HomeMy WebLinkAbout08-7499
'CITY OF ,ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
ANNUAL FIRE PROTECTION 'MAINTENANCE
CITY OF ZE - . Yi
7499'
Permit Number: 7499
.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: 6606 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
,Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel 'Number: 02-26-21-0010-05600-0020
2/14/2008
25.00
25.00
2/14/2008 Phone:
FPM-SONNY'S BARBQUE-SUPPRESSION ANNUAL
'Name: SONNY'S BARBQUE
Address: 6606 GALL BLVD
ZEPHYRHILLS, FL. 33542
FIRE SYSTEMS INC
hYlJ2
5- 2J-0f3
1?
Chapter 633, Florida Statutes, authorizes the City to charge and collect user fees to pay for the costs oUire
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
813-780-0020
Date Received
l{ '1~qq
City of Zephyrhills Fire
Permit Application
Fax-813-780-0021
Phone Contact for Permit
Owner's Name
Owner's Address
I Rat L'~l.o/h
I Owner's Phone Number I 8" { ~
I ~t:?~6 6af( give! Z-e/AvrA,i/fs. ~/. ~;r5Y(
, .
I R ~c1 . t-c k.L (:l'1 VI I Titleholder Phone Number I r 11
. Jo.1' s-,.../
Fee Simple Titleholder Name
Fee Simple Titleholder Address
Job Address
Sub Division
II 7~.:2..11 ~~7~
I
II 78"~ II ~;l.1~
Lot #
Parcel #
D
D Fire Pumps
D Fire Works
D Flammable Application- ANNUAL.
D Fuel Tanks
D Other:
I ;{~!IwI-
;~ ~(!JX ~~7Y/
D
D
D
D
D
D
Contractor
Signature
Address I
ELECTRICIANI
Signature
Address I
Bio-Hazard Waste Storage - ANNUAL
Comm Exhaust Kitchen Hood/Duct
Controlled Bum
Emergency Generator < 30 kw
Emergency Generator> 30 kw
Fire Protection Maintenance - ANNUAL
Sprinkler
D
D
ca----
Fire Alarm
Hood Clean~~es~
Fire Alarm Installation
D
D
D
D
D
D
D
D
D
D
D
D
Fumigation Tent
Hazardous Material (Tier II or RQ Facility) ANNUAL
Hood Installation
LP/Natural Gas-Installation
LP/Natural Gas-ANNUAL Sale
Places of Assembly-ANNUAL
Recreational Bum
Sparklers
Sprinkler System Installations
Standpipes (Sprinkler Sys)
Torch Roofing
Waste Tire Storage ANNUAL
;;zso..~
Valuation of Project
I
st?"cie..-L ~/. 7J7W
PLUMBER
Signature
Address I
MECHANICALI
Signature .
Address I
OTHER
Signature
Address
Directions:
Company
Registered
I Ere. S'T.Jfe,n.5 ~L.
WI N I Fee Current I WI N I
Is-t' y..rc;.r :J.6t!J~1 O>J)t:7 Y I
I Y I N I Fee Current Y I N I
I
License #
Company
Registered
License #
Company
Registered
License #
Y / N I Fee Current
Y/N
Company
Registered
. Y I N I Fee Current
Y/N
License #
Company
Registered
License #
Y I N I Fee Current
Y/N
Fill out application completely.
Owner & Contractor sign back of application, notarized (Or, copy of signed contract with 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.
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit maybe subject to "deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS 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 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-
8009. Furthermore, if 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 LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
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
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 land
development regulations in the jurisdiction. I also certify that I understand that the regulations of other
I government agencies may apply to the intended work, and that it is my responsibility to identify what actions I
must take to be in compliance.
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
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 extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
WARNINGITO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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.
FLORIDA JURAT (F.S. 117.03)
I
OWNER OR AGENT
Subscribed and swom to (or affirmed) before me this
by
Who is/are personally known to me or has/have produced
. as identification.
CONTRACTOR
Subscribed and swam to (or affirmed) before me this
by
Who is/are personally known to me or has/have produced
as identification.
Notary Public
Notary Public
Commission No.
I
Commission No.
Name of Notary typed, printed or stamped
Name of Notary typed. printed or stamped
I
I
I
02-06-'08 16:59 FROM-R.C, Lincoln, lNC, 8137821334 T-030 P002/002 F-045
~1/3~/2!08 17:03 7273431~22. FIRE ~YSTEMS ,PAGE ~2 j'
NOT'CE; O~ DEED REStRICTIONS: The trnderslgMd unden;;tands that this permit may:be :,ubject to Kdeed" resirir.;tiorr '"
whl~h may De more ~0Strlotive 1tJan County regulations. The undersigned assumes responsibility for compliance with a~
applicable deed restnctlons. ' . . .
