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HomeMy WebLinkAbout08-7578 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL FIRE PROTECTION MAINTENANCE 7578 Permit Number: 7578 Permit Type: FIRE PROTECTION MAINTENANC Class of Work: FIRE-PROTECTION MAINTENAN E Proposed Use: NOT APPLICABLE Square Feet: Est. Value: Improv. Cost: Date Issued: 3/12/2008 Total Fees: Amount Paid: Date Paid: Work Desc: Address: 4917 GALL BL V ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 14-26-21-0010-00900-0080 ~YlJ 3/( rr ~ _OJ 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." ..... 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 'r{j, v CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL FIRE PROTECTION MAINTENANCE '/ 7579 Permit Number: 7579 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: 7643 GALL LVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 35-25-21-0110-00000-0040 25.00 25.00 3/06/2008 FPM-CHILI'S -SPRINKLER -ANNUAL Phone: ~~ 0'3 L\:-~ 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." .... 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 INVOICe DATE NUt4BER 03042008 PERMIT030408#7 056313 DISCOUNT .AMOlJNT DETACH BEFORE DEPOSITING No. 3012835 0.00 25.00 / / 0.00 25.00 !J~ it 15'1i 813-780-0020 Date Received OWner's Name OWner's Address -'5 ~-c.'::J'/:r Ch di \~ &-fr(1 City of.Zephyrhills Fire ...,{,.1 c1Q Permit Application :rr 0 Phone Contact for Permit Fax-813-780-0021 Owner's Phone Number II I I 17h~l3 I I Titleholder Phone Number I II /I Fee Simple Titleholder Name Fee Simple Titleholder Address Job Address Sub Division .-u D D D D D D o o D o o I Lot# ?uti /31. I Parcel # tutj, AINt:U r-KUIVl t'KUt'!:K I Y I PIA ''\IU I Iv!:) B FumiYClliullT"lll D Hazardous Material (Tier II or RQ Facility) ANNUAL D Hood Installation D LP/Natural Gas-Installation D LP/NaturaJ Gas-ANNUAL Sale D Places of Assembly-ANNUAL D RecreationalBum D Sparklers D Sprinkler System Installations D Standpipes (Sprinkler Sys) D Torch Roofing D Waste Tire Storage ANNUAL n !:SIc-Hazard Waste Storage - ANNUAL Comm Exhaust Kitchen HoodlDuct Controlled Bum . Emergency Generator < 30 kw Emergency Generator> 30 kw Fire Protection Maintenance ~ Sprinkler 0' Fire Alarm D Hood Clean/Suppression D Fire Alarm Installation Fire Pumps Fire Works Flammable Application- ANNUAL Fuel Tanks I .1 Valuation of Project Other: Contractor Company I Signature Registered Address I Lf7t:J( CJC"l.k.. ~r ~(~ f2I... ''''''i Ucense # I ELECTRICIAN I Company I Signature I Registered Address I , License # PLUMBER I Company Signature Registered Address I I License # MECHANIC1 I Company I Signature . Registered Address I , Ucense # I OTHER I Company I Signature Registered Address I I Ucense # , Directions: ~r~((J''V 67lnE<eJf Y I N r Fee Current Y I N Y I N I Fee Current Y I N Y/N I Fee Current I Y/N I I Y/N I Fee Current I Y/N I , Y/N I Fee Current Y/N I I All out application completely. OWilel'&ContractorsigfioaCk .of application,-nOfariZeo{0t."copy-6fs;gnecr cohtrcictWitfi OWher) 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. - ""_..--"..._....__..__.....-~~_..._..--..__..- ._~..... ._-.. .No"tlce.OFDEED.RESTRICTIONS: The undersigned understands that this permit maybe subject to ~deed" restrictions" .Whic.h may be. more ~e~trictive.than County regulations. The undersigned assumes responsibility lor compliance With any applicable deed restrictlc;ms.. . . UNLlCENSEDCONTRACTORS AND .CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with .state and localreglllations. If the convactor 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 tcywhat licensing requirements may apply for the intended work, they are advised to contact the Pasc~ .County Building Inspection Division-Licensing Section at 727-847- 8009. . Furthermore, 1f 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.LtENlAW (Chapter713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more;.1 certirY that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than-the "owner", I.certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. . CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and .. .. _ "that.. all.work -will. beiJone in. compliance.with-.aJl.