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HomeMy WebLinkAbout08-7758 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL FIRE PROTECTION MAINTENANCE 7758 Permit Number: 7758 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: 7325 GALL BLVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CllY OF ZEPHYRHILLS Parcel Number: 34-25-21-0000-00300-0020 4/15/2008 25.00 25.00 4/15/2008 Phone: FPM-HOOD CLEAN-SEMI ANNUAL-SWEETBAY SUPERMARKET-COMPLETE 3/5/08 Name: SWEETBA Y SUPE MARK Address: 3801 SUGAR PALM DR TAMPA, FL 33619 fi/lu!2 S_ZS-uS 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 HRii~ 81 :i-780-0020 Date Received OC'7/MON 02: 1:, PM ZEPHYRHILLS BUILDING FAX No, 813-780-0021 -lf1~ ;I~ ' : 3Iic city of Zephyrhills':Fh'et'. ':'.. Permit Application 'Phor!l;l Contactfor Pennlt ,I S u/1;'1:;y ~ It! S (,( "GJW>>~ It" /1 f.J. I Owne~s Phone Number Ownl;lr'sAddtMs f7325 C;4GA..- "(..vi/) l..t:/PJlYI2I#';(,~ R J)S'II Fee Simple T1Ueholder Name I ~ Tdleholder. Phone Nwnber Fee SlmpleTitleholderAddress ., 17'J2.,f CA (,{, 'B(..(./I) I Owner's NiUllB Job Address SubDivisIon D D '0 D .D D (.()mp,e'n:'tJ ')/ r/o 8' :I 8J3 I'l Emergency Generator < 30 I<w .l:metgency GerMntor > 30 kW Are Protection Meintenance - ANNUAL . 'D~'~'~~ Sprinkler 0 0 CI L-.J ~ Fi19AlalTl'1 0 CJ 0 CJ [:J ~pu;~ 3h4o Hood Cleaning ~ 0 ~ 0 CJ ~Hood Suppression ~ 0 tY' 0 C:=J D Are Alann lnetalkltion ~ ::: ~o= Flammable Application- ANNUAL FUfilI Tanks D Other: I IlIIi:...... - ~~~:::r 'r'~~%. ., Address 1/J~.1 ~",~/I'f- 111/4". CAHhUa~~P(. 'lJ~tl ~C~C~NI I SIgnature . . Addl'eSs I I :~~~~: I I Address I ] ~~~I I Signature . Address l I I I OTHER Signatu.... Addre&l> I . 1lf Directions: "II C Y ~ r -.. I I l .1 I . lFO I"l "L --z,.e:P JI'Y/2.Ih ",,,~ F (. :1:1 J'fI / I Parcel # J J Lot# -, L 'T aio-Hezard Waste Storage -.'ANNUAl Comm Exhaust K1tehen HoodfOuct Controlled awn n D D .D o D D o Recreational Bum o 'Sparklert; o Sprinkler System Installations D o D I Fwnigallon Tent Hazardous Materisl (TIer 11 or RQ Facility) ANNUAl Hood In:lallation LPlNatural Gas-Instalkltion LP/Natural Gall~'ANNUAL Sale !,>Iaces of Meembly-ANNUAL Standpipes (Sprinklllr Sys) Torch RoOflnglTar Kettle Waste TIre Storage ANNUAL ,~ Valuation of Project - '. - Company I 'M:' u:rJl;/}UI" SY.T:Wn oS d "~ "t.. Registered N I Fee Current I Y J N 1 _hicen&B_#_..J I 81 Y1I t;) (J ~ D ,3. e" 7 I ~;=~ r '0 N I Fee CUrTenl l Y I N I license tt- I I Company I Registered [ LicBl'lS8 # I Company I Registered . LIcense tt- I :::~d 1- Y I N I. Fee Currant I License it L J Y/N I : Y/N Fee Current Y/N I. FeeCUlTent I Y/N I I Y/N J I All out application completely, Owner & Contraetor sign back of application. notarizsd (Or. copy of signed contract with owner) If over $2500, a NotIce of Commencement is roqulred.