HomeMy WebLinkAbout08-8057
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
8057
Permit Num er: 8057
Permit Type: FIRE PROTECTION MAINTENANC
Class of Work: FIRE-PROTECTION MAINTENAN E
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 7/17/2008
Total Fees: 25.00
Amount Paid: 25.00
Date Paid: 7/17/2008 Phone:
Work Desc: FPM-QUARTERL Y- SUPPRESSION-CHill'S
Address: 7643 GALL BLV
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 BL VO
ZEPHYRHILLS, FL. 33542
~/ (3-0b _
~~
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
2008.Jul.17 09:38 AM DunnWell Facilities Services 919.661.1900
8/9
lAN/IO/2DOB/THU It: 56 ijf ZEPMHILLS IlIILDItl;
PAX No. e:3-7BO-0021
P. 005/005
.~:;.~~ ;:7~:"~";';?'~';~:~":7~~~~:~~~~~;~:.~~.~:::~r-;:'::-~',.;: -;~~;:7?~' ~~;":~;;: ::.'~F~?:~;'~'~< ri~~::':'.;;; : :;.~: :;. ';: :',
~. ~:. '~.' I' .. . . !:. s...~ i I I: .! :! ~":. :' :1 ~,;. : '!' H :' !: :i O'.!! .t. 'j '! i' . . ~I ~I
". II' '''', ., " '. . .,........ , , 1;~m,'Q' 1:1l.,,..j.:.UWUJfl'O ,. ,I . "';1 , ::.. t: ,: :..
'., . I : ; :' ~~ !. i. i' f' :1 'ti'1'~ ,\.c.cr'~'I1U-'t6~" ': .; t' if ,it I" ~I . IS .' ~ .0..
:1' . : " .' : ! ,":I.'!: '~'i'D~~D'reR' n~~~""':i ;:':! ".":,":' I in"':.' ':
~ .: ; r: ,. .' "I i: h t. 1"~'~..I.~.!~~'t~ ,-...,.,..,1 a,. ft. ., I! :: 'r .:' . I .: ~.
't . J ..;" , : :,'.' l: ., ~~ i' IJ "t:.!, \ '. U Of "l. J:".: t '. ': . i" 'i" !":; I It.' ,~." l~ I. f.: '.f I I. . _: . ~i .
. ..: '..'.. I..' I;, I ,,! \.~: =: ~'. ::' !r ~I .!~~~..,i, :1. II l! ~' t~ ',:i ' :1 . i! II " :. ': '!. " '
.1 I , '0 ' I , ' ~. .;. :1 :1 J. I' IZfP~r!::~~ '1. OJ :""1 I' ' I:' ,. ': :1 j 'S' i'"
::!:. ; ~i~~ ~!.,.;;; ~=~~~~~~t~,\IPO~*t\:iv~ll1l~~~~~'~::';;: ;
,':, "li,.: :.,'~ .,'. ";:"':!"Q"~~,~~"'7~O~~H~~ij'~~~';:'i"l'l~I'f~'I-:l'!./!'l'j:., !iW~m' ;' ';"t,!!':
'I . '. '. " 'I' '..J~' ''1'';'' 'L' "n '"' I~ 4t ,,)(1 I, .'1' .l~-=.-.,.T.....'.!r:-.:- ..-~-" . ~lfl}.""; ~....
,.,: r~tfii.~b~~...." '~..' --',~-ifa~..!l-'.:-~. ., ;'7;'''..1 .~-...!.......:a..:-, I,_..~ ;0 :..~~ -4l.;1~.~~, I:,
" L~. ~. 'W' . .. I I. ,I.' .' '1 II . .. II liSO.OO ..' I
NaWI ......._...~----:~ ,~".,.." ;.', "....-:-. - .. i1.l\"Tl-"-'U"'~~ ' ..~' . .....,: .. .':' " "0", -'. -,
I~I' ,.' . i I .1. ."..t. l.. f.,'! h J. I .r f!.. .~. L .,l ..,1 L ., )j..: ~; :' ".:' . , II U '
'.'! : ,. I:; " . I! .....! ; '! ,'r. 'j,l: ;1 dr":' r ,;, Ii .',':1 ..;. '1 ,'.:! .... " .. I ~ ...l
J' '!l J...., I .~ ~~~ Pi :' .!.......ll .tl lj I: ;! .!,.; .t' I I__'~I~ ,-I .~~ ;; " :t. ",,;, : ., ;, I.
