The URL can be used to link to this page

Home My WebLink About08-7873 .--- CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL FIRE PROTECTION MAINTENANCE 7873 Permit Number: 7873 Permit Type: FIRE PROTECTION MAINTENANC Class of Work: FIRE-PROTECTION MAINT~NAN E Proposed Use: COMMERCIAL Square Feet: Est. Value: Improv. Cost: Date Issued: 5/16/2008 Total Fees: 25.00 Amount Paid: 25.00 Date Paid: 5/16/2008 Phone: Work Desc: FPM-SEMI HOOD SUPPRESSION FOR CHILI'S - ~ Address: 7643 GALL BLVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 35-25-21-0110-00000-0040 Name: CHILI'S BAR & GRILL Address: 7643 GALL BLVD ZEPHYRHILLS, FL. 33542 0'~ . ~l-~ ~ 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 NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041 813-780-0020 Date Received Owner's Name Owner's Address City of Zephyrhills Fir-e Permit Application Fax-813-780-0021 Phone Contact for Permit CII/LI'.j Owner's Phone Number II II Fee Simple Titleholder Name II I I 17~~~ Fee Simple Titleholder Address Job Address Sub Division C~/( f3{ I Titleholder Phone Number I II I Lot# Parcel # D Fire Alarm Installation D B D Fuel Tanks D Other: I I ELECTRICIANI Company Signature , Registered Y I N Fee Current Y I N Address I License # D D D D D D Blo-Hazard Waste Storage - ANNUAL Comm Exhaust Kitchen Hood/Duct Controlled Bum Emergency Generator < 30 kw Emergency Generator> 30 kw Fire Protection Maintenance - ANNUAL ~~~~ Sprinkler 0 0 0 0 L..J D 0 0 0 c::=:I D 0 0 0 c::=:I ~D (0 c::=:I Fire Alarm Hood Cleaning Hood Suppression Fire Pumps Fire Works Flammable Application- ANNUAL 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 .." 1 ~ 1 ~ jJ-!' . LP/Natural Gas-ANNUAL Sale ",liP ~. --, II Places of Assembly-ANNUAL;) J.- v' Jl? .1;0,' .~. J.k:;r- Recreational Bum , '\ ~ ~~d \ ~ Sparklers lY ~ ( . - Sprinkler System Installations et Standpipes (Sprinkler Sys) D Torch RoofingfTar Kettle Waste Tire Storage ANNUAL Valuation of Project PLUMBER Company Signature Registered Address I License # MECHANICALI Company Signature Registered Address I License # OTHER Company Signature Registered Address License # Directions: Y/N Y/N Fee Current Y/N Y/N Fee Current Y I N I Y/N Fee Current 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, Parcel # - obtained from Property Tax Notice (http://appraiser,pascogov,com) 'NOTICE OF:DEEDRESTRICTIONS: The undersigned understands that this permit may.besubject'to."deed"rrestrictions" which may be more restrictive than County regulations. The undersigned assumes responsibilitY fOI':ccimpliancewith any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner hashired: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 (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-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 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'. "IT work ceases for ninety (90) consecutive days, the job is considered abandoned. WARNING TO 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 A RNEY BEFORE RECORDING YOUR NOTICE 0 OMMENCEMENT, FLORIDA JURAT (F.S. 11 . CONTRACTOR Subscribed and sworn t by Who is/are personally known to me or has/have produced as identification. OWNER OR AGEN Subscribed and sworn to (or a by Who isfare personally known to me or has/have produced as identification, Notary Public Notary Public Commission No. Commission No, Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped SIMPLEXGRINNELL SG WO 714837 National Accounts Billing Dept 100 SIMPLEX DRIVE WESTMINSTER, MA 01441 (V) 800-299-4377 Continued Number: 714837 Page 2 Deliver: CHILI'S GRILL & BAR #894 7643 GALL BLVD ZEPHYRHILLS, FL 33541 Date: 05/01/08 Bill To: 00161 Account: 00161-F0894 P/O #: Bill To: SIMPLEXGRINNELL National Accounts Central Billing 100 Simplex Drive Westminster, MA 01441 (V) 800-299-4377 Ref #: 714837 Terms: NET 10 Print: 03/31/08 08:55 FOB: ZEPHYRHILLS Technician: Date Work Requested: Authorized By Sales Tax Rate: 7.000% Contact: ANITA GILMOUR Phone: 863-299-9555 Type of Work: K7 Kitchlnsp NATIONAL ACCOUNT +--,--------------------------------------------------------------------- ---------------------+ ILinelOrderl Shipl B/O 1 Item No. 1 Description Unit pricelPrice Ext. 1 1----1-----1-----1-----1----------------1------------------------------- __________1__________1 1 1 1 NATIONAL ACCOUNT "800" NUMBER STICKERS ARE PRESENT AND 1 I 1 I 1 VISABLE AT EVERY BRINKER LOCATION. I 1 1 1 I RUBBER NOZZLE CAPS CAN BE USED IN DUCT AND PLENUM AREAS I 1 1 1 1 FUSIBLE LINKS AND NOZZLE CAPS ARE COVERED UNDER THIS I 1 1 I I AGREEMENT AT TIME OF INSPECTION ONLY! I 1 I 1 I 1/2 N NOZZLES REQUIRE RUBBER CAP, BUT CAN BE CHANGED 1 I 1 liTO A 1 N IF FLOW POINTS ALLOW. I 1 I I I BRINKER IS NOW UNDER A BAMA YES AGREEMENT WITH SG. I 1 I 1 1 FULL BREAKDOWN OF PRODUCTS AND/OR SERVICES COVERED 1 I 1 1 1 PLEASE REFER TO CONTRACT ON SG INTRANET. 1 1 1 1 I PLEASE INCLUDE THE APPROVING RFM (REGIONAL FACILITY 1 1 1 1 1 MANAGER) NAME IN THE PO FIELD FOR ANY RED TAG, SERVICE I I 1 I 1 OR DEFICIENCY WORK ORDERS. 1 1 1 1 1 I 1 1 1 I 1----1-----1-----1-----1----------------1------------------------------- __________1__________ I I I 1 I 1 1 1----1-----1-----1-----1----------------1------------------------------- __________1__________ 1 1 I 1 I 1 1 1----1-----1-----1-----1----------------1--___________------------------ __________1__________ 1 I 1 1 I 1 I 1----1-----1-----1-----1----------------1------------------------------- __________1__________ ill 1 1 1 1 1-----------------------------------------------------_________________________________________ IOrigina1 Date: 03/28/08 Next Service Date: Accepted By: I Last Date: Iprevious Date: Work Performed By: Date: +----------------------------------------------------------------------------------------------+