(Mechanlcal work over $5000) Supply two (2) Bets of drawings with applicable docl.ImBnlalion Allow 10-14 days for review after submittal date. Parcel # - obtained from Property Tax N<;rtic:e (http://appralser.pascolilOV.r.;om) 'NOTICE OF :DEED:RESTRICTIONS: The .undersigned understands .that this permit may .be'subjectfto7.-dead~lri:Jstrictions"-' .which may be more restrictive.than County regulations. The',undersigned assumes responsibllity.for:comp!iaf.l:ce1with 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 loeal'r~gulations. tf the contractor is not licensed as required by law, both the owner and contractor may.be clted-for.a 'misdemeanor violation under state law. If the owner or intended contractor are uncertaIn ,as 10 what Iicensing'requlrements may :apply for the intended work, th~y are advised'to contact the Pasco County/Building Inspection Division-Licensing Section;at 727-847- 8009. Furthermore, If the owner has hIred :acontractor 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 entltJed:to permitting privileges In .pasco County. CONSTRUCTlON:LIEN.LAW (Chapter713,'Florfda 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'Mowner", 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 pennit 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 tIle 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 compliance. If I am the AGENT FOR THE OWNER, I promise In good faith to Inform the owner oUhe permitting conditions seHorth in this affidavit prior to commencing construction. .1 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 al'!Y 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, ot 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. WARNING TO OWNER: YOUR 'FAILURE TO RECORD A'N'OTICE 'OF 'COMMENCEMENT MAY'RESUL T 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.B. 117.03) CONTRACTOr' ~ y ~~~ -- ~CJ Subscribed and sworn to (or affirmed) before me this by Who Is/are personally known to me or haslhave produced as identification. OWNER OR AGENT Subscrlbed and SWOrn to (or affirmed) before me ttlls by Who Is/are personally known to me or haslhave produced as Identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed; printed or stamped Name of Nowry typed. printed or stamped ZOO'd lZOO-08L-E18 'ON XVd :JNIG1Ina SllIH(]AHd3Z Wd S 1: ZO NOW/LOOU60/~dV 04/09/2008 09:37 7043775140 FIRE CONTROL SYSTEMS PAGE 02/06 STATE OF FLOlUi>A DEPARTMEN'i' OF PINANCIAL SERVICES DMSION OF STATE FIRE MARsHAL TALLAHASSEE, FLORIDA FlRE EQUD'MENT DEALER LICENSE TH1S CERTIFJF..s THAT: F1RE CONTROL SYSTEMS OF CHAlU.QTlE INC 1143 COMM!!IUCALAVE CHARLoTr.E, NC 28205- QUAUPIER: DAVJD W KRIz n HAS COMPLJ.ED WITH FLORIDA