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HomeMy WebLinkAbout08-7985 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL FIRE PROTECTION MAINTENANCE 7985 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: 7985 FIRE PROTECTION MAINTENANC FIRE-PROTECTION MAINTENAN E COMMERCIAL Address: 6118 8TH S ZEPHYRHILLS, FL. Township: Range: Book: Lot(s}: Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 6/19/2008 25.00 25.00 6/19/2008 Phone: FPM-FIRE ALARM-ANNUAL-POLlCE DEPT Name: CITY OF ZEPHYRHILLS(POLlCE DEPT) Address: 6118 8TH ST ZEPHYRHILLS, FL. 33542 fi j\~6~ ~/ 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 OCT/3l/2007/WED 02: 18 PM ZEPHYRHILLS BUILDING 813-780.0020 Date Received IIIr" IT Owner's Name Owner's Address FAX No. 813-780-0021 p, 002 Fax-81S.780-0021 City of.Zephyrhills Fire Permit Application Phone Contlctfor Pennlt L9 ~~~.jJ~~ . ---Ll, ~hL1-t1_ . i1~ u Owner's Phone Number I "3 I ~ I J 0kO I .I CD5D I . ' ~4~ I [ rr-.Il ,1'- ---; -~y-Yhf I t~ ~ 1 Lot#. I ) ~ Parcel # .Iq;g~~~~<iiL~~~~;'~~/l31 -~~~ 1L ~.Ll I LlI Fee SImple TItleholder Nama .3+h jl Fee Simple Titleholder Address _ _ vV'" - --. /.;L... ~ ~ Ii 1 loll g -g.M ~e~ lfbucc. ~ Job Address Sub Division ~- T ~\(~ .D D D o ij. D D .D D D D ..,...,- I . TItleholder Phone Number ! II II D FumIgation Tent D Hazardous Material (Tier II or R.Q Facility) ANNUAL .0. Hood Installation D LP/Natural Gas-Installatlon D LPfNatural Gas-ANNUAL Sal9 D Places of Assemb!y"ANNUAL. D Recreational Bum .0 Sparklers D Sprinkler System Installations D Standpipes (Sprinkler SY5) D D I f")()Q .00 Torch Roofing Waste Tire storage ANNUAL ' Valuation of Project :--=- .Ji n<r Blo-Hazard Waste Storage - ANNUAL Cornm Exhauat Kitchen HoodfDuct Controlled Bum . Emergency Gsnemtpr -< 30 kW Emergency Gener<ltor :>0 30 kw Fire ProtecUon Maintenance" ANNUAl.. SprInkler D Fire Alarm \gl Hood ClearJSupprasslon 0 Fire Alarm Installation Fire Pumps Fire Works Flammable Application- ANNUAl.. Fuel Tanks other: 11 ... V :~. -1i~ '-.I,Ii~r1 i _ ~ Contractor Signature Address I ELECTRICIAN [' Signature I Address I PLUMaER I Signature AddresS [ M, ECHA,NICAl.:1 Signature Address I I ~~~~:re~?~ ~ .' I. ~.- ~~~:J,~~.42 .~i!a(f4eJJ1n;l:l~,l- Dueotions; I I I I J I I Fee Current ~L Y I N I ~ Pee Current I Y I N I I Y IN I I I Y/N r I Y/N I I .Y IN ., ,f Y I N r Fee Gurrant I ](5)N ] Fee Current GIN I Lk:.C~_~~l~--,~~:"L . -11.1~ Company , Registered LIcense # Company Registered License '# Company RegIstered License # Fee Current company Registered L10ense # Company Registered 1..lcen66 # LY/N I r ~!lU.:~~ L Fill out application completely_ . Owner & Contractor sign back of appllcatlon, 'notarized (Or, copy of signed contract with owner) If over $2500, a Nollce of Commencement Is required (Mechanical work over $5000) Supply two (2) sets of drawlngs wIth applicable clocum9ntatlori Allow 1 ~14 days for review after submIttal dati;!_ OCT/31/20C7/WED 02 lR PM . ': J ZEPHYRHILLS BUILDING FAX No. 813-780-0021 p, 003 --....----.,.._....~_.._..,,------~-----......_-_-.......-- .,--"--,_....