.piarided or abandoned for a period of six (6) months after the time the work is commenced. An extension maY7pe requested, .tn writing, from the Building Official for a period not t~ exceed nin~ty (90)da~s and will demonstrate , j#~~le Ca.iJse 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 ~CE FOR IMPRO . NT~ -':9 YQLJ.~r.~q,~~!;X'~,--I~,:V.a'!,~r,I. ...;1;.9! ...,_ ,~I~",:f:I...ANC.ING, CONSULT _ WR1;Pf..Q.UR~L-EN:DS7AN. . lORNEv.ISEPCDRE-REOORlil1N'G.YOtJR' E . MNlENCEMENT. '..;;...._..:..._....1_::.~....:...;:.:....:. .,.,Fi...._.~_, ....~__\..ttl_.l!J_..._~....__...._:,:.. .:...._..1!1: . . -. .- - . - -. . .~_.' . .--_. .-. -~. _.- ._--_._------------~-_.-- -----.---. ----. ---~_.- .OWNER OR AGENT ~~.;tJ~ and swo r affi efore me this . by Who is/are personally known to me or has/have produced o ~.j a__ L\ (l as identification. CONTRACTOR ~b~ and ed) ~efore me this t\ ~ol oy .10 Who is/are -brsonal y known t6 me or hasJh~ve produ~d c='L , ~ va L\. <!- as Identification. ~ ~ c~ NotaryPublic Commission No_ ~ ...... . ~ Karen L. nfliher i~ \~ . . Name of Nota . " ..' Sfi""~ 29, 2010 . ',.fR __ r..., P"",' _.. Inc. 1004II-7018 ~~.. - --- A~ Notary Public l,';J'-J'''f~~ Karen I Miller ;:Qi -..;~ CommI . # DnanoQAA :t{ ;*= SSIOn UQV~ Commission No_ , r..., Forn -I.....",.., lne 800-385-7019 A;:" f ~ ~ _~_ -C ;-.. ~~ ~. R~C : l _.h ." c ------:."'-. ,. '[' Print Date: 11/2812007 TorchpotsfTar Kettles Zephyrhills Fire Rescue 6907 Dairy Rd Zephyrhills, 33542 Phone:81~7~041 Fax: 813-780-0044 ~spectionDate: 11/2812007 8:45:00AM ~ - orName: Keny Barnett spedionNumber: 1-113-07-0618 InspedionCause: Periodic Insoected Partv CHillS (000137) 7643 GALL BLVD ZEPHYRHILLS, FL 33542 Phone: 813-788-0315 OccupancyType: Assembly PropertyUseType: Restaurant ViolationCounts: 0 Hrs: 0 1. Kettles not located inside or on roof area. No Kettle operated in a controlled area. Yes Minimum of one employee with kettle and within 25 feet of kettle. Yes Two 20 BC certified extinguishers on site and within 25 feet of kettle. No Kettles not closer than 10 feet from exit points. No Kettle doors permanently attched. Yes Kettles have approved visible temperature gauge. Yes All integral working parts are in good working condition and free of excessive residue. No Flexible st~ piping shall not be used on vertical extensions of piping systems. ~ "if//? - V:>TZO ove-/Lte..t:5 No single .~gth of flexible piping shall exceed 6 feet. ~ #/1- - ULPJ) ~.d=h-6- LP fuel oontlliners shall be seetifeatO prevent tip over. No Regulators shall be on all cylinders. Yes LP containers, burners, hoses, regulators shall conform to Chapter 69 of NFPA 1. Yes 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. Comments: NO PERMIT PULLED FOR THIS JOB. COMPANY NAME IS IACOBS PROPERTY MANAGEMENT, INC 81343~739. KETTLE SHOULD BE CLEANED UP OF EXCESS TAR AND DOOR SHALL BE CORRECTED TO FIT. CERTIFIED BC FIRE EXTINGUISHERS SHALL BE ON SITE. ONE ON ROOF AND ONE BY KETTLE. JOB HAS BEEN COMPLETED AT THIS TIME. . ITEMS LISTED ARE NOTED FOR NEXT OPERATION. Page 1 of2 11119/2007 05:45 FAX 8136612935 11/19(2007 15:e7 813-655-84B5 TERIHAV-AGENCV lACOB PROPERTY lACOD'S PROPER.TY MOMT INC. 2035 WEXfORD GREEN DR. V ALRlCO FL.33594 PHONE#;(877)METAL-20 ~/( - ~~~ - ;;).SQO FAX (813)655-0405 PLEASE SEND A CERTIFICATE OF INSURANCE TO CITY OF ZEPHYRHILLS BUILDING DEP. 5335 Sd! ST 33542 FAX (813) 780-0021 I lHANKS: