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
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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."
.....
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
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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
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17h~l3
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I Titleholder Phone Number I
II
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Fee Simple Titleholder Name
Fee Simple Titleholder Address
Job Address
Sub Division
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D
D
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I Lot#
?uti /31.
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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:
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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
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