., .,. ,~~~HlNl5r~uae~J'lIG: 'J ~!"'I: !l !, 11.1 . ,": :1.:' ,I. 'h ;1. :;. ,; .j ,! I' .'j
. ' j. .dNJ/'IKlDRON,DkoM'1 .!. :i" '! ' ,.. I! .:' ;1 I! '!'!i . . J . 0;1 1\." I! ". "1 d! ..d:'
'f ,,-.-. t. f"":1"!l .\ '. :1..:.:. '1 'j II II )' , ," .f" ., . ~~ 'I
:;' . I.:AKelANP'PLI~7J1~ it'...:......, ',i l;"i!"!J"J 'II" ",:, '. ... :.'.
.' (' .r ;1 I !~,'~ 1.:=: .~: .:: 'I i I:! II ;:':~ ~:~..Ii " .. J,' :1, .p... roe ~ . .A~, ~l'.j '! ~I','
.. '. . , :! . i ..:. :; !. ..T' ....:;: '! I~cl 11 . ,. " -Il' ., .J.' ~..:.~ 3"0 II l' '~, " .:: .: 'I . '.':
" .' I , " ,: ."~ 0\111II resl ~l yearu ~~" ..! " !! ; :. :, '. I;
. ~ . I.. '. '.' ~'..". . ;- . ~I ,~! ;i.~: ".:: ;i U .:; ',: n ;; -~I . :: ;~ :, !} r ~ : l' '\
__....a_......:.a....,~~........_..........J___,......... .Ir.__I1.~--.:......--:.'......."^"--....:._..L.i..-J~.._~~....11--.~ ...._I.__JI..__~""'" .u......_. . .'
~t C8pt off~ fxJ
qnrJ VoA'd:U.7 to 1"'1/ l/llb
rMurqn c, G
~-/2.-0tT
I
!~
2008.Jul.02 01:28 PM DunnWell Facilities Services 919.661.1900
~ CO 061
DEC/0612017,:TBU 04:22 PM ZEPMRILLS BUILDING PAX No. 813-780-0021 P,003
81a.'f8OwIllJ2D CJly of.tephyrhfls FIre . , ;.~?tlO-OO21' ~.,J. J 0 1
. ' 'Permlt Appficalk?n , : . . ,4(,
.:':"'-",:. -1' .' :t-..:, '-e-#!""""'- ~~~t~701,1
owner'sName "~i~~"""" ,: , I """'"-'~lW5Pl1~~I:hsl3:
OwI\eI'$Addr-elll ~ _ S w'i,. ~ O(f . . . .. .. I
........,....,;....... C " ' '. ' ~ ,,;............- ( Ln ~r ",
Fee Slmple 1l1IB1JGIdtr Merrell' ' ., " ,.,... ': _ ~~~~ ". I. i I ~
~~'P...-~w~J~ EQl[Rv~r" ,-~ i I ~., ['. -
::- _ f,.,.. ',.'? ~;I ",~ '~ ~~:.-:~l 'r';~~~"'~~"""
(J ato-foilU'd WasW ~..ANNUAL. ' 0 ~C1n Tent . . :
-s. CCmmIlchaust~Hci~~ ....., 0 ~Mat8rilr{Tlerilor~~FecIlI+).ANNUAL.,
[J ConwItoa eurn' . 0 Hood 1n5tidlalllln .
[J . !3aIlUgency GlIll8r8tur. < 30 kw' 0 'LPma1wIII Gas-~Don
[J EmergerlC7! (hn~> 8D ~ '. ,D LPJNEItIaI ~A1. Sale' :l
D F',",P!atBc:liCl'lMalntenance..~tltJA1.. '. ',D. PIeaeG~AaIIn~~UAL
8prtnKhlr 'D . D I'taCl"CllUanel9pm.
'FlreAi8r!n '. .... D . .' "'0 ~
fi"acd~iIe~ilppte861on D " '" :..... CJ s~S'r.stem~ns;
'Ftre AlIma lnatllliatiDn' ~. '. '. : . ' D S1aadpkleis (SpTirlkler Sys)
PlI'lilPumtlS " '.'. '. . "" . D TQId1~Q
Fire Works :': '. ,'" D Wllge 'nm Storage ANNUAL
FlIm1l1llble ~~~NNUA1.
, '.
2/2
,d
o
[J
[J
.".D
o
,
: () 11r'-'
l'~
,:~.
,"
. t ..,
j
; ,
; .
1=\Iel T~lUl
. " . [ ::.
1. ValUlltior ofPro]eOl .
. Conlrac:ltlr ~~
._~, :,' =:~Y,/~
:=~NI '. . = /m""/N
,. Add,rest; I: " ',. f' Uc;anstl# I . i .
