HomeMy WebLinkAbout08-7246
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
7246
Permit Number: 7246
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: 5214 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-16600-0250
11/29/2007 Name: VICHRI
25.00 Address: 5214 GALL BLVD
25.00 ZEPHYRHILLS, FL. 33542
11/29/2007 Phone: 813 782-9556
6 MNTH ANNUAL- HOOD SUPP VILLAGE INN RESTAURANT
12 f\<< 't
r'0;~
FIRE LIGHT TEST-Final
FIRE SYSTEM ACCEPTANCE Fina
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 $100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE
OF COMMENCEMENT."
~~~~~RE P IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
Date Rect:ived
I I (----1!j,o 1
Owner Name
Village Inn Restaurant
Owner Address
5214 Gall Blvd,
Fee Simple Title Holder
City of Zephyrhills Fire
Permit Application
..$. 1'J "Ztf 6
I
I I 7R2 I I 9556
I
I
Contact Phone Nbr
Owner Phone
R13
I Titleholder Phone Nbr
II
II
Fee Simple Titleholder Address
Job Address
5214 Gall Blvd., Zephyrhills, Fl
Subdivision
ParcellD
f"i Bio-Hazard Waste Storage - ANNUAL
D Corom Exhaust Kitchen Hood - Duct
D Controlled Bum
D Emergency Generator <30 KW
D Emergency Generator> 30KW
o Fm: Protection Maintenance - Annual
Sprinkler D
Fire Alarm D
Hood Clean - Suppression D
Fire alarm Installation
D
D
D
D
D
D
Fire Pums
Fire Works
Flammable Application - Annual
Fuel Tanks
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
B
B
B
Recreational Bum
Sparklers
Sprinkler System Installations
Standpipes ( Sprinkler System)
Torch Roofing
Waste Tire Storage Annual
Value of Project
$ I I
Other: I
Contractor Sign
Directions,:
Fill out application completely. Company
Owner & Contractor sign back of application, notorize ( Or signed
Copy of contract with owner) Registered
If over $2500,00, a Notice of Commencement is required
Mechanical wort( of ( $5000,00 ) requires a Notice of Commencent
Supply two (2) sets of drawings with applicable documentation
Allow 10 -- 14 days for review after submittal date.
Address
Electrician Sign,
Address
Plumber Sign
Address
Mechanical
Address
Other Sign
Address
18330 Lawrence Rd. Dade City, FI
Company
Registered
y
N I Fee Current I
License
Company
Registered
y
N I Fee Current I
License
Company
Registered
y
N I Fee Current I
License
Company
Registered
N
y
License
Security Fire Equipment, LLC
502552000220004
NOV/28/200?/WED 01 :56 PM ZEPHYRHILLS BUILDING
FAX No. 313-788-']021
p, C02
------~---.
-~",-----"""---,,.._,~_.._...._.....--_......., ....
. 0.' . ..
.' .
..NOL:lGe.QF,'f.)ES1).'RESTRICTlONS; ~~'underSagned -undaI'StandEi:that thls..permlt may.be.:subject to -.deed- restrictions"
'Whic.h m~(~'mcr~H:e8triclive'lhan'iCourrtY reg~. ,.~ersigned,'BSSUI1lf!ls'responsibnH.yfor .comPliance 'lAth 8tiY'
apphcable,'cIeed restridlens. . " ".' , , '., . . '"
'UNLICENSED' CON:rRACTDRS .JOIf) -CONlRACToOR .RESPONSIBILff1E6: ,If' the. owner has hIred'8 contracior .or
eon~ctol'8 to undertake Work,"fI:1ey'may be ~nd-Jo.:be licensed ~ aceor.d~. wJlh -State :and .local, f8SIIJlatbns. if the .
contractor- is not ~Cf!lrI~.as re~d.by raw, both the.owner,~ cantractDr,~ilIy".bB.cIted for,ilI'.mJ8:dem:tanor violation .:'
under state law~ If ,the owner or IntendeCI comr:aomr are uncertain ~ to .what lipensiog'1'IIqulr'ernenbs may. apply for the :
Intended work.1hey are advised to cont.:t.the Pasco Cc:Jmb' BuIlding Inspection :D1V1sion-UoBnaing SectIon at 127-847- '
8009. 'F~~re,.if the owner has. :hlred . a ,~,41~ .or contractors, he is :adv~ed to have the' cr;mtra~f;lr(_) -iOn .
, portions,mille COIllriidol,B!ocI(:.of,~.1Jp~n for whiCb they WIll be respGf1$lbIe. 1f)'DU, as the ~ sign ..the '
contractor, 'that. may' be an indicatlon:that he is not pnipelfy licensed. and is not, entitled 10 per:miIiiog' prI.vIIeges . in PBsc'O .'
County. '" - . ,.' '. . ..' - . .' . .