-applicable..laws .regulating..construction,..ioning..and..land..... .....- development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating .construction, County and City codes, zoning regulations, and .Iand developm~nt regulations in the jurisdiction. I also certify .that I understand that the regulations of other government agencies may apply to the intended work, and that It is my responsibility to. identify what actions I mustiake to be in compliance. ' If lam the AGENT fOR THE OWNeR, I promise in good faith to inform the owner of the permitting conditions set forth :in this affidavit prior.to. coimJ1emcing construction. I understand that a separate permit maybe required for. electrical work, plumbing, signs; wells, :pools, air conditioning, gas, or other installations not specifically. included in the. application. A ~rmltis$ued.stiall:be cOllstrued to be a.license to proceed with the work and not as authority to violate, cancel, alter, or setaside' aoy...prOvlsions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter . requiring.a:correction of errors in pl~ns, construction or violations of any codes. Every permit issued shall become invalid . .un!~S.s'jie~~orkj3i.Jtt1()rized ..by such permit is commenced Within six months D! permit issuance, or if work authorized by .. tlie;:~.:iS-su$~rided or abandoned for a period of six (6) months after the time the work is commenced. An extension ,niay:tJe requested, tn writing, from the Building Officia~ .for a I'leriod not t~ exceed nin~ty ~90)da~ and..will demonstrate . @1!f!'!iile cause fOr \lie extension. K _ ceases for mnety (90) consecutiVO days, the JOb IS considered abendoned. . ..... ~.. .. .-.... .. .... . . .. - ... .-....... . , -.. ',. ......... .---'''-' --....... ....-......---------..---.---.........-.......-- .OWNER OR AGENT subsaibed and sworn {or before me .. by . Who IsIare personally known to me or haS/h8ve produced . as Identification. CONTRACTOR Subsaibed and swo by Who isJare personally known to me or haslhave produced as Identification. Notary pubnc Notary pubnc Commission No. COmmission No. Name of Notary typed. printed or stamped Name of Notary typed. printed or stamped Technician Work Report Date of Work: Not Scheduled District : 292 Technician Miguel A Rivera Task Number Scheduled Start Service Request Service Request Customer Acct Customer Name Site Name Owner Devenie Robbins 13246297 In Planning Time Type Number 977182 Chili'S Grill & Bar NA Inspection - Auto Gen 9137118 Payment Terms: Immediate #00894 Contact Name Anita Gilmour Phone 863-299-9555 Site Address City State 7643 Gall Blvd, Zephyrhills FL Zip 33541 BillTo Name BillTo Address: City State Brinker International 6820 Lbj Freeway, Attn: Dallas TX Disbursement Specialist Zip 75240-0000 Contract Number: 131260 Inspections: Mar 2008 Service Plan: SF-TEST/INSP Task Type Task Name 1 Person Inspection SP-Mar 2008 Priority Medium Current Inspection: Mar 2008 Problem System Inspection SYSTEM-SP-WET SPRINKLER Wet Sprinkler System Mar 2008 Created BY AutoGen Serial: Summary Notes CONTRACT COVERAGE Qtrly SP Inspection. Suppression NATIONAL ACCOUNT *** Please call all locations to schedule service or inspections prior to dispatching technician to location. *** You must notify SSC immediately with any system red or yellow tags @ 800-299-4377 X-8235 *** Brinker International is now under a BAMA Yes agreement with Simplex Grinnell. Repairs under the following amounts, outside of the scope of work detailed in Brinkers agreement, can be performed without a quote. Any work exceeding the following amounts are to be quoted:Fire Extinguisher- $250 Exit/Emer. Lighting - $250Sprinkler - $500 Backflow - $250 - $500Fire Alarm - On Call Basis Only (RFM Approval) - Batteries and bulb replacement for emer./exit lights are included at the time of inspection. - When replacing exit lighting at all Brinker concepts, please ensure fixture being replaced matches all existing fixtures in location. This has been requested by the customer. - While performing any inspections or service work, please Hood ~