SlP~~~ 1.- . .' . . . , I.'... .CClmR.:.~~'.1 ,.' ., I' .' .
......_... _ . ~ YiNj. Feeeumjnt YiN I
", ;~{ ':~" 't.l~' '1 "'; \'.
.:::n~ {', =!L I':~;~' r 'F_~ I' 'Y/N I
Addra& [ " -.J' L!ClllI'lIlllV I . I
~~. r= ] = f~Y/N F..eumint YIN I
D1.~~-' . , _Ie. ~ LU\l8rtlII5~:l ; _ I
. FllI 0liIt1lJl$lllC8lkln ~... '.. '. .,.. . .
own.. .. conh_'" trac:k-of _lcalIoa,1mtIrtEed (~ r:tIp'i rillII9McIllCTl'iJlisct l61t1 gwner)
If overeauo. ..NoICIlI or Oommenc:emert.ls reqUil1ld (Mdarllcal warkOlHll' $!OOCl>
SUpplytwa (2).. of dIawlnsl;Mmh aDPI\08bI$ dClCUm&ntlilllon
Allow 1CH4days1tlr~ewlll'ler.ubmlll8l dllta.
. ~
At. -
2008.Jul.02 01:27 PM DunnWell Facilities Services 919.661.1900
1/2
[F~
Dunn\^kll.
To: Jackie
'rom: John Russell
'01 813-780-0021
Pages: 2 (Including cover letter)
Re: Permit AppllcaUon
Datel 7/212.008
CJ 1IJI1'88nll X For Review CJ Please Comment 0 Please !Reply
PO Box 1908 - Gamer, NC 27529 - PH 1-866-n4-1100 - FX 919-861-1900 - www.dunnwell.com
'f!" 1.111'" " II I 'I" IIII~ P'
.1., J ~ i l ".10 Nilt/on's PI oVldcr of f aCI'ltles Selvlces
2008.Jul.17 09:38 AM DunnWell Facilities Services 919.661.1900
12/11/2887 15:Be 8637612329 SPC INC
6/9
PAGE 81
CITY OF LAKELAND
2007.2001 BUSINESS TAX RECEIPT
Busfness Tax otr/ce, 228 S MhHcrhuIJItI Aw., LIIfe,.nd. IlL "B01
THIS-BUS'N~sa TAX ~F.:CI=IFlT EXPIRES SEPTEMBER 30.2008 RECEIPT 03558
AcoountNumber: 1323740 . ~...1"""',:. ~... ~ Cailaerv
Wor....: o"....,c S'TEAM/PRESSURE Cl.EANERS 4SJI7 2
SqUilre f.w.: 0'" h .....t :~
Fee: 105.00 ./~", ~
l.CUI.elan AdtJl"RRS
4020 '<'OAON RD f1
~
~.
Business Name & Mlnrnll Adcn8U · ~.,
- - - ~~.
SUNSHiNe PAESSURE CLEANING r'~
JOSHPH J ZARIO, JR ~ ~t;..
PO BOX 5836 '
lAl<ElANO. FLU8lT706a36 ;:
",
. ":....,..., >14_ _
::-:~1-:~~"'2_ '~,;.
,.....rr'.... ,. ...."*
,", ".wol ' t 't" '""'.....IlIII""''''' IIOllIlllet 4'IIIl11t1le1lGldAr"'..,........ In
....- ~. . ..:. : VIoIoOon of any c~Jaw. araJn3aQI or.....n. ~~ in
..,.--: . ..~~7"-. .1oclIlI...-~IIIlI8tIl8~~CllrlluMllliT'"
)~' RI_ 1eIl,,", 'UIIIMlIa -*" . T/IIB 8u;;tr!eu Tax
,.. ....1 ~ ...11Dl~1I'I~1n1.8~or
/' 011 ClI''''lllllllOrUIlllIlr~_Dflhg
"r. , ., .." tha nOlilrwlfl.o.er _.
..~!I.
~~ .
f:- C-~
VAllO ONlY WHEN SIGNED
RFCI"IPT MUST Ii; eONSPICUOUGLV D18~LAYEO IN YOUR PLACt: OF BUSINESS
IMPERIAL POLK COUNTY LOCAL BUSINESS TAX RECEIPT
LIC&lSefACCrlll 770005515
LOCATION: 4020 KJORON RD STE 7
OWN~ JOE ZAMO JR
lIICPlRU:
9f3012a08
OLAlll
A
~
~
'810000 L.TD OTHER SERVICes
:SUNSF-llNe FRESSUFU!: ';:l.liANING
JOEZARBOJR
PO BOX 583e
LAKFI ANn, ~I 3380".5138 ,',
BUS TAXTYPe.