STA111TES AND HAS QUALIFJED FOR 1HE TYPE AND CLAsS SHOWN HEREON TO SERVICE. REPAlR, INSTALL OlllNSPEcr All TYPES OF PRE-ENGINEERED FIRE ExTINOUISmNG SYSTEMS. EXC1.UDES ANY S'ERVICE, RECHARGE, REPAIR, INSTALLAnON OR INSPECTION OF ANY TYPE! OF HALON EXTINGUISHER. . '~~~ ChlerFlnueitl OfJieer 01 01 2008 07 04 Out of State Issue Date T)I1)C Class County 18188000012003 UcenselPennit Number 9885690001 12 31 2009 Appliclll:ion # Expire Date 04/09/2008 09:37 7043775140 FIRE CONTROL SYSTEMS PAGE 05/05 ACORD"" CERTIFICATE OF LIABILITY INSURANCE I DAte (MMIDDIY', 'tV) 04/09/08 PROOU~ :1-701-865-8584, THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMAl'ON !fatson :II1euranC!o Agency, IDe. ONLY AND CONFERS NO RIGHTS UPON THE CERnFIC)I,TE 245 E. Seeond Ave. HOLDER.. THIS CERnFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. .0 !lox 87.9 Ga8~OQia, He 28053-0819 INSURERS AFFORDING COVERAGE NAICfI! 1N8U1V5D INSURER A; zv.:r; S t: IruiCMQ,i ty InG\U;'al:lce Co. P~~e Conero1 Syse~ of Chllr1ot:.t:..., :tile. INSURli;RB:AHCo IlQlNJ:'anoo eo "- 110 C:~C!;l,al Avo. INSURERc:.Ace,;,dl!!lIlt: nmcl IDS Co of AlneZ':!.aa Charloeec, we 28205 ;NSlJRERO;UUed Proelc:L"tv II: Call. :tile. Co. ..- INSU~ E: ..- COVERAGES THE POLICIES OF INSU~NCE LISTED E11!!1..0W HAVE BEEN ISSUED TO THe INSUREO N^MliD ABOVE FOR THE POUCY peRlOO 'NDICATeb, NOlWlTHSTANDING ANY REQUIREMENT, TeRM OR CONomON OF ANY COIllTRACT OR OTHER DOCUMENT WITH RESPISCT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PE"TAIN, THE INSURANCE AFFORDED SYTHE POLICies DESCRIElEO HEREIN IS SUBJeCT TO ALL THe TERMS, EXCLUSIONS AND CONDmONS or:: Sl..eH POLICIES. AGGREGATE LIMITS SHOWN MI\V HAVE BEEN REDUCiD BY PAID CLAIMS, = . POLICYNIlIllfJliR J'OLlCYEFFEC'I'Ivl; I'OUCY ElCPIU,TfON UMrrs '.- A ~RALlIAIiIILfTY 51GLOO,,0.98081 0<V01/0e 04/01/09 -=~ $1000000 x :=iMERCIAl, GeNI!RAL LIABILITY S SOOOO f- ClAIMS MI\OE [!] OCCljR ..- '-- MEO!iXPIAltvllflCl_1 S 5000 . f'ERSONIILIADV INJURY $1000000 GENl!RAl.AGGREGATE S 2000000 .. ~'I. AOORen UL1lT Af'Pn PER: PROOUCT'8-COMF'/OP AGG $1000000 .- POLlCY P,~ LOC "- B ~UTOI\I08IL.I;LIA8ILfTY ACPBnA7121811002 04/01/08 04/01/0.9 OOMSlNEO SlNGU! lJMlT S 1000000 ~ Arof'f AUTO . (EAAc:ddenl) .- - ALL OWNEOAUTos BOOII. '( IN.IURY (F'erporwnl $ - SCHI!DUI.Ec AUTOS ..:.. HIRED AUTOS 1l00IL Y INJURY $ X NONoOW~D AIJTOS (PorAlldderC) - - PROPlimv DAMAGE $ (Per-I) RIlAQI; LlAIlllJTY AUTO ONt. V .IiAACClOENT $ "- Arof'f AUTO O'Tl-tER THAN ~1\CC S AlJToONLY: AGO S A t:5l!SSIUMBIU!LIJ\ LlIIBlLl1Y nC:COO1341oBl 04/01/08 04/01/01l EACH OCCURRENCE $ 2000000 "- X OCCUFt 0 ClAIMS MAOE AGGREGATE $ 2000000 S "- R OEDUCTlBLE S ..- RETeNTION $ 10000 $ e WORKE!RS COMJIENaAT1ONANO HCI1600e4S2 04/01/08 04/01/0l! X we STATU- I IO~ liMPLOYER$' LlA81L1tY ~- $UOOOOO ..