UNLICENSED CONTRAcTORS AND CONTRAcTOR R~SPONSIBJLlTI~S: If me owner has hired a contractor r
contracto.~ to undertake: work, they may be required to be licensed In accordance with state and local regulations. If I
contractor' is not Iicensei:l as requIred by law, b()th the owner and contraotor may be cited for a misdemeanor vloll!lti
under state law. If the ~wner 'or Inr~nd~ contraCtor are uncertain as to what licensing requirements may apf'Y for th
jntended,work, they are ~dvifl$d to oontact the Pasco County Building 'Inspection DivisIon-Licensing Section a 727.84 ~
8009. Furthermore, if ~e owner' has hired ::l cnntractor Of'contractors, he Is advisad. ,to h;w~ th~ contraQlor(s)::.1 '
portions of ;the Mcontractor' Block. of this application fot Whlcl1 they will be responsible. If you, as the owner sign as th '
. contractor, ,.that may be an indication that he Is not properly licensed and 'I~ not entitled t6 permitting prjvih~gBS in PS$
Coun~. I , ,
CON5TRUCll0N lieN LAW (Chapter 713; Florida Statute~. as amended): Ifvaluation of work.i~, $2.500:00 or more,
certify that' I, the appJickt'lt, ~ave been provided with 8 copy of the "Florida ConstnJc:tion Lien Law-Homeowner'
ProtectiOn Guide- prepared by the FIOrida'Department aT Agriculture and Consumer Affairs. If the applicant is someon
, other than ,the .owner', I :ceT1i(y that I have obtained a copy of the above desf.:ribeo document !1lnd promise in good faith t
deliver it to ,tM .OWner" prior to commencement " . ' "
i CONlRAC1:0R'S/OWNER'S AfFIOAVIT: ',I.certlfy that all the information in this, applioation is ScctJrate an'.'
; that all wol1$ will be done in compliance w/rh all applicablQ laws regul~ting cons~uction, zoning and' lan'
,development. AppTloatit'lO is hereby made to obtain a pemljllu l.lo work and Installation ,3S indidtSlC\. I certi
that 00 worK;or installiiltion"ha5 commenced prior to issuancl1l of a permit Bnd that'all work Will be p~rforme~ ~
meet Slandard$ Of all laws regulatIng constl'llctlon, County and City codes, zoning regulations, and 1,8 ,
; aevelopment regulations, in the jurisdIction. ., also, certify that I understand that the. regulations of oth
' I gpyemmentagencics may apply. to the intended work, and that it Is my rEisponsibility to identify what action~
i must take taibe in comoliance. ' ,
If I am the AGENT FOR ~THE OWNER. J promise In good faith to inform the Owner Of the permitting conditions set forth i
this affidavit prior to commenclngconstroction. I undel"Stand,that a separate permit may be required for eleotrical wo
. . plumbing, Si~IMS:, WGllI$;, ~pOlr;. Glir ~onditloning, ga3, or other instaUQtionlll not ;specifically im:;luded'in the appli\iCltion. ,
permit issued. shall be cBnstrued, to be a license to prpoeed with the work 'and n~t as authority to violate. cancel. alter, ,1
set aside apY provi$jons:af :the technical codes" nor shall issuance of a permit pl'evel'!t the BUilding Official from thersafte
I'~uirillg B ,correction of .errors In plans. construction or violations of any codes. Every permit issued shall become invall ,
' unless 'the !Nork authorized by suoh permIt Is commenCed withIn ~b( months of permit issuance, or If work authorized b .
the permit 15 SUspended !or' abandoned for ;;l period of six (6) months after the time thE! work is commenced. An p.xtel'l!'iln
may be requested, in' wnting, from the Boildlng Official for a period not to exoeed nihety (eO) days and, will demonstral .
justifiable cause for the extenSion. If work ceases for ninety (90) consecutive days. the job is oonsidered abandoned. . !
WARNING Ita OWNER': YOUR fAILURE TO RECORD 'A NOTICE OF COMMENCEMENT MAY REStiLT IN YOU!
PAYING l1ivfCE FORIMPR.OVEMENTS TO YOUR PROPERTY. .IF YOU INTEND TO OBTAIN 'FINANCING, CONSUL,
W1THYOU' L!!ND 0 ATT EY BEFO RECORDING yoU C F CO ME EMENT. I
FLO~'OAJU'rT (F.S.117.D ., I
' ' , I
OWNER OR AG~NT " CONTAACTP~
. Su scri t1Al!'l<' s:wiim , 'Sub9cllbBd an'(f llwom to (Of allllt11OO)
'r') b . . by
Who is's nally nown to e aye producud wqo i"l:<tp. pP~on~lly known 10 mA Ol' ~~'" pmdu~ . 1
' s IdBnllflcation., as ldlllnttfi~tion.
olaf)' I"ubllc
Not<l1Y Publle
Comrni:ssion No. ~ .
. ,
EXPIRES: OCTOBER 15..2010
'." Bollded by 1s1 Stalelnaurance
Nam<l of Notary typed. prlnlarl Dr &Icllnp~d
, ;