HomeMy WebLinkAbout08-7638
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
7638
ermlt Number: 7638
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: 7320 ALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
3/20/2008 Name: OWNVIEW R TAIL LLC
50.00 Address: 725 CONSHOHOCKEN STATE RD
50.00 BALA CYNWYD PA 190042102
3/20/2008 Phone: 610667-5800
FPM-PUBLlX-SUPPRESSION & SPRINKLER ANNUAL-THURS 20TH BEING DONE
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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 INSPEcnON
CALL FOR INSPEcnON - 8 HOUR NOnCE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
MAR/l:/2007/THU 12:23 PM
ZEPHYRHILLS BUILDING
813-180-0020
City of.2ephyrhill:iFIr.ei.
Permit Application
Date R.ecaivcd
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Fee Simple TltlehoJderNB[Tle ' "
Fee Simple Titleholder Address ' '1
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D Controlled Bum
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Owner's Nama
Owner's Addles!;
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64Jt(1,LVP ~
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n<:r
, Bio-t-lazard Waste S~rage -ANNUAL
Comm Exhaust Kitchen Hood/Duct
Emergency Ql;lnerator '" 30 kw
Emergency Gimerator ". 30 kw
Fire Protection Maintenance - ANNUAL
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Sprinkler ODD l!L L-J
Doooc=l
DOQoC]
Doo~c=J
Fire Alarm
Hood Cleaning
Hood SuppreS:'llon
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"llIlIIlIII
Fll'El,Alarm Installation
Fire Pumps
Rre Works
Flammable Appticatlon- ANNUAL
Fuel Tanks
IExfl.Vf:,{;~HcP- ,NWCUlON
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FAX No, 813-780-0021
P. 003
Fax-813-780-0021
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Phorie Contaetfor Pennlt
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Owner's Phone Number
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'I Titleholder Phone Number
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JllTif ~~l'JWJ.4.tslrrnr -
I Lot# 'I
Parcel #
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Fumigation Tent
HazardotJs Materisl (Tier II or RQ l'aclIJty) ANNUAL
Hood Il1stallation
LP/Natural Gas-Installation
LP/Natural Gas-ANNUAL Sale
, .
Placeli of ASl;lembly-ANNUAL
1 ~~tf\ scllecl\eJ
-Q,( \l1lfScb~) 31zD ll)~
~tandpl~ (Sprinkler Sys)
lorch RooflnglTar Kettle
W~ste IIr~ Slorage ANNUAL
Valuation of Project
Other:
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Contractor
Signature
AddrE'ss I
ELECTRICIANI
SignatuTl3
AddTl3SS I
PLUMBER.
Signature
AddTl3SS I
MECHANICAl.r
Slgnawre
Address
OTHER
Slgneture
Address
Directions:
Li. ---"
Compa~y
Registered
License #
Company
~eglstered
License #
Y/N
Fee Currant
Y IN I
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Y/N
Fee Current
Y/N
Compeny
~egletered
L1censB #
Y/N
Fee Current
Company
Reglatered
Ucense #
Company
Registered
,License #
Y/lf I
Y IN I
Fee Current
FjI( out application completely.
Owner & Contractor :;Ign bacK of application. notarized (Or, co'py of. signed contract with owner)
If OVE'r $2500, a Notice of Commencement Is requlred.(Mechanlcal work over $5000)
Supply two (2) sets of drawings with appllcable documentation
Allow 10-14 days for revieW after submittal date. Parcel # - obtained from Property Tax Notice (http://appralser.pascogov.com)
MAR/15/2007/THU 12:24 PM ZEPHYRHILLS BUILDING
FAX No, 813-780-0021
p, 004
'NOTICE OF:DEED 'RESTRICTIONS: -The undersigned understands that this permit may _be:subject~"to-udeā¬id~rrestr[ttions"--
which may be more restrictive than County regulations. ihe',undersignedassumes responslbility'for1Jompliarme1wtth any --
_applicable deed restrictions.
UNLICENSEOCONTRACTORSAND 'CONTRACTOR RESPONSIBILITIES: If-the owner has -hired-:a~coritractor -or- -
contractors to undertake work, they may be r~quired 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 Iicensing'requirements may;apply for the
intended work, they are advised to contact the-Pasco County BuildIng Inspection Divislon-Llcensing Section_at 7.27-847-
8009. Furthermore, if the owner has hired ,a contractor. or contractors, he is advised .tohave 1he contractor(s) sign
portions of the "contractor Block" of this application for which -they wlll be responsible. If you, as -the owner 'signas the
contractor, that may be an indication that he is not properly licensed and is not entitled-to permitting :privlleges In -Pasco
County. '
CONSTRUCTION LIEN LAW (Chaptar713,FlorldaStatutes..as:amended): If valuation of work Is $2;500.00 or more,l
certify 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'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 all applicable laws regUlating construction, zoning and land
developmant. 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 land
development 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
must take to be In cpmpliance. '
If I am 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 commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, aIr conditioning, gas. or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed wIth the work and not as authority to violate, cancel, alter, or
set aside any prOVisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become Invalid
unless the work authorized by such permit is commenced within .six months of permit issuance, or If work authorized by
th6 permit is suspended or abandoned for a period of six (6) months after the lime the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and Will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
WARNING TO OWNE~: YOUR FAILURE TO RECORD A 'NOTICE 'OF -COMMENCEMENT MA Y-'RESUl T IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO Y, UR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WIT YOUR LE DER OR N TIO NEY FORE RECORD NG YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F -
CONTRA~~~r<
~up~rjb~~_~d S to (or affirmed) before me this
~ . :n-l1\1i~ R. Ri"P1L.}t"'r
Wlio Isfara pelOOnally known to me or haslhave prodUCed
N\A as IdenUflcation.
,
"---
OWNER OR AGENT .
,*l\~,ahdb~N~~~Sa~W before me this.
o Is/are personally known to me or halO/have produced
---1l\A- - as identification.
, ,JI~~
Commission No- . vi) 4~q lD'-\3
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Name of Notary typed; printed or stamped
Notary Public
~
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Commission No. DD4'l<iIol{3
~ i+zi V t1() t e..-
Name of Notary typed. printed or stamped
Notary Public
MITZI VANCE.
Notary Public. State of Florida
My comm. exp". Oct. 9, 2009
Comm. No. DO 479643
M nZI VANCE
Notary Public, State of Florida
My comm. 8XJYe Oct. 9 2009
Comm. No. DO 479643
MAR/l:il2007/THU 12:23 PM ZEPHYRHILLS BUILDING
FAX No. 813-780-0021
P. 001
'Ciwof Zephyihills:
Phone: (813)-780-0020
FAX: (813)-780~0021
Building Dept.
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: TO: Mitzi FROM: Jackie :
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: FAX#: 8l3-620-0333 FAX#: 813-780-0021 :
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: DATE:3-14-08 # OF PAGES: 4 :
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: MESSAGE: :
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: Attached with this fax cover sheet the requirement for a maintenance for tire alarm and the :
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.; permit application that would need to be submitted. :
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: Any que&iions contact at the office # listed above ext 3513 :
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: Jackie :
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