- /IH'f PflOPfllfrrORlrARTNERlEXECUT1ve e.L, EACHACClDIiNT .- ClFFI~EXcLullED7 E.L. tlISl5ASE. EA EMPLOVllIi $1000000 '- ~J~~~tiNs_ E.L OISEAS!;'POI.ICYUMrT $1000000 0'Ttt1lft ACPCIMP7121811002 04/0.1/08 04/01/0.9 jr.<<!IIIiIAd or Rent:e4 50000L/SOD%> D ~~~nt Floato~ DEaCRII'TlOfl OF OPeRATlDNllI LOCATIONS IYl!HICLES IEXCLU8IOMB ADIlED BYI!NOORaEIII;IU I $l'ec'N. I'ROVl!lIONS CERTIFICATE HOLDER CANCELLATION USA SItOUUl Al'lY OF THI! MOVE DI!8CR1BISJ POLICIES 8E CANCE;I.I.F.D f.leFORl! THE I!XI'IRA"",'" D..TIO THliiREOfI. THE ISSUING INBURF.R WILL I!-"'~ TO MAli. -!L DAYIl VVRlTT!IN NOne!! TO THE CI!fmFlCATE HOUll!ll NAMI;D TO TtfI! LEFT, BUT FAlI.lJlVj TO 00 SO SItJl.u, IMros6 NO OILlGATlON DR UAlllUTY OF IUtV ~p UPON TH! INSUltER, m AGeNTS ,~ REl'RI!SI!NTA.TlYQ. AUTHOllIZmlMl'RIESENTATIVI! J" ~/ / _ /~~....... @ACORDCORPORATlON1S~ '.- Ciey of ~~pb~h:l.l1e 5335 11th S!:.2:'I'lel; Zephyr.A111e, FL 33542 ACORD 25 (2oo1IOB) hmeraeZ' BS08~80 04/09/2008 09:37 7043775140 FIRE CONTROL SYSTEMS PAGE 04/06 CIty-County Tax Collector P.O. Box 31677 Charlotte, NC 28231~1577 City of Charlotte &/or Mecklenburg County Privilege. License #BWNFWQR -~*~********~AUTO-*3-DIGIT 282 #00476176# . I.. I .11..1.. .1.111., ..1.1,.. .fI.I..III." ...11.'..'..".1'...' FIRE CONTROL SYSTEHS OF CHARLOTTE INC 1143 COMMERCIAL AVE CHARLOTTE NC 28205-1401 license is not tpansfe~able. This includes Changing from SOle-proprietor to a Corporation or a Limited Liability Corporation (LLC). This would also include a corporation changing their. Federal Identification NUmber. GS 105-366(dI111Ial reqUires notification to the Tax Collector forty-eight (48) hours prior to gOing out of business, the transfer of or pending sale to another party_ POST IN A CONSPICUOUS PLACE. Must be posted in a Vi$1Dle public area, where it can De inspected at all times. DO NOT REPRODUCE. OOCUNENT VOID IF NOT DUAL COLOR PRIIfT. Changes in tbe Ticense dUPing the yeap; The business shall report a Change in the information contained in the license to the T~ Collector within ten (10) business days after, the Change occurs. The 11cense must be surrendered to the Tax Collector w1th payment of a five dollar ($5.00) fee, for each license tha~ needs a change. The license Shall be SUDject to cancel~ation for failure to comply with this sect10n Of the Ordinances. Fo~ Beep/Nine Licenses, we AYST see new ABC Pepmits ~efTect;ng cbanges, THIS IS NOT A BIll. (1) 000260 '..' ".~~, "~.'.i.jl?.o(i~~.;;'-' ff.' '" .-:....I~:I,;' _.._;. - ~Jo.~~,.!;",1I.E''',;(.K.,jL!"lE~N'\.'-B';'-O'R. G ;0:' 'A~'TY,.v~"."p:ti~Ri""r,'G" ~~~'N/j~~~:".":' 70" ~..'.D.'.'.,:i~~..'.,'~('.S,'.7,~..';,;.',~:ot.."...f.i.'.'~: ..;:,~~~'~~~1~2008;>~JnP'bfcHAI. _./lIfE "'f 'n MI ~ " UN J;L'l;~ ,,~ :u~n J l~" .,'. j.