HomeMy WebLinkAbout08-7250
CITY OFZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
7250
Permit Number: 7250
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: 5050 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
11/29/2007
25.00
25.00
11/29/2007
FPM-HOOD CLEAN-6 MONTHS
Name: DOMINOS PIZZA
Address: 5050 GALL BLVD
ZEPHYRHILLS, FL. 33542
Phone:
~
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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 AlTORNEY BEFORE RECORDING YOUR NOTICE
OF COMMENCEMENT."
~
/2, -4:'~
~N OR SIGNATURE P IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTlON
CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
Date Recei'Ved
H - d-.c;
Owner Name
City of Zephyrhills Fire
Permit Application
I
I
Dominos Pizza
Contact Phone Nbr
Owner Address
5050 Gall Blvd.
Owner Phone
II 7900
I R13
II 779
I Titleholder Phone Nbr
II
Fee Simple Title Holder
II
Fee Simple Titleholder Address
Job Address
I 5050 Ow, Blvd
Subdivision
Bio-Hazard Waste Storage - ANNUAL
Comm Exhaust Kitchen Hood - Duct
o
o
o
~
ControlIed Bum
Eml.'Tgency Generator <30 KW
Emergency Generator> 30KW
Fire Protection Maintenance - Annual
(l?('Y'c>>('\ -\-
Lot Nbr.
o
~
o
o
o
o
o
o
Sprinkler
Fire Alarm
Hood Clean - Suppression
Fire alarm Installation
Fire Pums
Fire Works
Flammable Application - Annual
Fuel Tanks
Parcel ID
o
o
o
o
o
o
Fumigation Tent
Hazardous Material (Tier II or RQ Facility) Annual
Hood Installation
LP un Natural Gas Installation
LP un 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
$1 I
Other: I
Contractor Sign I Company
Address I Registered
Electrician Sign. License
Company
Address I
Registered
Plumber Sign License
Address I Company
Mechanical I Registered
Address I/~ License
Other Sign L5~ Company
Address I 18330 Lawrence Rd. Dade City, FI Registered
Y N I Fee Current I
Y N I Fee Current I
Y N I Fee Current I
1
Y
N I Fee Current I
License
Directionl,:
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 work 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.
Security Fire Equipment, LLC
<E> N I Fee Current 1./ ~ .s
502552000220004
NOV/28/2007/WED 01:55 PM ZEPHYRHILLS BUILDING
FAX No. 813-780-0021
p, 002
.-N9"t1ci:.QF,'BEBo:RES1"Rlc1lONS; !fne"'underSagned,UJ\deI'St8Jld6:that thls..permlt may'be~ject to ..deecr rastrtcUons"
,Which ,maylbe-more,F68tric1ive'.t\an'iCOumY regu'a~. 'llI8.undersigned 'os5HlTlf!tS'responsibilltyiDr .comPliance l'4th stiy'
applicable'~ restrictlGns. ' ,',' " " . , , ' ,', -" '
'UNLICENSED' CON:rRACTDRS ,AlaD .CONTRACToOR ,RESPONSlBIUTIE6: ,If 'the, owner hila hired '8 contractor ,or
eon~cto~i. to undertake work,"tJ:ter'may be ~ired-~':,ba licensed i!" accor.d~, ~ 'state :and ,local, f8SIlJl3ttons. if the '
contractor IS not ~.as recpred ,by f8W, both the,owner,~ contractDr,~ .be.cIted for,a'.mi8demeanor violation ':
under state law~ it:the owner or IntendeCI oontJ:BClDr are uncertain ~ to.what lk:ensirJg--reqUlremenis m8y,apply for the '
Intended wort.1hey are advised to co~,the Pasco ~ BuIlding tns~or(,OIvIaion-l:ioBnSin9 ~ at 72.7-841- '
8009. 'Furthermore. if the owner has ,hired Ii ,CUJ.~ at contractors, he is :adv~ed to have the Oo.~a) sign ,
. portions ,Of the -contracIDr ,B!~_of,~ ~~n for whiCb they wII be responalble. 1f}'CU. as the ~ sign as'the '
contractor,'that.may'be an indicatlori:that he is not pn;pesty IIcensecland is not entitled 10 per:rniIik1g'prI.vIleges'in PlisC'o "
County. ' , - , ,,' " ' ",," " , .