-CONSTRUCTIOH'LfEN'LAW (ChBpter713,1=Iortdai statut.sr, as aMendllCl): 'lfvaluatlon,afWDl'k .:$2.500.00 or mO~'I. :
certifY th8t' J, !he appticant. have' been provided wtth ill copy, of - the ' ~1Orida .Cbnstri.JctIQri, Uen Law-Horneowner's .
Protection 'GuldeB prepBred by the 'Florida- Department' d AgrICulture and "Consumer AffaIrS. If the appIie8nt is someone
other thairthe -awnet", I.certify that.. have o6tatned a copy of the aboVe QeScrfbed 'document _.promise In goOd faith to-
. .deli'le~ It to.1he -owner" prior to-commencement. '". ,., .",.' ':. ' , . '. , ,..
,_ . CONlftACTOR'SIOWNER'S AFFIDAVIT: ,,1 certify that 811. the information in fls IIP.f)IcatIDn is'accurate and .
. ..., -.. .. - :that- all-work -wll- he '<<tne m. uompllance.wilti-alJ.-spplllcah1&.!aws ,tegulating..qof1BtNct1ciR,':'ZoAmU.:aAd-llIFId...,..--
'. development. AppIicaUori is hereby made to obtain 8 permit ID do work arid inStallation as 'InCflCateii I certll'y : "
that no wol1t,or In~n has commenced pri9r to Jss~anOe of a.permit.and that ad work"!NII be ~rme.d to
. meat stavldards m a11.1aws rBgUIatIng .consjruction.. County 8nd CIty codes, ZDI'lIrIg tegUlatlons,' and ~and . ,
develop.m!!Jl1t nsgulatians ,in the jurisdIctioQ. 1.0 certify:that I understand that the regulations of other.
government agencies may apply to the Intended WDI1t, arid that ~ is my teSponslbllly 1D:i~tIfy what actions I .'.
. muBt.1ake1D be In compliance. ' , , , '. ' .,'"
If l.am 'the A~NT F~ THE OWNE~. I ~ in pd faith to inform -the owDer. of the permiUlng .t;anditions sel forth:in'
.thl5 afIidaVI Prioi -IP. cammfJnciRQ construotion. I understand that a sepml\e p8nnit may' -be raq..ect for.electrtcai' work.
plumbtng; signs; weIS, :pools; air conditioning, gaS. oj: ottier inst8llaUons not fpeciftcaIly-i{IcIuded In the appliGatloR. A
. ~it js.$Ue.d ,qll:~ ooiisjruBd tQ be a 1tcense to.jJl'oce8chvlth tfie ,WOJk and not as aUthertty to violate, canJ:8l. alter. or
set. alGa anY J~ of the technical codes, nor shall Issuance of a permit ~ th8 Bulding ~:from ther&after
. reqU1Ftrlg.E.c<m'8Ction of eI'TOfs II'! ~ns, construction or ~ns of any codes. Every permit issued ahaJl bedome.lnvalid
. .unl~;~~'by such.perri1lt is- commenced Within 'six muI~ of ~,~. or if ~ authorized P.Y '.
. __ ,S;~ilato:iSiU,~ or 8bar1doned for a perioctof six (6) months after the time the WOI1C Ie~. 'An extension'
. .m~ Rsq~8Sted"m .writing, from the Building OftidaI.for a ~OEI not to ~ ninety (~}.days ~',wll de~onstrate
. ~SVf'I8b.f~ cause fOr tt1e~. If work ~, for ninety (90) consecutIVe days, the job 18 00n81dered abandoned. '
. ,.':. --; .. , ' . ";.', ,
. wAMiNG ro OWNER: YOUR FALURE TO RECORD A NOTICE OF COMMeNCEMENT MAY ReSULT IN YOUR
__~~'CONS~~....
......-.i..'!~...~~.-.~....:.._. ._. ,.__........._ _..,..._.___....._\..._...._......___.._..._..__~._--..:.--;-_._.........-..:.-_-.,,::__.;;---',,:,~...._....":'~." - '.- ~ ....... .... .. ....... ....:............u....u~._
OWIIER OR AG&NT . .' . CONTRACTOR .' "
~ aIlli'sWam lD{or aftIrmed) ~me thbi . s~ aid........ ~ Car: lIIIirrned) bIbe me Ihis'
- - ~ . ." ....~ . ..- .'
, ~ 1IJ/me~lcnDwnlOme~haIrItlM ~ ;., .WhoIs/llr8~~to me~~~,~ .
, , , . as k:h,. ~I\AIDOI.. '. '. " .,' . .. idenIIaaIion.:
. Not.y Public
~Publlc " :
,COmmitllkm No.
.-.: -'~~~-
:. .. ':'.
.' .'
NIIsne of. No&,: tnmd. printed or ~.
Name d No&8rY t,ped, )IIInt8CI or sIm1ped