(''''''.',,:,.,':;l.r.j'''' ,....,~. '."I:,;\,~~.J!l'l:::" ~."",:",,1""".'II,." ,'~t,<f'C,t,p.w:",'., ".,~.t#ltil,l",~". 'APCOUNT'N~~,;,~;{;.c:~". r~;'~,1 05;' . ,t:.. .UJ,:"c> . .' 'r..f{;V['1=SSl ",. .($ ." ", 'i:, , ~~ .~,J::", - ,~{'" /!!",Z;d '~'!";f~ "'. ..', ~.' loil'l>~f' I' '~" .:rr.. ", ," -~;~ ";'h:hl:"~f,<o:: ~",~J1 4. "'I~.~,-''t;;,l''t. rt-l'i.' III (' ~~'t'l!I:~~ Jl~~~~ "~:f: '.~~'~' ~:t"',Jf))~M''\ ~~~ EX6/Pl~t;dc~(J..c.~:...~.'J.~~~:I~~~:.i''tA''.. ::.. i. l-,l' ..,. ,~< '" .~1 1/ ~i --th 'I' ~\ If "-I" ,., 'i" ,.",'. .f; l'O ;nt/~UI 15 "'",. r~ '.) 'i'.~ ._:l~ ..~, ,. ~,~ i,~ 1.:'1 \ift"',~'71'~f:,;, t~. Ii ~'YiY~'~~:;~J.i.'.1~ ~.\ b'i;: !~;i~~~,'tK~~,;,- 'J,: .:,~,",;\f~'. ~,;};1t: $.SUBJE(t~tdii~t\~~l'tt:E~OA .'! , ~lt~'~~, {~~y,~i ,.t!.:~... ~:~1;~:~~:~l.~'~f;,5f!.,~].~ ;'f' 'll,\J:~,",,~"1 ,\,~, ~~ t"-,. "J"-., 'f; ",;,~;"" r r~i,,~I'lI'\.~;\<' (:...\i(i..ft,;'E/lfA~~~~ElIoI . .' III . GA!l,:,,s..'.....,';:Nl. ')1 . R .. ':\". ~ " .' II I',. .'. ~ <<)r:t.:.) -'1"" .... 11"",,, ..."..,.~11t. ~~" t.'. I ''I( ~~,... ~':K<-:-'~~" ,;..~,~l'~,'Ii~>~~,C;; 1:,~ '" ~'~r:':';!, '1v.;(~:~~},~ ~''''''~' t.;.;~~~~~~.,~~ .~:~ COU~':~~li\: ,~~~ It. .. .~: ~"'" - f .. tIo' ~ ~-~.. ~~.~.~~ ,~\',,, J.~..'~ .. ~ I . . r.~/. ~~~~."~~~'f~~~'~!"'\ ,~'lo;;.'~ft. ......,Il"",: :';,~~'~:f!t.J i;~/~.~~~,,'" ',.:~~.~~ ~,J,'rD;:~,~!t'!~"'1 '..,P,. ,.-:.r....'t/!f ;~-,. I ~"iii 'r.~':;, .,';.,~~,.l....r-;.l.)~TAl .~~~."':. ...1'..... '.j.... _"I:".~~.:..f~IC... 'fl'.... ~I. ~ ~ 1=:' ~ ~,~~tj" ;..).:.......Of'..~. po t ~).,. .,.....'. ~.I. S}:;'" MltL "i""t' "~~).'" Jl!l:' .....', LiC.t.k;~I~ :~. ~ j '.'- '.Jt,~';' ~:~.,~~ ~k.:.-...T;;~7;"'J 1""~t~SHle~ ~'_:':" .Y"i:'~':~ t(~~;~.,~".~~.~ A.~~n~fffit.,..ri=C. . .L ~ .,I'F ~~"fffi~l:1ti1(ji"'-':'>: .j',,;: A/}t'~l,'!..";.' ;'~ATE ';\'"",,"i;''B~.~' ',.' !""i,;i''7.'.'tr!.~, '/~ H~Kel:!~-'t'4"i-S~" . ~ 'll ..tl ~i". ....1,:A'-, J)>;, I ..... ,r;..., ~-,.y', ",(. ' , . . -rot~, _.1 ...~a I ,'~ "C . tw4 '. ~.'f ....",tJ1.. ~~~::'~\.~l"" ....J"~.";'l!(c.:Q....~)' '" - ..,.11\' I C ~:"'h'~~""'J"'~;." r- GRANTED: ' .,.. "'i'. ,,:',," -' S~ -, , .~~'...t:~1'.;..y'" ,~, .. ._".,' :'~'7.~'~j...,kf:f~LOTTE~~..fl~'1J<r': NC 282~.;~-91. ~-._.~:-';'" .,~.i-..\,a"" POSTIIIIA .'...o:~' BJ.:i~'\.1~~t11. "~..' ......//t....~,., -~:;; ............~;t~. .. ......:. .~ .~MSp.lmOUS,.LAce " ~~f.~....:'1~ ~"i:\J.':l,~~:~~,::~::'~~ ~'~;;~~!~t:;i.':: .~~':{.~. '\~~rllt~~;~~~{~~,.. ./f>';.;'~~ ',1;,. .'~. .::~~ ~<~"'~M;' ",,' ..::", , ""~. ,; .'\t0~! ~t~ J"?$ '....>"."'!:!l~~,'I.. J:.... .".,..,",,~,~.~.~..,'.'. ~.. .~''-.~1t~,''2 t~" ,,"""~'-~'ti.~"'"' ,.,...,.-t1( .~' . ":"'~~._ . ",..r.-~':r~lt~~:. .~~"~~'~....i; '~""~"'''~':.. ". f.