HomeMy WebLinkAbout08-7955
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
7955
Permit Number: 7955
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:
6/11/2008
25.00
25.00
6/11/2008 Phone:
FPM-SUPPRESSION SEMI ANNUAL-MCDONALDS INSIDE WALMART
Address: 7631 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: SUPER WAL-MART
Address: 7631 GALL BLVD
ZEPHYRHILLS, FL. 33542
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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 NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
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City of Zephyrhills F~Y..'2~
Pennlt Application
813-780-0020
~~ate ReceMId .c. -:--:- =1 I .~ Coract for Pennlt "I
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Fee Simple TItleholder Name I Il1tlehoIder Phone Number I
Fee Simple 1ltIehoIder Add.... I
9#k'~
Fax-813-780-0021
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II II
1
I Lot. "I
Job Address
Sub Division
Parcel #
J
Contr8Ctor Company
Signature Reglst1nd
Address license #
Company
-8ly'''w,.. Registered Y/N I Fee Cunw1t I Y/N I
Address I license # I
PLUMBER I Company
Signature Registered Y/N I Fee Current I Y/N I
Address I License # I
MECHANICALI Company
Registered Y/N 1 Fee CwIWlt I Y/N I
Signature
Address I license # 1
OTHER I Company
Signature Registered Y/N'I Fee CwIWlt I Y/N I
Address I l.Icerwe # I
Directions:
D
D
D
D
D
D
Bio-Hazard Waste SlonIge - ANNUAL
Comm Exhaust KItchen HoodIDuct
C0ntr0lIed Bum
Emergency Generator < 30 kw
Emergency Generator> 30 kw
Are ProtectIon MaIntenance - ANNUAL
.0 I!!!!lII!!!!!) ~ ~
o OOL-J
Doooc=J
l:Joo ~oo~
Hood Suppression ~ ..1"\ L--I
Ant Alarm Instaftatlon
SprInIder
Ant Alarm
Hood CleanIng
.
_.~... -
-rire P~mps
D FumigalIon Tent
D Hazardous MaIIIrIaI (TIer II or RQ Facility) ANNUAL
D Hood Installation
D LPlNatLnl Gas-lnsta1l8tion
D LPlNatunll ~NUAL 5111e
D Places of AssembIy-ANNUAL
D Rec:teationaI Bum
D Spartders
D SprtnIder SysI8m 1l1Stllla1lol1S
D St8ndpIpes (SprInkler Sys)
D. Ton:h RcoIIngfTarKeUle
D Waste Tn Storage ANNUAL
l Valuation of Project
FBI out eppblion completely.
Owner & c:onnctor sign blIck of application. notlIrized (Or, copy of ~ contnIct with owner)
If _ S25OO. a Notice of Commet~ Is required (MectwnIca1 wortc _ $5000)
Supply two (2) MlII 01 drawings with appflC8ble clocumel dalIoc ,
Allow 1~14 clays for review after submlttBl date. PIIrce1 # - obtained from Property Tax Notice (hUp:llappraiNr.pescogov.com)
'NOTICE OF:DEED RESTRICTlO~derslgned understands that this -permit may .be:sub~~~e8d;lrestrictions.
which 'may be more 'restrictive 'thanlOOUT'ttf'regulatlons. The .underslgnedassumes responsibilltyj({;JJjfDPmpllar.me'w1th any
applicable deed restrictions. .'
_. 'UNLlCEN8ED;CO~CTORS~"ND'CONTMCTOR:RE8P.QNSIBILITIES: . 'If-the owneri1at>>_.llk~ .& .contractor "Or .
contractors 10 undertake work, they may be required .to be licensed Inaoeordance with state and .Iocal'regulatlons. If the
contractor Is not licensed as required by law, both the owner :and contractor may be cited -tor .a 'mlsdemeanor violation
under state law. .lfthe owner or Intended'contractor are uncertain .as'to what Iicensl'lQ'requlrements may:apply for the
Intended work, they are advised to contact1he'Pasco County Building Inspection Divlslo~lcenslng 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- of1hls appllcatlon'for whlch1hey will be responsible. If you,as1he owner 'sign as the
contractor, that may be an Indication 1hathe Is not properly licensed and Is not entitled .topermlttln.g ,privileges In Pasco
County .
CONSTRUcnON LIEN LAW (Chapter713, :Florlda Statut_,_.amended): If valuation of work Is $2;500.00 or more, I
certify .that I, 1he 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 .AFFIDA VIT: 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, .zonlng 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 spectflcally 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 coc!e~, nor $hall 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 (go) 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 RESULT IN YOUR
PAYING "TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU I TO OBTAIN FINANCING, CONSULT
Y N I
FLORIDA JURAT (F.S.117.03)
OWNER OR AGENT
subSc:rtbed and sworn to (or afIIrmed) before me this
, ~
Who Islare personally known to me or haslh8ve produced
as Id<<\lIfIc8t1on.
ve
as IdenUflcatlon.
Notary Public
~~~~
Commission No.
Commission No.
Name of Notary typed, printed or stamped
Name of Notary typed. printed or stamped
~<JoI'yp~ FRANCIS G. SPERLAZZA
~~ MY COMMISSION # 00347356
~cI EXPIRES: Novembct26. 2008
1.g':3~01'AAY fl, NoiIr)'Oi......tAlloc. Co.