AFI'ENE lACOB 11-19-2007 III 0011002 PAGE EllI Bl 2007-2008 HILLSBGROUGHCOUNTY BUSINESS TAX RECEIPT FACILITIES OR MACHINES ROOMS SEATS EMPlOYEES 000 EXPIRES 9-30-2008 FOLIO NO. OCC. CODE 090.000 1 RENEWAL 193666.0000 IE H. WASTE SURCHARGE 40.00 TAX 18.00 BUSINESS LOCATION 2035 WEXFORD GREEN DR VALRICO 33594 NAME MAILING ADDRESS JACOB AFTENE JACOBS PROPERTY MGMT INC 2035 WEXFORD GREEN DR VALRICO FL 33594 BUSINESS TAX RECEIPT DOUG BELDEN, TAX COLLECTOR 813-635-5200 THIS BECOMES A TAX RECEIPT WHEN VALIDATED. PAID - 48146 - 6 10/03/2007 *** 63.80 HAS HEREBY PAID A PRIVilEGE TAX TO ENGAGE IN BUSINESS, PROFESSION, OR OCCUPATION SPECIFIED HEREON. _. STA~OF~ORIOA_' .. AC#Sf~,. ';, 'DEPARTMENT " P~BUS]l'NBSS' AND....',.,.:, :', . 'PROFRSSJ;'O: ":"~ULATJ:ONi, ..,,' ,., .'-'", "',' CTOR :c '.. J:S,CBRTIo.J'IBD ~ the-'po:ovbioa.of Ch:;-48!tys., ~c...pi%atiClll <lat...,AlJ<1~3],;'-:20'O-~ . '~LO'0928001"2 '-', -.,--." -.-,,-'. --,--.. -- " DETACH HERE STATE.OF FLORIDA I I I ;1 ! ...- " o. _ --,. -- - . -- .. - . -'-, -- ....'0_".. . -n_'. -- .. ---,- _ '_' ",__" .. __ .. _.._....... _._,'.. _ '_",_ '___' " .,~. ,__ ,,',e. :__, .. - .. - - -, - -- - -.. - .. .. - -- .. .,-,-,'-....,..-..... .'n _" __.......-,._._..._.._.._ ....._.._. _0_.__', _',_ ;I>EPARTHEmr.OFBUSnmSSc1\NDPROFESSIONAL REGULATION CONSTRUCTIONcINDUSTRy..tLJJCENSING. -BOARD e"-..:i ,'_.c...;',-' _-",_,_,_',,_ -, -_-".:"'-,_..,_, __' 'c ',- 'n"" ->'-.'_-: ::-:_'''',' .c, _:,-_,' --:-u.,~--- ._:::L::::-:-:.~_:-_:-::;__:,:_-}::_-.--;_:':::",::_:::' .. - .UCOB~~'F1'ENE . ..c....XACOaSciopROP.ERTY MGMT ..XNC . 2035 lW'EXFORD GREEN DR VALRICO FL 33594 JEBBUSH t:!n~r""1:l~TfU) SIMONE MARSTILI;ER ~'CI,..nn",:...-,"'r 11/19/2007 05:45 FAX 8136612935 TERIHAV-ASENCV ~ 002/002 ACORD.... CERTIFICATE OF LIABILITY INSURANCE I !lATI! IMMlblllVVVV) 11/19/2007 PRODUCeR THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MOORE-TERIHAY AGCY lNC/NATIONW ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 115 Margaret SI Su Ite F HOLDER. THIS CERl1FICATE DOES NOT AMEND, EXTEND OR Brandon, FL 3351 1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC. . .. . - ..- INSUREO INSURER A: Evanston Insurance Co. lacobs Property Management Inc. . -- .... " .......- 4404 Tevalo Drive INSURl:RB: ~.. .. ...-.. Valrico. FL 33594 ,NSUIISIIC' '. _. IN8URERC. I IN$UAElR E: COVERAGES THe POL.ICleS OF INSURANce L.ISTiD BEL-OW HAVE BEEN ISSUED TO THE INSUReD NAMED AeOVE FOR THE POLlOY peRIOD INDICATISD. NOTWITHSTANDING ANY REQUIReMeNT, TeRM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH REspeOT TO WHICH THIS CERTIFICATE MAY Be IssueD OR MAY PERTAIN, THe INSURANCE AFFORDED lilY THe POL.ICrES OESCRIBED HEREIN IS SUBJEOT TO ALL THE TERMS. EXOLUSIONS AND OONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAV HAVE BEEN REOUCED BY PAID CLAIMS. '~~: ~~~.~ .-.... - POLICY eFFECTIVe POLICY U:PIAA TION POLICY NUMIER UMml ..!!!NiRA~ ~IABI~ITY EACH OCCURRENCE $ 1,000,000 ~OMMERCIAL GENERAL LIABILITY pFiEMiSES Sa occu,.""o' $ 50.000 A _ CLAIMS MADE 0 OCCUR CL090201748 10/31/2007 10/31/2008 MEC EX,. (Any orlll pi"",n) S 1 000 _ Owners & Contractors PERSONAL" AOV INJURY S 1 000.000 t-- GeNERAL AGGREGATE s 2 000 000 n'L AGGREGATE LIMIT APn "SA: PROOUCTS . COMPtOP AGG S 2 000.000 POLICY n ~~ LOC ~lJTOMOll'l.li ~IAlll~1TY COMBINliO SINGL.E L.IMrr , ANY AUTO (Ea occident) t-- ........" "''''- ALL OWNJ;C AUTOS BOOIL Y IN,JUII'V SCl1EDULED