~~:~~' ;i:I~'~~,:~-)o~1Jf"~;"""':Af~~t~~II't. ~~_~r"4f,i1"', ~:,... ~~." ~ 'I':',.w'$'(~ s::.;' ~ '!II. .:.\'.~. 1,..-1'; =:;-"iJ: ::' ~~1!' ~ ,." -.,;r'.' "/r... /1'~' ...... ..<# .. ~: i-<l!~-....'- ., ,~,......,~ ,.<>'. ...,.,....- '.~'..~ '''''f"'t,,'!t, '\.,(,.~~'(.""" .:' '. ::--... '.:~....' . r-r"'.':~"''(.'''' '~k.,.;'~~';.;"'. ,- .""\u".',\l.f.. f.r.. 'ij~tt''f9!j.~,;....,.", .,~,:.I) .., ,;. '.' .'. ." ..,~ . .',,.,..... . . . '1:1:.'. .,,.,. . GS 105-3~'\.DH1fm rcQUII'O~ notifi~ .1 .~_":' . '. .... :' .. ._..':..~.~...._-_.......__..~._____..........___... :_~:rIlXco~Bctor~h~OUtspn.or~gong'Out.of ....." ;'.' . . ,. , ....."'y" :i/",',_,. ~ .: .. . .....'".~,'., ')<\.; .... I ~. ..t.."'. ....'. .', ...._ ~. ~'. ". ..IIUin;t rrt22-"ef, ;qr pent1lhg':lelo 10;:. ';.:~c' .~'.T"~'" ... ,,:";"ii.; ~.'. ,~'f.f:::'(. . ;::'~-:'i'~l:l.:'.. TAXCo'~[;~~ .~~ ~..;.,,;~~ .,~;-;....:~ '::'::,::.~".~.. . . 4!:'I~"::':~:::.j'Mbotb.~r, P8roA~~'~" . R&ffi\OOUCE, .~~~~~~~:' , .':: ~ . t./. :.-, ;;,~, ".J..!.... ,.......~J:.:, ~1"" ''''' ..i~;!,.:.ll'.~-"~"t ;;~~~.,. ....$.:/:'D"....i.~~j~ ;j~:: . __~::~. :.Co:~~:.~'l't:~'::.;"9~~~ ..F~~.}.!.M~p,~.tt.~t"'.,: ,;~:.:~..._1Jo~ ~-::~;",... ilF ...:P.PI_.................ifIIRP. _._ ..... =ti ...",. -=:::::I. L~..~';; " ."" '. :~:;.,~:..~ ~ ~';J:;'\1~~. .lo< . ""!1~ ;?~1; ,,:.s . :t~~. ~~~~~~' : 04/09/2008 09:37 7043775140 FIRE CONTROL SYSTEMS PAGE 03/06 STATE OF FLORIDA DEP ARTMEN'i' OF FINANCIAL SERVICES DMSION OF STATE FIRE MARSHAL TALLAHAssEE, FLORIDA FIRE EQUIPMENT DEALER LlCENSE THIS CERTIFIES THAT: FlU CONnOL SYSTEMS OF CHARLOTTE JNe 1]43 COMMERICALAVE CHARLOTTE. NC 2820S. QUJ\LIFIER.; DAVID W KlUZ n HAS COMPLIED WIni FLORJDA STAl1JTES AND HAS QUALIFIED FOR mE TYPE AND CLASS SHOWN HEMON TO SERVICE. RECHARGE, RBPJ\IR, INSTALL, OR INSPECT ALL TYPEs OF FJR.S EX11NGUlSHERS EXCEPT RECHAR.GlNG CARBON DIOXIDE VNlTs AND TO CONDUC'i' HYDllOSTATIC TESts ON WATER., WATER. CH."6MrCAL AND DRY CH:6MICAL TYPES OF FiRE OOINGUlSHER.s ONi. Y. EXCLt.1DEs ANY SERVICE, RECHARGE. RCPAlR, INSTALLATION OR-INSPECTION OF ANY 1'i'PE OF HALON EXTINOUIsmJt .- ~~~ ChicfFinancj=-, ometr 01 01 2008 07 03 Out ofstatc Issue Date Type Class County 18188000032003 9885680001 12 31 2009 Application # ~irc Date Lieen,c:/Pcnnit NumbeT 04/09/2008 09:37 7043775140 FIRE CONTROL SYSTEMS PAGE 01/06 ~.~-_..-..._- --...,-. ..~- ....-------. _.~. . ,...h.... ...4.... .....~.w....~...... . .-...--.---.... .......----..... ~_~#I!A FIRE .-~ CONTROL SYSTEMS ] 143 CoMMBRClALAVENUE CJwu.OTTE. NC 28205 dave@firecontrolsys.com DAvmW.Ktuz VICE PRESIDRNt . FIELD OPEMnoNS 704-377-3022 800-237-9701 PAX 704-377-5140 CEll 704-577-8092 DATE: 1:,/0 r SUBJECT: TO: COMPANY: C>~ IfF 4}?h~h~:{. Fc. AnN: Number of pages including cover sheet please call us at (704) 377-3022. ~ , If this transmission is not complete, ~/5~l? If Au- ~ 1$ '171'" :IT /,v'~H77 t!J;/ .rr;; j?tfI- ep~ ~ ~~ <:r n~ f.....