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Home My WebLink About08-7354 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL FIRE PROTECTION MAINTENANCE 7354 Permit Number: 7354 Permit Type: FIRE PROTECTION MAINTENANC Class of Work: FIRE-PROTECTION MAINTENAN E Proposed Use: COMMERCIAL Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: Address: 6329 GALL BLVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s}: Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 03-26-21-0020-00000-0010 1/02/2008 25.00 25.00 1/02/2008 FPM-FIRE SPRINKLER - MAINT Name: KAUFMAN GROUP ENTERPRIS Address: 6329 GALL BLVD ZEPHYRHILLS, FL. 33542 Phone: - WILL CALL FOR INSPECTION t , ~) , ' ~- 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 OBTA'IN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY 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 Date~ Received Owner's Name Owner's Address Sub Division ~;mm~lI:tI' ~r' D D D D D [~r D D D o D D ~f)_ Imli"'lll' Contractor Signature Address ELECTRICIAN Signature Address I PLUMBER Signature Address I MECHANICALI Signature Address I ......r........rJ. Fax-813-780-0021 City of.Zephyrhills Fire Permit Application , \,:,,' 'I" I'. 1,' ..-, \'-" '_. ',. \ Phone Contact for Permit ~/) I Ho,; J ~ E.y e Q;re C Me.-r I Owner's Phone Number I 63)..9 6e;/1 ~/vJ '2~/).p,A,}/~. Pi Fee Simple Titleholder Name Fee Simple Titleholder Address lliIliii__ -,~~""'" C" , . Job Address ' '-' . j I J II I ~3~~/ II 'I Titleholder Phone Number I II 1f,li'i:11lm~""'IfI];lWW~f:;;~1~' l ' ~.( -~. .x._~>:""_." I, >,,-.'( \ Bio-Hazard Waste Storage - ANNUAL Comm Exhaust Kitchen HoodlDuct Controlled Bum Emergency Generator < 30 kw Emergency Generator> 30 kw Fire Protection Maintenance - ANNUAL Sprinkler 0' Fire Alarm 0 Hood Clean/Suppression 0 Fire Alarm Installation Fire Pumps Fire Works Flammable Application- ANNUAL Fuel Tanks Parcel # ,~~7t..,. /. L-Il...\yG f \_- rC Lot # I ," ' '-, }: ' ,:..' " _ ,." . "'.L -. .:.. . -" (,' ..~ t Uti I AII\lt:U t"t'<UIVI t"t'<Ut"t:t'< I Y r-~ ',_ ,I. '- {'. 1Ar. NUII~t:) o Fumigation Tent D Hazardous Material (Tier II or RQ Facility) ANNUAL o Hood Installation o LP/Natural Gas-Installation o LP/Natural Gas-ANNUAL Sale o Places of Assembly-ANNUAL o Recreational Bum o Sparklers o Sprinkler System Installations o Standpipes (Sprinkler Sys) o Torch Roofing o Waste Tire Storage ANNUAL Other: Valuation of Project OTHER Signature ~ Address l.._""~~,_",,,_,__,"__,,____,,_,_ Directions: Fill out application completely. Owner & Contractor. sign back of appiicatio~,~otarized (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. Company Registered Y I N I Fee Current Y/N License # Company Registered License # Y I N l Fee Current Y/N Company Registered Y I N I I I I I I -- Y I N Fee Current License # Company Registered License # Y I N I Fee Current Y/N Company Registered License # J" Y/N Y/N Fee Current ~R.l'~- "''"'''''.....,..'''''''..,..... ..' .'"~.,.~ '~. ......:_.""'-,. ""~ _.-"'~"."'tili'". _.._.....--_....__...._....._.~_.~_.._.._....- ...~..... ~_... HNOT,lce.OFDEED.RESTRICTIONS: The undersigned understands that this permit m~ybe subject to "deed" restrictions" .which may be-more restrictive than CO\lnty regulations. The undersigned assumes responsibility ,for compliance with any applicable deed restrictions. " 0 'UNLICENSED CONTRACTORS AND 'CONTRAC"f;OR RESPONSIBILmeS: 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;'J certify that I. the applicant. have been provided with a copy of the .FloridaConstruction 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 ..thal' all..work . will be-done in, compliance..with..all..applicable,.laws, regulatiRg..constructioll;.,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 developm~nt 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 must-take to be in compliance. If I ,am the AGENT fO~ THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior -to, corin:nEmcing construction. I understand that a separate permit may be required for. electrical' work. plumbing, signs; wells. :pools, air conditioning. gas. or other installations not l?pecifically included in the application. A per:mit'is~ued,shcdl:b~ construed to be a 'license to proceed with the work and not as authority to violate, cancel, alter.,or setasioe anY'provislons of the technical codes, nor shall issuance of a permit prevent the Building Official from tnereafter ,requirirng,acorrection of errors in pl~ns. construction or violations of any codes. Every permit issued shall become invalid . ounle~soihe~~or'k'authorized''by such permit is commenced Within six months of permit. issuance. or if work authorized by ,.ttie;:permH.js"$u~,p~rided or abandoned for a period of six (6) months after the time the work is commenced. An extension may:pe requested. .tn writing, from the Building Official ,for a period not to exceed ninety (90) days and will demonstrate o j~s.~ii!~le 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 TW~CE FOR I,MPR,OVEM,'ENT~ -r:~ y~LJ~.,r!~9,~E~!X:}~.!BI'L!t.J:rr;['<IR,IP,9~;r~lf'tI~INANCJNG. CONSULT "Wf+H :y.:ClUJR~L.EIllDER-(!)R,.AN-A:r;rORN~ISSJimRE':"'R Cf~1N'G,YOtJl~,;\ft)T1C 'F COMM CEMENT. i ;;:o;;1:f~timJ~t:l:1fJ~: tl:'J'tt03)" i i .. :,' " :. , _.. _ .._~..:~.I ~ .;........,!.: ..~...M...,.. ..:.." .... .' ...--" .. .. ..... .... .....-.... .,. "... ....~ ............ ...........-..........-..........-..............-..-.-............-.. ... ... .OWNER OR AGENT Subscribed and sworn to {or affirmed) before me this o by Who is/are personally known to me or has/have produced , as identification. CONTRACTOR Subf.cribet;land swom.to (or affi~ed) before this I r Lie": > ' by ," 0'" >0, ,~.. \ LOt ''': Who is/are personally known to me or'ks/have produced ~ \ [) to" ,_,' I l (:.- as Identification. U. .. ..... .....................-. Notary Public r ..... \<...~~- .0 .. \ ~''')'; -:... '-_ ,-, '--. .- Notary Public Commission No. ,Commission No. Name of Notary typed. printed or stamped Name of Notary typed.