HomeMy WebLinkAbout08-7689
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
7689
Permit Number: 7689
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: 5214 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-16600-0250
3/28/2008 Name: VI CHRIS INC
25.00 Address: 5214 GALL BLVD
25.00 ZEPHYRHILLS, FL. 33542
3/28/2008 Phone: 813 782-9556
FPM-QUARTERL Y HOOD CLEAN-VILLAGE INN-CLEANED FRI 28TH
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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 NOnCE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
FEB/20/2007/TUE 11: 10 AM
Fef;l Simple Illlenoldf;lr Name
Fee SImple lIt1eholder Addrf;lss
lIT
r
./
OTHER
Slgnatu~
AddrEl&s L
OIrectlonlll:
Fill out application ccrnpletely.
Owner & Contractor $Ign beck of appllcatlon. notariZed (Or. copy of sIgned cootract with ownsr)
It over $2500, a Notice of Commencement Is reQuired .(Mschan~1 work over $5000) ,
Supply two (2) se~ of drawings wIth applicable dOCUffieOtlation
Allow 10-14 days for review after submIttal date,
'813::'7SO:0020
. .~; .~U; ;r~""'~ .
.Date R8ceived ,.. --. .. .-.
Owner's Name
Owner's Address
Job Address
Sub 'Olvlslon
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COhtractor
Signature
Addre'a I.
ELECTRICIANI
Signature
AddreB6 .1
PLUMS~Ii:
Signature
Address I
MECHANICALI
Signature
Add~as I
ZEPHYRHILLS BUILDING
FAX No, 813-780-0021
#- 7f; f39
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p, 002
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City ofZephyrhil/$1F;~~~.
Permit Application:...-.
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:.' '~~'. ~Pliorle Contactfod'C1rmlt
'Fax-81 ~78Q.OO21
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fI""''''l'"'a. .
~r's I?hone Number
T1t1ehCllder PhCllle Number
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l1lif
.,
I Lot#
. Parcel #
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Bic-Hazard Waste Storage .,ANNUAL
Comm Exhaust Kitchen Hood/lJuct
o
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D
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. D LPINa.tunll Gas--ANNUAL Sale
'. 0 . Places of ~sembly.-ANNUAL
!#umlgation Tent
Hazardous Materlal (list II or RQ l='acIl1ty) .ulNUAL
Hood InstlaUatlon
LP/Netural Gas-lnstallilUon
Sprinkler
Fin;! Alarm
~ecrelltional.aum, .
Sparf<leirs
Sprinkler S)"tem Installations .
StandplpEls (Sprinkler Sys)
'torch R00llngITw Kettle .
Waste iJre Storage ANNUAL
Hood Clesnlng
Hood Suppresslon
D
~
D
D
I
Fira Alarm Il1liItallallon
i=lre Pumpa
Fire Works
Flammable ApplicatIon- ANNUAL
J Valuation of Project
. Fuel Tanks
Other:
"
Company I
Regi~ered .
license # .I
Company I
Registered .
UCflnse ~ I
I
I
COmpany I
Reg!sterBd .
. License #. I
Company I
Registered .
License # l
-I
I
'Y I Nl
Y/N
Fee Current
Y/N
Fee Current
I Y IN I
I
Company
Registered
License #
Fee Current I
Y/N
Y/N
.Y/N I Fee Currant -, =Y-/ N "
I
Y/N ., l=ee Current I Y/N ,
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Plln;:eI #- obtained from Property Tax Notice (http://lilppraiser.pascogov.com)
FEB/20/2007/TUE 1 J : lOAM ZEPHYRHILLS BUILDING .. FAX No, 8 ]3-780-0021 p
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"a.tiOfol:~_- ."- . . . ...".,~IOA';'_,:: :. .,.,,,'; , '. . .'. . -:~:!~dii~..:::.,
J r:JNt:>;i;!QE\Q.i= :DEED :RESTRICTIONS; The .underslgneali'nd~~1?;-;tI1~t.thl~yermlt may be~SUbjectfto-"deed~n:8strlCtiO~~
~~~ic~:~y1>a 'more -r:estrictive than Gounty'reguJation~;:Jf.h~~,!~~.&1i~~d .assumes ;re$ponsiblllty10r !COmpliarm9~lt~~~rf!~
;. ,~p'pllcable.deed restrlctlons.ac,f.jijC<:2bt:";(;:.~ :.... . . r --'~I;~-:;~~T;~
7"1.lJNIJICENSED {CONTRACTORS .IAND 'CONTRACTOR!RcSRONSIBIUrrrE'S:-~' ,If-the -owner has -hlred'ra~contractor{Q).;!~.;:;.~,~,i~
:contractors to undertake work, .they me!yberequlred:to be Ucensed.in'accordance With state and 10qaIT~gutations. If ihe..:.;-,.'::' . .1
contractor is not licensed as required :by law, 'beth 'the owner and contractor 'may..be cited 'for :a 'mjsdemeanor ,violation. _ .. . .