~--?..r /",>-" ,,,.v,f"'~~ AlA.. ,,r! ~"..,.,.~ ~~,." Fh?.I?~f r:7'- /~ 11/"'~t!!jtt ~/ ".-' ~"~e?'L ~7=r ~ ~ ~ CI ??' ~ pt:Jtr~ ~,4<E. . ~~ ~~7'n(.))-~ "~7fJ:rr ~~ ~ ;rtnc /)~/t?' b1 ~ /~ 1143 Ccmnercial Avenue O1ar1otte. North Carolina 28205 1~704-3n-3022 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL FIRE PROTECTION MAINTENANCE 7759 Permit Number: 7759 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: 7325 GALL BLVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 34-25-21-0000-00300-0020 4/15/2008 25.00 25.00 4/15/2008 Phone: FPM-SUPPRESSION-SEMI ANNUAL-SWEETBA Y SUPERMARKET-COMPLETE-3/20108 hf\J yZ3-0f? 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 APR/09/2007/MON 02: 15 PM ZEPHYRHILLS BUILDING FAX No, 813-780-0021 -lf1~~ .:3I1c 813-780-0020 City ofZephyrhills':FIr:ei;" ':'.: Permit Application .:,~ 'Phor!e Contactfor Pennlt Date Received ;ttt ~ :I 813 n Owner's NiUllB :1 S u/1;'1::T ~ It! S (,( "GJW>>~ It" !1:J'.J. I Owne~s Phone Number Owner's AddtMS ':r73 25 C;4GA..- ,,(..(//) l..t:/PHy,(2I#'A,~' R J)S'II Fee Simple TItleholder Name t I Tdleholder. Phone Nwnber l=e6 Slmple'Tltleholder.Address '1 "11 tJ y-, r -.. I ., ,I .1 Job Address 7'J1.f CA (,( 1)(..(/1) J ~tf?'y:J /lYI2.UU.,'..r ,::. c:: 3 ~.r~ / I Lot.# ~u '1 SubDivision lya n '.L n - o D 'D D .D D (.omp"ej}:'t) JI $/0 t o D ',D o D D D Recreational Bum o 'Sparklel'& R Sprinlcler "System Installations D o , Fwnig~lion Tent Hazardous Materi~1 (TIer II or RQ Faclllty) ANNUAL Hood Installation LPlNattJral Gas-Installation L~NawraIGa~ANNUAL~ . I'laces of Assembly-ANNUAl. Standpipes (Sprinkl8l' Sys) Torch Ro01IngfTar Kettle Wa$te Tire Storage ANNUAL ., Valuation of Project IIIIIIIIL . .. Address 11J'I3 ELECTRlCIANI Signature . Address I PLUMBER I Signature Address I MeCHANlCALj Signature . Addresl'l I OTHER I Signatu.... . AddrB&l> rl Dlrectloml: ., ~n-r; pc.. ~~Zotl' I , I -, I I J I r Company I FI~ G8l/.;f}tJl>c.. $vsJaln..s ~ "~I Reglstel8d ~ N 1 Fee Current I Y I N 1 Licen~_#_...l 13IYJ't::Jo ~Q /2 .O~ ~~:~ I L1cel1ge ~ I Company I Registered . Y I N License # I Company I Registered Y I N I. Fee CUlfent I Y I N . Ucel1ge # I :;:':d 1- Y I N I. Fee Currant Licene # L J Y/N l FltBCUrranl I Y/N I I L Y7N I I Fee Current Y/N Fill out appllca1ion complelsly. Owner & ContraelOr sign bac:k of application. notBrizsd (Or. copy of signed contnl<:l with owner) If over $2500, a Nottce of Commencement ilirequ/red.(Mechanlcel work over $5000) . Supply two (2) Bsb; of drawings with applicable dooumentation . . Allow 10-14 days for review after submittal dais. Parcel #. obtained flOn'! Property Tax Notice (http://appralser.pascogov.com) --~-.