HomeMy WebLinkAbout08-7893
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
7893
Permit Number: 7893
Permit Type: FIRE PROTECTION MAINTENANC
Class of Work: FIRE-PROTECTION MAINTENAN E
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 5/22/2008
Total Fees: 25.00
Amount Paid: 25.00
Date Paid: 5/22/2008 Phone:
Work Desc: FPM-FIRE ALARM QUARTERL Y-PUBLlX
Address: 7320 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
T EW RETAIL LLC
725 CONSHOHOCKEN STATE RD
BALA CYNWYD PA 190042102
610667-5800
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0/vYU
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
PERMn EXPIRES IN 30 DAYS wnHOUT APPROVED INSPEC110N
CALL FOR INSPEC110N - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
813-780-0020
Date Received
\ler's Name
Owner's Address
City of.2ephyrhills Fire
. Permit Application
I
I
:tP 1613
Fax~13-780-0021
Phone Contact for Permit
Owner'sPhoneNu~-1 78-3 1.1~7~71 J
Fuel Tanks
II
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
Fire Alarm
Hood Clean/Suppression
Fire Alarm Installation
Fire Pumps
Fire Works
Flammable Application- ANNUAL
I Titleholder Phone Number I
II
Fee .Simple Titlehold~ Name
I
I
I 7' -3 ~ () .;}alf t3.8vJ.
I
Fee Simple Titleholder Address
PLUMBER
Signature
Address I
MECHANIC'
Signature .
Address I
OTHER I
Signature
Address I
Directions:
I Lot#
I
Fumigation Tent
Hazardous Material (Tier II or RQ Facility) ANNUAL
I Company
Registered
i License #
Company
Registered
License #
Company
Registered
License #
Company
Registered
License #
Company
Registered
Ucense#
Torch Roofing
Waste Tire Storage ANNUAL
l
Valuation of Project
Other:
fAt>T .sec~l("l9" Se'tV/ce.5
c: Y 1 N I Fee CUrrent I Y I N I
I FF ~e~/J;l..~ I
I Y IN I Fee Current I Y I N I
I I
Y 1 N I Fee Current I Y 1 N I
I
Y/N I Fee Current I Y/N I
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Y 1 N I Fee Current I Y I N I
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=::~'I?I hi, W..iep .AVo;, ~~~
Address I
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Job Address
Sub Division
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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.
...---..--....--..-.....-..--...-..-...-...- .----. ..-.....
" .
.:NO-T..4CE.QF;DEED,RESTRICTIONS: The undersigned understands -:that this .permit maybesl:lbject to ~deed" resb"ictions".
-Which may .be-:more re~trictive .than County regulations. The undersigned. assumes 'responsibility for comp.llance WJthany
applicable deed restricl:tons. .' . . . " .
'. 'UNLlCENSEO CONTRACTORS AND 'CON1RAC"f:O~ RESPONSIBILmES:Jf the owner has hired a contractor or
,contractors. to und.ertake work, they may be require.d to.be licensed in accordance with 'state andlocatregtllations. If the
contractor IS' not IJcensedas required by law, both the owner and contractor may be.clted fur a':mlsdemeanor violation
under.state law. IUhe owner or Intended contractor are uncertain as to ,what licensing ;requirements may apply fOl: the
intended wort, tli"ey are advised to contact the Pasco County Building Inspection Djvision-l.icensing Section at 727-847-
.. 8009. "Furthe~ore, .If the owner has hired a contractor or contractors, he is advised to have the contr'8ctor(s) sign
portions.of the contractor Block" of this application fur which they will be responsible. ..If you, as the owner sign as the
contractor, . that may be an indication that he Is not properly IlceTisecf, and Is not entitled to permitting privileges In Pasco
County. .-
CONSTRUCTION'LlEN'LAW (Chapter713, Florida Statutes,.as amended): If-valuation of work is. $2,500.00 or more" I
certify that I,the applicant, have been provided with a copy of the -Florida 'Construction Lien Law-Homeowne~s
Protection Guide- 'preparedby the 'Florida Department of Agriculture and Consumer Affairs. If the appliCant is someone
other than.the .owner", I.certlfy that I have obtained a copy of the above described document arid promise in good faith to
deliver It to the -owner" prior' to .commencement.' .
.CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all. the information in this application ,is accurate and
,. ..... .., "that' all.work .will. be 'tIone in.. oomt=tllance. with-.atl--applicable--Iaws .-regulatiAg.,constnJotioA;...zoniFlg.:and'.land..m .....-
development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify
that no work. or installation has cOmmenCed prior to issuance of a permit and that all work will be perfcmned to
meet standards of all laws regulating .construction, County and City codes, zoning regulations, and ,land
develop'm~nt regulations In the jurisdiction. I also certify .that I understand that the regulations of other
government agencies may aPPly to the intended work, and that It Is my responsibility to. i~entify what actions I
mustiake to be in compliance.
If I am the AGENT FOR THE. OWNER, I promise in good faith to inform the owner of the permitting conditions'set forth:in
this am.davlt pnar .lp. conll:n~ncii1g construction. I understand that a separate permit may -be required fur. electrical' work:,
plumbing, signs; wells, :pools, air Conditioning, gas, or other installations not ~peclfically- included in the application. A
~.r.m!t j~$U~d . Sti~II:b~ C0I1S.trued to be a 'license to proceed with the work and not as aLith~rity to violate, cancel, alter, or
set..aside' alJy",prOVisions of the technical codes, nor shall issuance of a permit prevent the Building Official from tnereafter
. requiriAg.a.cmrectlon of errors in p~ns, construction or viqlations of any codes. . Every permit issued shall become invalid
. .unl(i$.S1tie;~rl<.'autn~rized"by such .perrillt is' commenced within six month!? D! permit. issuance, or if ~rk authorized by
.' ,{f1E;:~~lsiiu$~rid~d or abandoned for a period of six (6) mo~thsafter tAe time'~ work is commenced: An extension
maY?J,Je req~ested, ~n .writing, from the Building Official.for aj:)8ned not t~ exceed ninety ~90).da~ and"WlII demonstrate
. j#~~ ~use for the extension. If work ceases for ninety (90) consecutiVe days, the jab IS conSidered abandoned.
WARNiNG'T-O OWNER: YOUR fAILURE TO lmCORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO you.R rRqp.ER1X: .IF Y. .1 .. . ,1:f~'pe;rAlt!lg~tJ~CJNG,_ CONSULT
w.mt . . ,. ';A" II. E"fir COMrlENCEMENT. .
.~_. .... rll.,.~~'. . :
~ =:'~~ORA~fiNT' ..-..-...... .....-.......-.....-,.. ..-:-...-..--. ...._.._-_._.--CONTRACTOR-..._...,--_.._,...:....~._.... ........- . -
s~ ~~ to (or afIinnt!d) before me this. . Subs~ and :om to (or aftlnned) before me this
Who Ishn _----'Iv knoWn to me or hasIhave iJroduced Who IsIare personally known to me or haslhave produced
.....~.-.J as identification. '.-'. as IdentJlication. '
Notary Public
Notary Public
. cOmmission No.
-COmmission No.
Name of Notary twed.prtnted or stamped
Name of NoIary typed. printed or starJ1Ped