-CONSTRUCTION'LEN'LAW (ChapteT713."RoJkhi stBtuWsr, as arilendllCl): 'lfvalUatIon,ofwork is:$2.500.00 or mO~'I, :
Certify th8t'I. !he applicant. have' been ~ w1~, a coJ!Y' of'th8'~1Drida 'COnstrilctlGri, Lien L.aw-:-H~er'B '
Protection 'GuldeB prepBred by the 'Florida 'Oepartment pf AgrlCultunt and ConsUmer Afl"EIIm. If the applicant is someone
other than' the lIowner". I,certify that" have o6tatned 8 copy of the aboVe Qe'sDJ1bed 'docUment _,promise In goOd faith to.
, -delhler It to,the -owner" prior to-commencemenl '" ,'- ., ,. '. .'
,_' ,CON'IftACTOa'SlOWNER'S AFFIDAVIT: ,,1 certify that 8Il ~ InforrnBtlon in ttis aP.J)IcaUDn ,is:acwrate and "
.__ ,_.. .'_ ::Jhat-aD,werit-wftl' he'.- m,uomflllanCe.witti--all--eppllc8D1e-laws ,tetJI;IIatiHg~,':'%9RiF1",:aFlf1..I8Fld...,"----
_, d8\felopment. ApplicatIon is hentby made tu obtain e ~ fD do work a,.;d inStallldiDn ~ lncIIcateO. I certIfY : "
that no work. or ln~n has commenced pr1pr to ISs,,!ance ~ a.permit ,and that ... work ~ be ~nne.d to
'meet st8ndards m 81' ,lawS rBgUIatIng .c:onsjnJction.' CoUntY 8nd CIty codes, ZDI'lb1g i'egulatlons. and ,land',
develop.mtlf1t nsguIa1ion8 ,in the ~. I aIJso certify:that I un<h;..cltmtd that the regulations of other' ,
government agencies may aPPlY fD the Intended work. arid that ~ is my teSponslblly tD:~tIfy what actions I ,',
, 'rntJBt1Bke1D be In compliance. ' , . . '. ' " ' .
(f l.am"the ~ f~ THE ~" I ~ in ~ faith to inform 1be owiJet. of the permittlrag 'c;ondltions sel forth:ln'
,this afIidaVIt PJioi -19, comtne,nciRg coOstr\lgtion. I ~ that . eepml'" permit maY. -be raqulr8d for.dledrtcal' work,
plumbing; signs; wellS. :pools; alr CrindilionlrlQ, gas. at- oUier installations not .~,ipclUded in the ~. A
, ~-.ue.d.stVIII:~ oonsjJ'Ued tQ be a1tcenseto.jJrobeechYlth ttie,WOfk and Oat as ~ to violate. canpel, Iiller. or
".d ' &.t.;:'.' "._";";.-:..1- of the technical codes nor 8halllasUance of a ..-mit -...... th8 B"---' Official from """";after
SaJ.8S_ any 'IU"'.P.ftI...... . ,..-n. t"""":-'. UIIUH'V, , ~",,"a
. requlflRg.&C(flf8Cijon of errors 111 p~n8, construction or ~ns of any codes. Every pl!ll1Dlt issUed W1aII beCome-Invalid
. ,iinl~1ti8':~~.by such.permlt is' convnenced Withln'sJx muI~ of ~'~. or if work authorized ~ "
, " ,~~;,iii.js~~ or ~ for a perioctof six (6) months after the time th8 work 18 Wlnme~. . An extension .
. '1R~ RuI~estod.,m.writing, from the BuJding Oftidal.for a ~ not to ~ ninety ~),.days ~',wll d8~onstrate
,~. caUSe fOr tt1e ~asion. If work c.ea5". for ninety (90) consea.rttve days. the job Is 00n81dered abandOned. '
, ,..... --; , . . ' ":,', , -
, wA'RNUtG 1!0 OWNER: YOUR 1=Al..URE TO RECORD A NOTICE OF COMMf!NCEMI!NT MAY RESULT IN YOUR
. PAYIItG"TWK;el'ORIIIU'IlI)VEIiENTOYQl!R~ .1F~~"_r.;,cONSUL't .
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f!{' , "i~' Commlssion-# 00609664 :'
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, "., Bonded!roy FIllI\-IMUt'ance. me: 1lOO--:!8S-7019