- ,. "..".., ~_.... .. . . . ..NOT,ICE,OF-:OEED.RESTRICTIONS: The. undersl!;1ned .understands that thIs .permIt m~y'b.B subject to ~deed. restrictions. . .which! may be.more r-estI'lctive .than Couni:yregulations. T!;te undersigned assumes 'responsibllity.for compliaRce with any applicable deed restrlctlans. ' .. ' UNLlCeNSEP CONTRACTQRS .AND .CONT:RA~OR RESPONSIBILITIES: If the owner has. hired a contractor Dr contractors to undertake w.ork, they may be required to be licensed in accordance wlth'state and local feslllatlons. 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 ownBr or intended contractor are uncertain as to .what licensing .requirements may apply for the lntendedwork.they are advised to contact the Pasco .County Building.lnspectio.n Dlvision-l:icensing Section at 7.27~847- 8009. 'Furthermore, if the owner has hired a conu-actor or contractors, he 1s advlsed to have the con~actor(s) sign portions. of the MGontractor, Block" of this .appllcatlon for which they will be responsible. If you, as the owner :llgn a5 th,e contractof,.that may be an indication that he is not.properlyllcensed aodis not. entitled to permitting prlvlleges in Pasco COllnty. . ' ','. . " ' CON~TRUCTION-UENl.AW (Chapter713, 'Florida 5~tutes~ as amended): Ifvaluation of work Is $2,500.00 or more;.J certify that I" the applicant, have been proVided with., a . copy' of the. "Rorida Constr~ctjon Lien Law-:-Homeowner's Protecll6il Guide" prepared by the Florida Department of Agriculture and Consumer Atfairs..,lftha applicant is someone other than. the "owner", I.certify that.1 have obtained a copy of the above descrIbed docLlment arid promise in good faith to. deli"er It to the "owner" prior to ,commencement . .. . . . . CONTRACTOR~S/OWNER1S AFFIDAVIT:. I oertlfy that all: the information in this application .Is accura)te and. . .. ........ .." '-that. aU.work -will' be 't\l:ll'le In: Gom",UancB' :with.' ~1~"applicable..laws ,regl:llating.<Gol'lstnlCtlOfl,:'ZOAifl\).:and..landm..... 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 prlor.to Issuance of a permit and ~hatall work will .be performed to meet standards.of all laws ragulatlngconstruclJon. COLmty and CIty codes, zoning regulations, and .land developm~.nt .regulations in the Jurisdiction. I alsO certify :fhat I understand .that the regulations of other government agencies may apply to the Intended work, and thaUt is my responsibility to, identify what actions I . mustiake to be In compliance. .. . If larn the AGENT fOij THE OWNER, I. promise In good faith to Inform the owner of the pemlittlng conditions set forth .In thIS affldavlt prior _~q. coji1m~ncji:1g construction. I understand that a separate permit may .be reqlllred for. electrical work, plumbing; signs; weJls, ;pools, air eonditloning, gas, or othBr installations riot ~peciflcally .lnclLlded jn the application. A p.er.ro.ltis.i?Ued . sli~11 ,'b~ cofi~trued to be a .license to. proceed with the work and not as authority to violate, cancel, alter, or 5et.1isi~ciany.prOYI'iiicms of th~ technical codes, nor :?hall issuance of a permit prevent the Building .()ff1cial from thereafter . reqtJ.lr\ag.a.:.ccrrection of errors in plqns, construction or violations of any codes. Every permit iSflued shall become invalid .. 'u.,~~~'~,~.)Ij;$';jii~~.