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Home My WebLink About08-7584 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL FIRE PROTECTION MAINTENANCE 7584 Permit Number: 7584 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: 23,260.00 Address: 6719 GALL BLV ZEPHYRHILLS, FL. Township: Range: Book: Lot{s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 03-26-21-0010-03300-0010 Name: SUN MEDICAL CORP 25.00 Address: 6719 GALL BLVD 25.00 ZEPHYRHILLS, FL. 33542 3/06/2008 Phone: 813783-6189 FPM-SUN MEDICAL CENTER-QUARTERLY SPRINKLER c; "J (/6 '\ I ?f3t 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 NOnCE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041 DATE 03042008 INVOICE NUMBER PERMIT030408#2 056313 No. 3012830 DISCOUNT AMOUNT DETACH BEFORE DEPOSITING 0.00 25.00 0.00 25.00 ~---~, /1ig{t ) ~~ 813-780-0020 City of.Zephyrhi/ls Fire Permit Application if 1 ?f3tf 1 Fax-813-780-0021 Phone Contact for Permit Date Received .- .- ~ -:J C1C)Y -- Owner's Name 51-.4\. fY/edJ( G-/ Owner's Address {' ~y-ej--e, II Owner's Phone Number I Titleholder Phone Number I /I II Fee Simple Titleholder Name Fee Simple Titleholder Address Job Address 67(9 6ut1 B/vcL- I Lot# Sub Division I {Ul> I AINt:U t"KUIVlI"'KUI"'t:K J Y II'V. l'lU 11l-t:) Parcel # BID-Hazard Waste Storage - ANNUAL ---u D D D D D D D D D D D El FUllliYi:lliUII Ttlllt D Hazardous Material (Tier II or RQ Facility) ANNUAL o Hood Installation D LP/Natural Gas-Installation o LP/Natural Gas-ANNUAL Sale o Places of Assembly-ANNUAL c==J RecreationalBum o Sparklers D Sprinkler System Installations D Standpipes (Sprinkler Sys) D Torch Roofing o Waste Tire Storage ANNUAL Comm Exhaust Kitchen Hood/Duct Controlled Bum _ Emergency Generator < 30 kw Emergency Generator> 30 kw Fire Protection Maintenance - ~ Sprinkler [!::f Fire Alarm D Hood Clean/Suppression D Fire Alarm Installation Fire Pumps Fire Works Flammable Application- ANNUAL Yy Fuel Tanks -I Valuation of Project Contractor Company I Signature Registered Address I '-I7eJr CX&k... Pc-cr f!t.- -r~ Pi- ,,,,6 License # I ELECTRICIAN I Company I Signature I Registered Address I I License # I PLUMBER I Company I Signatur€ Registered Address I I License # I MECHANIC4 I Company I Signature - Registered Address I I License # I OTHER I Company I Signature Registered Address I I License # I Directions: Other: ~Sj rn-~ /.v b-t-1OrN! J( Y IN Fee Current I Y I N Y/N I Fee Current Y/N Y I N I Fee Current I Y I N I I Y I N I Fee Current I Y I N I I Y I N I Fee Current I Y I N I l Fill out application completely. ownef&ColitractoFsignDaCk-of applicati6n,ootariZea{Ot;copy-Ofsignea con1FclctWitl1 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. __"___~"_-~--,,.,,_~-,,,-.,'_'O_"__"- .--..... ._~_. '. . .NOT-ICE.OF.DEED.RESTRICTIONS: The undersigned understands that this permit m~ybe subject to ~deed" restrictions. .which may be more restrictive.than County regulations. The undersigned _assumes responsibility for compUance with any applicable deed restricticms. . - _ UNLICENSED CONTRACTORS AND .CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors. to und.ertake work, they may be required to - be -licensed in accordance with'state and local regUlations. If the contractor 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 to .what licensing requirements may apply for the intended work, they are advised to contact the Pasco .county Building Inspection Division-Licensing Section at 727-847- 800~..Further~ore,if the ownc;r has. hired. a ~ontractor .or contra~tors. he is advised to have the contractor(s) sign portlons.