~... . .....') - -~_.._- -... 'NOTICE OF:DEEO:RESTRICTIONS: The.undersigned understands.that this permit m~y.be'subjectfto:.~dee:d~!T"astrictionsw.. _which may be more restrictive .than COunty regulations. The'.undersigned .assumes .responsiblliw Jor~mp!iar.lI;e\with any.' .applicable deed restrictions. UNLICENSED ;CONTRACTORS AND <CONTRACTOR. RESPONSIBIL:ITIES: If-the owner'has 'hire(l';a>contractor 'or - contractors 10 undertake work, they may be required 'to be licensed in accordance with state and local.r~gulations. 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 intendedcontrootor are uncertain ,as to what Iicensing'requlrements may ,apply for the intended work, th~y are advised.to contact the=Pasco County:Building Inspection Division-Licensing Section.-at 727-847- 8009. Furthermore, If the owner has hlred:a . contractor or contractors, he is advised'to .have ,the contractor(s} sign portIons of the .contractor Block" of this.appllcatlon '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 entltled:to 'permitting .privileges In Pasco County. CONSTRUCTlON:LIEN:LAW (Ch~pter713,'Flortda Statutes,.as:amended): tfvaluation 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. tf the applicant Is'someone other than the'.owner", I certify that I have obtained a copy of-the above described document and promise in goocHaith 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 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 regulation~ in tl:le 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 compliance. . tf I am the AGENT 'FOR THE OWNER, I promise In good faith to Inform the owner of.the permitting conditions seHorth in this affidavit prior "to commencing construction. ./ 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 al'!Y 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, ot 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 Offioial for a pertod 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 OWNER: YOUR 'FAILURE 'TO RECORD A"NOTICE 'OF 'COMMENCEMENT MAY'RESUL T 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 NonCE OF COMMENCEMEKT. FLORtDAJURAT (F_B. 117.03) CONTRACTor ~ ,.:./ ~??- - ;:::c:.r Subscribed and sworn to (or aftlnned) before me this by Who Is/are personally known to me or haslhave produced as identification. OWNER OR AGENT Subscribed and SWOrn to (or afllnn9d) before me tills by Who Isfare personally known to me or ha6lhave produced as Idenllllcation. Notary Public Notary Public Commission No. Commission No. Name of Notary typed; printed or stamped Name of Notary typed. printed or stamped ZOO 'd lZ00-08L-E18 'ON XVd ~NlalIn8 SllIHBAHd3Z Wd Sl :20 NOWIL002/60/HdV