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Home My WebLink About08-7462 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL FIRE PROTECTION MAINTENANCE 7462 Permit Number: 7462 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: 7320 GALL BLVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 2/05/2008 25.00 25.00 2/05/2008 FPM-HOOD CLEANING-Semi Annual TOW VIEW RETAIL LLC 725 CONSHOHOCKEN STATE RD BALA CYNWYD PA 190042102 Phone: 610667-5800 ~~-~ ZI\5{~ ~ Chapter 633, Florida Statutes, authorizes the City to charge and collect user fees to pay ror the costs of fire prevention and protection related activities such as inspections, plan review, administrative fees, and other costs related to the arorementioned. 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 INSPECTION CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041 FEB/OI/2007/THU 09:00 AM ZEPHYRHILLS BUILDING F~y No ol~_70n_~n^LI J~,J. . 1...- .... J I.. I.) 'J 'J P. 002/003 @G7~ F:n.813-780.002 'I . 813-780-0020 City ofZephyrhills Fire .Penriit Application OateReceNed [ '2- Lf':O<6 ,I .,_. -.- . ==...:1'~&ft// ~~;;;-- ... ====.1 JJ#. I . I~~~~t ./ lJ, '-:I ] Job Add,.s [13~' !;IfJ/tJl IIjJ 'I ~ I, ' PBra,l 11 Sub OlvlsIon ", , I' I :Lot'. .1 {Utll~U t'KUM t'KU...t:~1 y fA}\. NUII~t;) . o ,B/o-Hazard waste Storage, - ~UAL . . D "Comm ~~ HoodIPuct o ConlrOled Blwn . ' D ' Emergenc:y GenenIlor < 3O-kw, . ,0 EI'MI'gefICY GQ""r > so kw ' .' D FIre Protedio.. M;adnteI..K:e - ~ Sprinkler : " D Fire Alarm '0 ': ~aod'C~AIAIon '0 ~~ ' Rr8 Alarm In~OOn Flre~ ,D '0 D , '. ,0 LPJNahlr8J Gas-lnstBII8t1on D LPINatur1lI.Gas~NNUAL &ale. , :. D' Places' of ACSMIbIy-ANNUAL , D,~eWn' : , 'D Sparlder8 ':'D:s~'Sy&Wm~, ' o ~ (S~Ier.Sys) " 0 Torch~ ,0 WalIfit T:~ ~ ANNU,Al. ' , D '0 o o D. ,', .'0 FIre Work& , Flammable Application- AN,N\JAL. ' Fuel Tonkl Other: . f , '- ." . : t:umIgatiDn Tent , " H8Drdous Materiel ~r II or ~Q FacIity) ~N'ilUAL Hood 1nt1allation I . .~ Valu_on of Project Contractor . SIgnature , Address ELeCTRIC)AN Signature . ,Address I 'PL.UMBEft.' I SIgnature , Address I MECHANICAlI Signature . . AddreR I OTHER 'I SIgnature . , , 'Address I CINctIone: J Com~~ '! ~ ~-~~roh,r~r~ =CX/N :_....-"';~/Nl '. .~<:6 Ccmpeny I'" ' I Reglatered Y I N ,1. Fee Clnent -l Y I N I liCen&e. J I ='./ Lk:eme* I, I',V/N " I r V/N I Y fN I FeeCurrent I', V IN' I Company R~ . ,Ucsned J:..Clmlnt ,I V/N I' 1, ' Company Regi5"rect L.klBnae .. Fee CuITent V/N I , I , I FBI out application ~. ' ' OWner & Conradllr sitn back of eppIcatjon. notariZed (Or. copy of signed ccD'aCt wttti owner) If CMJr~. a NolJce of CommetlCelTl8nt If required (~Won: over $:500.0) " SUpply twtI (2) sa of drawings with ~ lIoclnentation ' ~ 10-14 dtI~!or nMew after ~ dtI... FEB/Ol/2007/THU 09:00 AM ZEPHYRHILLS BUILDING FlY N ol~ 7~~ 0n~1 1'." 0, (; :',- I cU-'J'. L p, 003/003 ~ .. j. i . .. ..- _..:..:...... '":-"W011CE'.OF.-DEED RESTRICTIONS: 'The unders,gned Ufid nds1hat:thls'PermJt'~nay be sUbJecUo "deed" restricilons~ whiCh'may'be'more, res1rictive than CoUnty regulations. The; f:l.C;t~rsi.9ned.assUmes:teSpo~ibility'for:compllarice with arw,.',:~~l~! applicable deed restrictions. . '. , . ......, '1JNllCENSED "CONTRACTORS .~ND 'CONTRACTOR'RE !ON&IDll:ITIES:-' If'the owner has hired ,8 'contracfor 'Or--""""" , , contractors:to undertake work. they may be required to be II nsed In accordance w!th atate and local Atguiations. If the. . .. ' , cOntraCtor' ~ not lIc.ensed as required by'IaW, 'both .the owner ~. contractor may be cited for II f!liedemear.'IOr violation , un~ state. law. If t~ owner' or intended contractor are un~aln as ~.what licensing requfrements may apply f9r.llie .. ,: . ;ntended w~rk, they ere advised to oontac::t the .Pasco COUf1;i;i1ding h15pect~n 'Divi81o.n-:-L~nsi"9,Se~n at 727-847- , 8009. Fur1hermore, If the owner 'has hlf'8d a. contractor or cont,-actors, he IS advised to, have . the contractor(s) sign '. portions of jthe "contractor Block" of this application fOr, whO theY will be responsjble. If you. as tt'!e oWner sign as.. the . co~tractor, Jhat may be an: i~dioaticin 'tJuit he Is nOt: pr:oper/Y~' ed and is, not entitled to pef'!'Tlltting privileges i~ Pasco . ~~~RubTlON UEN l.A~ (Ch.ptei- 713; Flortd.'