AUTOS (Pe, perean) ! I-- _ 111REOAUTOS BODILY INJURY , _ NON.OWNED AUTOS (Pe' acctO,nlj .. I .. PAOPERTYDAw.GE (Pe,acc"*,n,) $ ~RAGE UABlUTY I I AUTO ONLY. EA ACCIOEI\IT S ANY AUTO OTHER THAN I;A~ $ AUTO ONLY: AGG , :5ElISNlotllIlEI.LA I.IUILITY EACH OCCURRENCE $ OCCUR LJ CLAIMSMAOE AGGREGATE S S ~ , \ . -- ...... =J DEDUCTIBLE 1$ ~-. RETENTIOIll $ :, WolIl(ERS COMPENSATION AND : : ~_..H~~~IfJ~~ I IV~~' EMP~OYERS' LIABILITY ANY PROPRIETOI'lIPARTNERlEI(ECUTIVE E.L. EACl1 ACCIOEI\IT S OFFICER/MEM8ER EXCLUDE07 . E.L. DISEASE. EA EMPLOYEE S . ~~~6~~~':l'MIS'1~NS below E.L DISEASE. POLICY liMIT S OTHEII I I I I OSSCI'lI""ON QFQPERAT10"S/~OCATlONS IVEHIClES/ElIClUSIONe A!lbElO IIv ENOORSEMENT ISP6CIALPAOYlSIONS CERTIFICATE HOLDER Cily of Zephyrhllls Building Dllpartment 5335 8th Slreet Zephyrhills, FL 33542- CANCELLATION ACOFlD 26 (2001108) SHOU~O ANY OF THE ABove OISCl'lllSo POUCISB liE CAHCE~I.liO llEFOIl& THIi IllPlRATION DIITE THEIlEOF, THE ISSUING INSUReR WILL I!NblAVOFl TO M....~ -1!L.' OAYS MlITTEN NOTICE TO THE CiRTIFlCATE HOlb1!1'l NAMI!D TO THE L.EFT, BUT FAII.UIIE TO DO SO SHA~~ IMPOSE NO Oll~lllATlOll 011 U"'III~ITY OF ANY KIND UPON THE '"BUREIl, ITS AllENTS 011 REf'RESENTATlVIiS. AUTHORIZED ReIlIlEU,"ATlVE Hull & Co.. Ino. . Tampa Bay , 11/19/2007 16:57 LION INSURANCE COMPANY LYONS INSURANCE COMPANY~Iacobs Property Mgmt., Inc. 1/1 Date ACORD TM CERTIFICATE OF LIABILITY INSURANCE 11/19/07 Producer: Lion Insurance Company This Certificate Is Issued as a matter of Information only and confers no rights 2739 U.S. Highway 19 N. upon the Certificate Holder. This Certificate does not amend, extend or alter Holiday, FL 34691 the coverage afforded by the policies below. Phone: 727.938-5562 Fax: 727.937.2138 Insurers Affording Coverage NAIC # Insured: South East Personnel Leasing, Inc. Insurer A: Lion Insurance Company 11075 2739 U.S. Highway 19 N. Insurer B: Holiday, FL 34691 Insurer C: Phone: (727)938-5562 Insurer 0: Insurer E: Coverages The policies of Insurance listed below have been issued to the insured named above for the policy penod indicated Notwithstanding any requirement, term ~ condlbon of ooy cornact or olher documentv.;th respect to which this certificate may be Issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms. e)OC;usions. and conclbor!; of such policies Aggregate limits shown may have been reduced by paid claims INSR ADDL Type of Insurance Policy Number Policy Effective Policy Expiration Date Limits LTR INSRD Date (MMIDDIYY) (MMIDDIYY) ~ENERAL LIABILITY Each Occurrence !$ I- . . .. Commercial General Liability Damage to rented premises (EA : 0 Claims Made 0 Occur occurrence) ~ - Med EJ<p $ - Personal A';" Injury General aggregate limit applies per: ] Policy o Project 0 General Aggregate LOC Products - Com plOp Agg $ AUTOMOBILE LIABILITY Combined Single Limit - (EA ACCident) My Auto - All Owned Autos Bodily Injury - (Per Person) $ Scheduled Autos - Hired Autos Bodily Injury I- Non-Owned Aulos (Per ACCident) I- Property Damage (Per Accident) GARAGE LIABILITY Aulo Only - Ea Accident R My Aulo Other Than EA Acc $ Autos Only AGG $ EXCESS/UMBRELLA LIABILITY Each Occurrence - Occur o Claims Made Aggregate - Deductible - Retenbon - A Workers Compensation and X I WC Statu- I 10TH. WC 71949 0110112007 0110112008 lory Limits ER Employers' Liability Anv nrnnriotnr/nartnor/ovo,..,tft,O ,,'fi,...rlrn.mh.,. E.L. Each Accidenl $1000000