~~'t!1prize{t.bY such permit is commefl,ced Within six month~ ofperrnlt i&suance, or If work authorized by . .th.e,peff)11tis sU!?PiSlncl~d or abandoned for a period of. six (6) months aft6r the time the work is commencad. . An exte.nsion . . . ,may;'pe r-eq~ested. .in writing, from the BuJldir:lg Offlcial.for a period not to exceed ninety (90) . days and.wilidemonstrate . j~~~~~~le c~iJ.se for the extension. If. work oeases for ninety (90) consecutive days, the job Is oonsidered abandoned. WARNiNG TO OWNER: YOUR .FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR. PAYING TWICE FOR IMPROVEMENTS TO Y,OUR PRqP.J:;RTY, .n: y'OU..lNI~J)I.P l:Q..QP.-r:AIIII..EI~~CJNG CONSULT ..WI . . -'LEN.D I~"'(!.i. ".AN~A:rnaRNE;\f!SEf;f9~B:.{E(j':: ~~~:.rO"-:lUO~E-"~.Ft'~MrJlENCEMENi. ~ .. .~i;;o::J...1J.. ", ..;,~....lt.1'i~tJ3f'."~.;. I . '. ... . ...._" '~r.H' "t....~I..:-....-...-.'..-..... _I' "n ," .___-'_. P' .. ....._.,~....'_n._J,..'., __..".....--.--,..- _______...._____~......--.___.....pr---.._..-_..--_......-.----.. .OWNER o.R AGENT subs.cribed and owom to {or afflrm8d) before me this . by Who islar~ p~oTla1IY known to .me or has/have produced - asidentlfiG8tion. ' Notary Public ./~~~' ~/ .commisGlon No, . . _Notary Public CommIssion. No. Name of Notary typed, printed or stamped Name of Notary typed. printed or'stamped (e). mAN K.. PERRI ~ MY COMMISSION #DD409I89 EXPIRES: April IS. 2009 1-i00-3.NOTARY Fl. NotaIY J)isocAlnI-- Co. Gu1fC~F(,y(!/Cr S~y Co:, IV\O. 9203-D King Palm Drive Tampa,FL 33619 Phone: 813-621-6094 Fax: 813-628-4661 SPECIFIC POWER OF ATTORNEY I, Robert Burch, of Tampa, Florida, the undersigned, hereby grant a limited and specific power of attorney to the following as my attorney-in-fact for the limited purposes specified herein below: Theresa Sauerwine Troy Nelson Leo De La Garza Jasen Buddemeier I\Ailn~ C...r,./.."II IV"""'" ""'QI'-'lI'-'1I The attorneys-in-fact shall have full power and authority to undertake and perform only the following acts on my behalf: Apply for permits, sign all permit applications, pick up permits, register contractors licenses and sign aii forms necessary for obtaining a permit and/or registering contractor's licenses for Cintas Fire Protection. Contractors License #: EF2000386 (exp. 08/31/2008) to include such incidental acts as may be required to carry out and perform the specific authority granted hereinabove. This power of attorney is effective upon execution. This authorization may be revoked at any time, and shall automatically be revoked upon my death, provided any City of Zephyrhills employee may accept and rely upon same until receiving written notice of revocation hereof. Signed this 6th day of June, 2008 ~/. "/ 0"- STATE OF FLORIDA ~.# _ COUNTY OF HILLSBOROUGH SIGNATURE OF LICENSE HOLDER Sworn to and subscribed before me this 6th day of June 2008. -LPersonally Known to me or \... ~--' ~ _Produced as Identification ARY PUBLIC. State of Florida y Commission Exp: --/ 75~ 7 --' Type of 1.0. ~~ JEAN K PERRI ~ MY COMMISSION # DD409189 ~ EXPIRES:April15,2009 .4JOO.3-NOTARY Fl. ~ DiIoounl Aaoc. Co. 2007-200ff HILTSBOROUGH COUNTY BUSINESS TAX RECEIPT IFA(IUTiE5'JR \~~~'.~~~~.Qf l.~~~ -OrTF^-~.__m-.-9J i (f....._,y,(€~ ---- OCC CODE 09001fj_u- BUSINESS TYPE FIRE SPRINKLERS- CONTRACTOR (COMP CARD REQD) ~rl -<' BU$tt.J($5 LUCAIION 9203 KING PALM DR D TAMPA 33619 NAMe ROBERT L BURCH MAILING CINTAS FIRE PROTECTION : ,'.DDRf:Sf:, 92030 KING PALM DR I TAMPA Fl 33619 ,BUSINESS TAX , I .'""Hl'''i'e'?'OA~R:''U':'[ lA, :oe,,,,,-,,.. ..... SlJ::~~.