~U . ;.1Sam~nded): '. 1f.l}ai~atio~ of work 1$. S2.59Q:OO or ~re: I,..; , certify that: I, ttle- applicant. h.ave been ~vided with a py of the. .Florid~ ~onstruction Lien Law--Homeowner's . Protection .Gulde- pre~ by the Florida Department of culture and, Consumer Affairs. If the appli~nt is someone . other than the "owner", I certify that I have obtained a copy of above desaibed docu!1Yent and promise In good faith to '. deliver it to ,the "owner" prior to' commencement. . ' . . ..: . . ., " ' , .' .':: . :. i CONTRACTOR'SIOWNER'S AFFID~VIT: J' cert that all the ~formatlon In this.. appl~n.is accu~te an~ " . i that all, Work wiD be 'done in compliance with.a applicable. laws reg~~Ung co~~ct!on~. zoning 'aod land : ~evelQpment. Application, is here~y made to ob n a p8rmIt 'to d~ work and in~tall~on as 'indicated. I .certify that no work or InStallation' has commenCed'priOr 0 Issuance of a permit and tha(all work' will be performed to : meet standards of all laws regulating construct n, County and City codes, zO~lng r8gUlauons, and iand , " ;'development regulations in the Jurisdiction. I Iso certify that I understand that the regulatlons.of other 'l.gov8mrrient agenCies m~ apply'to th8lnt~ .rk. and that.R Is"!y respons.ibHi,ty to "dent!fy.what actions I must take to be In comphance. ' . '. ' , .'. ' 'flam the ~GENT FOR THE OWNER;' I promISe in good fa to inform the owner of , the .pennlttfng conditions ,Set forth in this aff1dav.~ .Prior to commencing constrUction. '1 understand that. a separaie permit may be. r.equir:ed ~r electrical work, , . plumbing, ~igns, wells. P.oots, aIr conditioning,' gas, or other installations not specifically included in the application.. A , p8nnit issued shall be constr:ued to be a license to ~ the work 'and flQt as authoritY to.vlolate. cancel, ai~) or set aside aflV provisions of.the tethnlCal codes; nor 6hall1s8 nce of a permit prevent the Building Officiai from thereafter requiring a~' rractlon of errors In plans, construction or viol8t!p'~8 of any codes. . Every perm~ issue<i shall become inva6d unl~s'the, rk authorized by such 'permit is'commenced ~n sO( inont~ of permit .issua~. or.ff work authorized by the permit I suspended or abandoned for'a.period of six (6) rr~h~ after the time the Work is commenced. .Ail extension , may be requested..iri writing; from"the Building 0ffk:IaI for a period not to exceed nlnety,(90) days and will demonstrate justmabfe caUSe for the extension. If wor~ ceases for ninety ( ) Q9nseeutive dayi, the job 18 C()nside~ abandoned. ,: W~RNiNGlto OWNER:" YOUR:J=AIi.UR~ TO ~Coru>'A NOTICE 'OF COMMeNCEMENT 'MAy.RE~tiLT IN YOUR PAYING TWICE 'FOR 'IMPROVEMENTS TO YOlj'R PROPE . . IF YQU INTEND 'To ~TAIN'FINAHCING, CONSULT WI 'YOUR N 0 A 0 I Y N TI 0 co C 'ENT. . FlORIDA JURAT (F.S. 117.03) , 'I . . . , OWNeR OR AGENT' . . Subsalbed-and swOrn m (or atllrmed) befont me thil; . :~ ' ' . .. Who Islare u<<sonally I<n~ to. me or ~ jJ;oduc:ed " . . T ' as ldenliflc:atlon., .... I ' . ,I. I Notary PublIc; .' . ':1. ..' _, ." . :r8ion:No~ .' rA NoIIIry typed. printed or stamped NOtary Public "'. Comm~~~. , .",.1 , . N~me 'Of Notafy typed, prf~ or s~ I . . . " . , . . . , . '. . I . I /$& -G7' ?bG/$// m fJ97 p.?LJ Wb2 71/$// yv, ffil4~ ~ffC;P - " 'Vii'from Melinda Sponder At: Waites & Foshee Insurance FaxlD: Waites:and Foshee:1 To: Karen Date: 2/512008 09: 13 AM 'Pag:e:,i2 :efi!h?::-:: '.; ACORD_ CERTIFICATE OF LIABILITY INSURANCE OP 10 S~ DATE (MMIDDNYYY) SOUTH-S 02/05/0S PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Waites & Foshee Insurance HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P. O. Box 4S03 AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Macon GA 3120S Phone: 478-743-05S8 Fax:478-743-05S9 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A Colony Znsurance Company INSURER B Progressive Casualty Insurance 24260 Southeastern prot svcs of FL INSURER C FFVA Mutual Insurance Co. l1S6S Patrick Russell P. O. Box 1197 INSURER D Altamonte Springs FL 32715 INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH 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. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS 'LTR Nslle TYPE OF INSURANCE POLICY NUMBER DA';!~ (~Mnf~m)~ DATE' (MMIDD/VYI LIMITS GENERAl LIABILITY EACH OCCURRENCE $ 1,000,000 t-- 10/01/07 10/01/0S I ':'CM"~'=- A X COMMERCiAl GENERAl LIABILITY 01116123 PREMISES (Ea occurence) $ 100,000 :=0 CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 5,000 X Waiver of Subroga BLAJIKET ADDTL %II$D CG2010 PERSONAL & ADV INJURY $ 1,000,000 t-- . $ 2 ,000,000 X $1000 deduct~ble GENERAL AGGREGATE t-- GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $2,000,000 I n PRO- nLOC POLICY JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - $ 1,000,000 B ANY AUTO 2434633-S OS/02/07 08/02/0S. (Ea accldenl) - AlL OWNED AUTOS BODILY INJURY - $ ~ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY - $ X NON-OWNED AUTOS (Per accident) - PROPERTY DAMAGE $ (Per aCCIdent) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ R ANY AUTO OTHER THAN EA ACC $ AUTO ONL Y AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ 4 ,000,000 A ~ OCCUR D CLAIMS MADE UM141140 10/01/07 10/01/0S AGGREGATE $4,000,000 $ R DEDUCTIBLE $ X RETENTION $10,000 $ WORKERS COMPENSATION AND X ITORVtIMI'T'S I IVER C EMPLOYERS' LIABILITY WCS400015960200SA 02/01/0S 02/01/09 $ 1,000,000 ANY PROPRIETORIPARTNERlEXECUTIVE E L. EACH ACCIDENT OFFICERlMEMBER EXCLUDED? EL DISEASE - EA EMPLOYEE $1,000,000 If yes, describe under $ 1,000,000 SPECIAL PROVISIONS below EL DISEASE - POLICY LIMIT OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION CITYZEl SHOULD /W'( OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN - NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL City of Zephyrhills IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR 5335 Sth Street Zephyrhills FL 33542 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Harold D. Foshee, III ACORD 2S (2001/08) iSlACORD CORPORATION 1988 City of Zephyrhills - Building Department 5335 8th Street PH: 813-780-0020 x3513 Zephyrhills, Florida 33542 FAX: 813-780-0021 Date: 2-5-08 TO: Patrick Russell FAX #: 407-830-9602 FROM: '1(aren Email: kmiller@ci.zephvrhills.fl.us # PAGES: 2 Message: Good morning. We have received and updated our system with your worker's compensation. Attached is a copy of your permit. When you are ready for inspection, please contact us so we can advise the fire marshal. Thank you. Karen TRANSACTION REPORT FEB/05/2007/MON 09:24 AM P.Ol/Ol RECEIVER 814078309602 TYPE/NOTE OK SG3 'City ofZephyrhills.- Building Department $335 8th Street . PH: 813-780-0020 x3513 Zephyrhills, Florida 33542 FAX: 813-780-0021" Date: 2-5-08 TO: Patrick Russell FAX #: .407-830-9602 .FROM: Email: -# "PAGES: 1(p.ren km i Iler<ibci .zeohvrhi IlsJI.us 2 Message: Good morning. We have received and updated our system with your worker's compensation. Attached is a copy of your permit. When you are ready for inspection, please contact us so we can advise the fire marshal. Thank you. Karen"