under'statelaw. If 'the owner or intended 'contractor :.are uncertain ,as 'to what licensing 'requirements may ,apply 'for :the'. ':'::".; ,:)
intended work, "th~y are advised .to contact the 'Pasco County:8uilding ;Inspection DIvision-licensing Sectlon:'at 7Z7 ~847-
.B009.:Furthermore,'jf the owner has hired:a contractor or.cqntractors, ,he Is advised to ,have ihe contractor(s) sIgn
.portlons of the "contractor Block" of this appllcationiorwhich1hey .will be responsible. If you, as'the owner'.slgn :asothe
"<contractor, that may. bean indication :that he . is 'not :properlylicensed.. and is not entitled -to :permittlng .privileges in-;Rasco . .~..~. "l
'County. . .
,CONSTRUCTION .LIEN.LAW'(Cha.pter7'13, 'Florlda'Statutes,:as:ame-nded}: If-valuatlonof work is '$2,'500.00 .ormore, ,J .
certify thatl,1he applicant. have been provided 'witha copY'.of.-the "Florida Construction Lien Law--Homeowner's
ProtectionGuide~ prepared by1he Florida Department of Agriculture and Consumer AffaIrs. tf the applicant is 'someone.
otherthan the'"owner., 'certify that I have obtained a copyofthe.above described document and promise in goodfa!th.to
deliver It to the uowner" 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 constnJctlon, zoning and land
development. Application Is hereby made to obtaIn a permit to do work and Installation as Indicated. I eertlry'
that no work or installation has commenced prior to Issuance of a permIt and"thatall work will be performed to
meet standards of all laws regulating construction, County and City codes, .zoning regulations, and land
development 'regulationf} in .tJ:le jurisdiction. I .also certify .that I understand that the regulations of other
. govemment agencies may apply.to th!3lntended work, and that It is rpy responsibility to identify what actions I
must take "to be in compliance. . .
.If I am.the,AGENTFORTHl: OWNER, I promise in good faith to inform the owner of-the permitting conditions setiorth in
this affidavit prior .to 'commencing construotion.1 understand that a separate permit may.be required for electrioal work,
plumbing, signs, wells, pools, air conditioning, gas, or' other installations not specifically Included In the application. ~
pennit issued shall be construed to be a lioense to proc86d with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the .technical cod~, nor shaU 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
the permit is suspended or abandoned for a period of siX (6) months after the time 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 exten~ion~ If work ceases for ninety (90) conseoutive days, the job is considered abandonEld.
"WARNING TO OWNER: YOUR'FAILURE TO "RECORD A'NOTICE 'OF~COMMENCEMENTMAY':RESULT ~IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER ORAN A1TORNEYBEFORERECORDING YOUR NOTICE OF COMMeNCEMENT.
FLORIDA JURAT (F.S. 117.03) .' .. .. ..
CONTRACTOR
Subscribed and sworn to (or afflrmed) before me this
by
Who Is/are peI50nally knoWn to me or haslhave produced
, as idan1lfic8tion. .
OWNER OR AGENT
Subscribed and sworn t (or
bY'
Who is/are personally kno
Notary PubliG
Notary Public
COmmi5siQn No;
CommIssion No.
. Name of Notal)' typed; printed or stamped
Name of Notary typed. printed or stampS(!