~:'~ "~.~:fj:::~'.~x).'ol. en OCC!..JPJ.i,.:>t1 :;PlGlI'lO.'~:~il';t,l DOUG BELDEN. TAX COLLECTOR 813-635.5200 THIS BECOMES II. TAX RECEIPT WHEN VALIDA TED 4206 20439800002 000018002 000040006 EXPIRES9-:"30-2008 FOLIO NO : i I :l 204398 i __J ______u. ""'_""'''T~__~ H V...~'\..<'.;1F TM j 5URCHAHGt: 4000 1800' -"'.'i,.-'_; - ,"'" ., .c_. .:c"'....._.-;-2:.~~!~_:;~-.;~Jr~h~~lfL~~~19~~-. .....'..._ _. i.i'ii. :,; ':,,;,::: /PEfARTMENT O~/ BUS I NES $11 ANl> PRO~ESSIONAL REGULATION: " " "';.:,'," ...-.,:.-<.... E_~:E,CTR..~~._._:..:..~..,:.:......_;.~.:..._.;;}/C8~~~~ORS ~~..'~'" CENS'IN~; .BOARJ;>~?-;: " sEat LO 6 08 0'1013 6 6 '. ._ _'_ L ,",: ':';' 't/:,:;:,':'_',\;':<;i'(;'"',,, ,.., . ;Ac#/~~.6~O-:t 4i.~ -.--~,:' -- LICENSE NBR . "..- - . -- 08' .012006 0'60669552 EF~-b06'()~"a6 ...'The>'AL~ .isrst~~:::'CONl'RA:CT()R:~ 1'5 '.....'Nan\(:!a.l::)E:llo~ IS:'OERTIF.IED .:~~.,,, under the provisions-of' Chapter Expira,tiondate: AUG 31, 2008 ':1__ . '__ .. . .~: ~_"""_ ~_- ... \"'.1;"':\: ,::.:'::_;\;: '\1;<''';'':')';'''':'' '-:' \:';\'~:: ",;',?' ':. i' " (,,,:;,' ....BURCH, . ROBERT LI.bYD':<iiri/' :::)c,:;,,/},,: GULFCOAST FIRE & SAFETY CO~'i'INC. 6657 U.S HIGHWAY 301 SOUTH RIVE.RV:rEW .' ..,)., FL' '3356.9_ ,. .\':.:....,;-',1 .\'" ,'.:' :"1'; JEB, B.USH": . GOVERNOR DISPLAY AS REQUIRED BY LAW . tl ACORDTM DATE (MM/DD/YYYV) 06/06/2008 11 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY Aon Risk Services Northeast, Inc. c/o Client Service Center AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 1000 Milwaukee Avenue CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE Glenview IL 60025 USA COVERAGE AFFORDED BY THE POLICIES BELOW. PHONEJ866) 283-7122 FAX- (847) INSURERS AFFORDING COVERAGE NAICII 953-5390 INSURED INSURER A: Greenwich Insurance Company 22322 Cintas corporation NO. 2 INSURER B: westchester Fire Insurance Co 21121 dba Gulfcoast Fire & safety 9203-0 Kin~ Palm Drive INSURER c: XL specialty Insurance Co 37885 Tampa FL 3 619 USA INSURER D INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTIffiR DOCUMENT WITH RESPECT TO WHICH TIllS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, TIffi INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS SHOWN ARE AS REQUESTED INSR ADD' POLICY EFFECTIVt POLIC\' EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE(MMIDDlY\') DATE(MMIDDlY\') LIMITS A ~~"~'ID" RGD943715702 07/01/07 07/01/08 EACH OCCURRENCE $2,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $100,000 CLAIMS MADE ~ OCCUR PREMISES (Ea occurence) MED EXP (Anv one person) $5,UUU X Cant ractua 1 L i abi 1; ty PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER $1,000,000 PRODUCTS - COMP/OP AGG D POLICY 0 PRO- ~ LOC JECT A AUTOMOBILE LIABILITY RAo943715802 07/01/07 07/0l/08 COMBINED SINGLE LIMIT X ANY AUTO AOS (Ea accident) $5,000,000 A - RAo943715902 07/01/07 07/0l/08 ALL OWNED AUTOS MA BODILY INJURY - SCHEDULED AUTOS ( Per person) X HIRED AUTOS BODILY INJURY X NON OWNED AUTOS (Per accident) X Comp/Co 11 Cov. Incl. PROPERTY DAMAGE X with $0 oed. (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT B ANY AUTO OTIlER TIlAN EA ACC AUTO ONLY AGG B EXCESS IUMBRELLA LIABILITY G22035277002 07/01/07 07/u1/UlS EACH OCCURRENCE $5,000,000 ~ OCCUR D CLAIMS MADE AGGREGATE $5,000,000 t3DEDUCTlBLE RETENTION C RWO ., X I~C STATU-I 17TIl- c WORKERS COMPENSATION AND RWR943511402 07/01/07 07/0l/08 TORY LIMITS ER EMPLOYERS' LIABILITY C RWE943512102 07/01/07 07/01/08 EL EACH ACCIDENT $1,000,000 ANY PROPRIETOR I PARTNER I EXECUTIVE OFFICERlMEMBER EXCLUDED? EL DISEASE-EA EMPLOYEE $1,000,000 If yes, describe under SPECIAL PROVISIONS EL DISEASE-POLICY LIMIT $1,000,000 below OTHER DESCRIPTION OF OPERATlONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS City of Ze~hyrhillS SHOULD ANY OF TIlE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TIlE EXPIRATION Attn: Sui ding Department DATE TIlEREOF, TIlE ISSUING INSURER WILL ENDEAVOR TO MAIL 5335, 8th Street 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, zephyrhills FL 33542 USA BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTIlORlZED REPRESENTATIVE ~ ~g___..A/'~~ N m u. .. .. !5 ;: .. "0 - .. .. "0 "0 == """ m O'l m ..... 00 00 N o o ..... U"> o Z .. -; CJ !E .. .. U - ~ ~ ::........ ~ ==-..II --- ~ ~ i!!:i ~ ~ ~ r: . ~ ~ - Pasco County Parcel: 22-26-21-0000-00700-0020 001 Page 1 of2 Search Again Show Map Generalized Building Schematic Estimate Taxes Frequently Asked Questions Other Parcel Cards: 1 I 2. I .3 Other Agency Data: Tax Collector School Board Supervisor of Elections Data Current as Of: Parcel ID Classification Weekly Archive - Saturday, June 14, 2008 22-26-21-0000-00700-0020 (Card: 001 of 003) 28 - Rental MH/RV Park Mailing Address NHC-FL113 LLC 6991 E CAMELBACK RD STE B-310 SCOTTSDALE, AZ 852512493 Physical Address - See All 66 addresses (First Shown) 37251 CHANCEY RD ZEPHYRHILLS, FL 33541-6610 Le9al Description (First 4 Lines) A PORTION OF THE SE1/4 OF THE NW1/4 DESC AS COM SW COR OF THE SE1/4 OF THE NW1/4 TH NOODG 11' 59"W 25,00 FT TO THE Assessment (totals) Ag Land Land Building Extra Features $0 $2,454,973 $318,331 $27,571 Total Assessment Save Our Homes $2,800,875 $0 Taxable Value $2,800,875 Line 1 2 3 4 Use 0210 0220 955 609 $1,473,931 $24,750 $683 Acres PCL4 Year Built 1993 Stories Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Metal Interior Wall 1 Drywall Interior Wall 2 None Flooring 1 Cork or Vinyl Tile Flooring 2 None Fuel Electric Heat Forced Air - Ducted A/C Central Baths 3.0 Line Description Sq. Feet 1 BAS 6,424 $429,701 2 CAN 1,248 $25,017 3 FOP 48 $936 4 UST 576 $15,385 5 ESI 1,024 $34,248 Extra Features (Card: 001 of 003) Line iption Year I Units Value 1 8CBW 1993 648 $729 2 COOL DK 1993 1,792 $4,256 3 POOL -6 1993 648 $7,776 4 SHUFFLE 1993 5,200 $2,925 5 CANOPY 1993 1,624 $4,060 http://appraiser.pascogov .comlsearchlparce1.aspx?sec=22&twn=26&mg=21 &sbb=OOOO&b... 6/1912008 J:lasco County Parcel: 22-26-21-0000-00700-0020 001 Page 2 of2 6 I FDU I 1993 1,032 $7,740 7 FST 1993 32 $85 Sales History Previous Owner BEL-AIRE INVESTMENTS INC I Year I Month Book/Page Type Amount I 2006 I 01 6832/0319 WD $3'250'~~1 1999 09 4233 1 0021 WD $3,025,000 I 1998 I 05 3949 1 1597 WD $2,500,000 II Search Again Show Map Generalized Building Schematic Estimate Taxes Freauently Asked Ouestions Other Parcel Cards: 1 I 2. I J Other Agency Data: Tax Collector School Board Supervisor of Elections http://appraiser.pascogov .comlsearchlparce1.aspx?sec=22&twn=26&mg=21 &sbb=OOOO&b... 6/1912008