HomeMy WebLinkAbout08-7495
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
BIDN
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7495
Permit Number: 7495
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:
2/13/2008
25.00
25.00
2/13/2008 Phone:
FPM-PUBLlX - QUARTERLY-FIRE ALARM
Name: TOWNVIEWRETAIL LLC
Address: 725 CONSHOHOCKEN STATE RD
BALA CYNWYD PA 190042102
61 0 667-5800
C~rL.d:su:O - t<,r)
21,Y(Of)
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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 $100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE
OF COMMENCEMENT."
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P IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
813-780-0020
Date Received
O....,er's Name
OWner's Address
City of-Zephyrhills Fire
Permit Application
# It 1.5
Fax-813-78~21
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Fee .Simple Titleholder Name
Fee Simple Titleholder Address
Job Address
Sub Division
Phone Contact for Permit
Y$/~'ir
1.17F'3 1.18?p/
I Owner's Phone Number
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Lot #
Bio-Hazard Waste Storage - ANNUAL
Comm Exhaust Kitchen HoodJDuct
Controlled Bum
. Emergency Generator < 30 kw
Emergency Generator> 30 kw
Fire Protection Maintenance - ANNUAL
Sprinkler
Fire Alarm
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Parcel #
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PLUMBER
Signature
Address I
MECHANIC'
Signature .
Address I
OTHER
Signature
Address I
Directions:
Hood aeanlSuppression
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
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Valuation of Project
Company
Registered
License #
~ectll()1:vSerf//Le~
UZ]!J Fee current' I .. Y I N I
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Y IN I
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Company
Registered
License #
yrN I
Fee Current
Company
Registered
License #
Y/N I Fee Current I Y/N
Y/N I Fee Current I Y/N
Y/N I Fee Current I Y/N
Company
Registered
License #
Company
Registered
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.
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:.NOnGE.QF;:OEBD.RESTRICTIONS: The undersigned understands1hatthls permit mayb.e~l:Sbject to ~deed" restrictions".
WIlle.A may be.more ~~bictlve.than County regulations. The undersigned. assumes 'responsibility for comPliance With any
applicable deed restrictions.... .'..
.. . UNLICENSEO CONTRACTORS AND .CONlRACTOR RESPONSIBll.:.mES: .Jf the owner has hired a contractor .or!
. contractors to undertake work, ~ey may be requi~ to.be licensed In accordance with'state andlocat regUlations. If the
cont;ractor isnm licensed as required bylaw, both the owner and contractor may be.clted fur s.:mlsdemaanor violation
under. state law. IHhe owner or intended contJ:actor are uncertain as to what licensing 'requirements may apply tOl: the
intended work,1hey are advised to contact the Pasco.county Building Inspection D.lvlsion-licenslng Section at 727-847-
. 8009. 'Furthermore, if the owner has hired a contractor .otcontractors, he is advised. to hava the contractor(s) sign
portlons.of the .contractor BlOck" of-this lIppllcation for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he Is not properiy Iicensed.and Is not entltiedtopermlt6ng privileges InPasco
County. . -
CONSTRUCTION.UEN.LAW (Chapter713, Florida statutes, as amended): Ifvaluatlonofwork Is $2,500.00 or more;.1
Certify that I,the applicant, have been provided with a. copy of the .Florida 'Construction Lien Law-Homeowner's
Protection Guide. prepared by the 'Florida Department of AgriculbJi"e and Consumer Affairs. If the appliCant is someone
other than.the .owner", I.certify that.1 have obtained a copy of the above described document and promise In good faith to
deliver it to the .ownei""' prior to .commencement.
_ . .CONl'RACTOR'S/OWNER'SAFFIDAVIT:1 certify that all. the information in this application Is accurate and
... ..... ... "tha~: all.work.will. be-done In. coml'liance.with..atl..applicable..laws .regulatlRg.,coFlslruotioA.....zoAIAg.:andc.land..--._m..
development. Application Is hereby made to obtain a perm.lt to do work and installation as indicated. I certify
that no work. or installation has commenced prior to issuance of a permit and that all work will be per'fQrmed to
meet standards of all laws regulating .construction, County and City codes, zoning regulations, and .Iand
developmf'nt .regulations in the jurisdiction. I also certify .that I understand that the regulations of other
government agencies may apply to the intended work, and that ~ is my responsibility to. i~entify what actions I
mustiake to be in compliance.
if lam the AGENT fO~ THE. OWNER, I promise in g~ faith to inform the owner of the permitting conditions'set forth:in
this affi.davlt Prior -to. coiill:n~ncing construction. I understand that a separate permit may be required for. electrical" work,
plumbing, signs; wells, :pools, alreondltionlng, gas, or other installations not ~pecifically.lncluded in the application. A
~.r.m!t 'j~$u~d. Sti~II:b~ coris.trued to be a 'license to proceed with the work and not as aLith~ to violate, cancel, alter, or
setaside any'..prOvisions of the technical codes, nor shall issuance of a permit prevent the Building Official from ttlereafter
. requlring.a .cmrectlon of errors in pl~ns, construction or viqlations of any codes. . Every permit issued shan become invalid
. .unl~it:ie~~n<.'auttl(:~rize("'by such .pel1'i1it is. commenced Within six month~ of permit issuance. or if work authorized by
..~e~;~~lsijU$~rid~d or abandoned for a period of six (6) mo~thsafter the time th~ work is commenCed: An extension .
. .maY"P8 req~ested, -in .writing, from the Building Official.~r af*)nod not t<? exceed ninety (90).days and.'WlII demonstrate
. f~~~ ~i..lse for the extension. If work ceases for ninety (90) Consecutive days, the job is considered abandoned.
WARNiNG'T-O OWNER: YOUR FAILURE TO tu!CORD A NOTICE OF COMI\IlENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOU,R rRqp.ER~. .IF Y. ..I . ~.~'p$JAI~~~CJNG,. CONSULT
. .. R. tllJ:)ERCDR,A '. . ,I. ....... 0... -eoMIlIEKC MENT.
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_....".:oMiER-ORAGENT. .. .... -" M". . CONTRACTOR.. /) R. .
Subscrtbed and sWorn to {or affirmed) befonl me this S~ and sworn to (or aftInned) before me this
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Who IsIare personally knoWn to me or hasIhaYe producecl WhO IsIare personally known to me or haslhave producecl .
. as lcIen1licatlon. as Identlftcation.
Notary Public
Notary pubnc
COmmission No.
Commission No.
Name ofNofarY typecI,prInted or stamped
Name of Notary 4'Ped, printed or stamped