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. CONSTRUCTIONUEN'LAW (Chapter713. Florida Statutes, as amended): If valuation of work is $2,500.00 or more" certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowne;'s Protection Guide" - prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than' the "owner", I.certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to -commencement. . _ CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and _ ... "that. all.work .will be --done in. compliance.with..atl--applicable..laws .regulatiRg..construction;..zoniAgo.and--land.....--.... development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating _construction. County and City codes, zoning regulations, and .Iand developm~nt regulations in the jurisdiction. I also certify .that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to_ identify what actions I musttake to be in compliance. . ' If l.am the AGENT fO~ THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior.to_corm:nencing construction. I understand that a separate permit maybe required for. electrical work, plumbing, signs; wells, :pools, air Conditioning, gas, or other installations not specifically. included in the application. A ~rmitis$u~d _S:h~II:b~ construed to be a -license to proceed with the work and not as authority tD violate, cancei, alter, or setaside ao}iprOvlsions 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 viqlations of any codes. Every permit issued shall become invalid _ .unl~$.sihe:;;.Jon<.;~Utn()rized'-bY such permit is- commenced Within six monthf? of permit issuance, or if work authorized by ._ .tlie;:~[jj~t;is-SU$~rid~d or abandoned for a period o~ six (6) mo~ths after the time th~ work is commenced: An extension ,maY=J;Je req(Jested. tn .writing, from the Building OffiClal.for a panod not t~ exceed mnety (90)-days and-wtll demonstrate . ~i> cause fOr the extension. ff work ceases lor ninety (90) consacutnfe days, 1he job Is considered abendoned. . .. .. ... ~. ._.... O' ._0' . . 0.. wO'.. ....... .-~. ........ .---.--. ..... ..- .---_..-._-------~.__...-.._-_.-..-_.......- CONTRACTOR Subscribed and swo . by Who isIare personally known to me or haslhaveproduced as Identification. Notary pubnc Notary Public Commission No. CommisSion No. Name of Notary typed. printed or stamped Name of Notary typed. printed or stamped Technician Work Report District : 292 Technician Miguel A Rivera Date of Work: Not Scheduled Owner Christopher R Brackett 13253546 Task Number Scheduled Start Service Request Service Request Customer Acct Customer Name Site Name Time Type Number 942689 Sun Medical Center Inspection-Auto Gen 9150520 Contact Name Mike Prilliman/ Prop Mgr Site Address City State 6719 Gall Blvd, Zephyrhills FL BillTo Name BillTo Address: City State Century 21 Bill Nye Realty, 34619 State Road 54, Zephyrhills FL Inc Contract Number: 125251 Inspections: Sep 2007, Dee 2007, Mar 2008, Jun 2008, Sep 2008, Dee 2008, Mar 2009, Jun 2009, Sep 2009, Dec 2009, Mar 2010, Jun 2010, Sep 2010, Dee 201 Task Type Task Name 1 Person Inspection SP-Mar 2008 Problem System Inspection SYSTEM-SP-WET SPRINKLER Wet Sprinkler System Mar 2008 Created BY AutoGen Summary Notes In Planning Payment Terms: Immediate Phone 813-7151515 Zip 33541-2571 Zip 33541 Service Plan: SP-TEST/INSP Medium Current Inspection: Mar 2008 Priority : Serial: CONTRACT COVERAGE ANNUAL (SEP) AND QUARTERLY (DEC/MAR/JUN) INSPECTIONS OF ONE WET RISER. LEGACY ACCOUNT NUMBER LEGACY CUSTOMER NUMBER - 00281477 INSPECTION - This Site Not Covered By East Pasco Med. Per Gwen GENERAL SERVICE SERVICE - W/O 01/04 84020004 09/21/03 Special Action Not Released For Units - Status Changed To Not-an-Contract - $1,397.61 Over 4 Months Past Due See Scd006 For Details ~