Mill TAX:
~~W~
AODL I'D:
"TOTAl.:
*I.DO
":1"j.;;Ir.ftlJi;;l'ij'''I!:l!~~~I'_.lr''- --~,~_......-~ 1iI"J---- l-'_~
~,~ peLK COUNT'!' LOCAl. BUSINE$S TAX RICEIPT MUIT IE CONSPICUOUSLY DIIPLAYID AT THSBU81NUi LOCATION
~~ 47:1. \','.. t..,)11 r -, 1(1
~AI>>-1!D0047.~OU~-DDD1 12A D8/03/2D07 30.00
....-.........,. ..... 1 It. w..............
2008.Jul.17 09:37 AM DunnWell Facilities Services 919.661.1900
3/9
Cllent#: 1009988 21 DUNNWLLl!
A CORD.u CERTIFICATE OF LIABILITY INSURANCE I DATI! IMMIDOI\'YYY)
07/08/08
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
BB&T Insurance-Wilmington ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
115 Third Street, 5th Floor HOLDER. THIS CERTIFICATE DOES NOT AMEND, meND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Wilmington, NC 28401
910 n2.3700 INSURERS AFFORDING COVERAGE NAIC.
INSURI!D INSUFl!R A: Travelers Indemnity Company of Amerl 25888
DunnWell LLC Restaurant Services Inc lNSUR~ 8: Travelers Property Casualty Co of Am 25674
and DB Marketing Ino INBUR!RC: Travelers Casualty & Surety Company 19038
PO Box 1908 INSURER D:
Garner, NC 27529 INlIURER E:
COVERAGES
THE POUCI!$ OF INSURANCE! LISTED BiLOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PE!RIOD INDICATED. NOlWlTHSTANDING
ANY f!f!QUIMMENT, 11!RM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN. THE INSURANCE AFFORDED BY THe POUCI!$ DI!$CflUlll!O HEMIN IS SUBJECT TO AI.I. THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LlMrrs SHOWN MAY HAVE BE!!N REDUCED BY PAlD Cl.AIMS.
LTR N- TYPE OF INIUFWlCE POLICY NUMII&R "rPA'4w.=~ Pg~~ L1MIT8
A ,!!HERAL LIABILITY 6308113A941Tl:T08 02120/08 02120109 EACH OCCURRENCE .1 000 ODD
A. 3~II1ERClAL G~Nl!RALLIA8IUTY DAMAGe TO ReNTED 5100 000
~ CLAIMS MADE ~ OCCUR MEt! EX1" (Anyone ll8IIOl11 85.000
PERSONAL & /IDV INJURY .1.000.000
GENeRAL AGGREGATE 12.000 000
lJe.l'l.AGGn LIMIT APnIPER: f'RODUCT8 - COMPlOp ACIG I s2-0oo 000
"I POlICY ~~ LOC
B ~TOMOIlILl! LIAIlIUTY 8108f13~5311L08 02/20/08 02120109 COMBINED SINGLE UMIT '1,000,000
!"A/of'fAllTO (Ea Icclaenlj
to-- ALL OWNED AUTOS 800lL Y INJURY
(.....~) 1
SCHEDULED AUTOe
rx HIRED AUTOS BODtL Y INJURY
rx .
NON-OWNED AUTOll (Pe<'lIOllIdlnl)
'X Drive other Car PROPERTY DAMAGE
X Lessors of Veh #CA20011001 Addllns Loss Payee (Par ecc:Idenll .
~AAGE LlADIUTY AUTO ONLV. EA ACCIDENT 1
Afol'fAUTO O'Jlol~ TIWI I1A ACe .
AUTO ONLY: AGG .
B TMlllI!LLALIAIILlTY PSMCUP6113A96!STILO 02/20108 02/20109 eACH OCCURRENCE $5.000 000
X OCCUR 0 ClAIMS MADE AOlaRIGATE 55.000.000
.
il DEOUC'l'IBLE .
X RETENTION .10000 .
C WQftI(liRll CClMJISNSAllON AND PACRUB3410C16708 02/20108 02120/09 X I we STATU. I IO~.
IMPLoYIAS' UAIIl.lTY IU. EACH ACCIDENT .1.000,000
Afol'f PftOPftl&roRlPARTH!RIIiXICUTlVE
OFFICER/MEMBeR iXCLlIDED? E.L. DlllEASI! -I!A eMPLOYEe .1.000.000
:~~':~llblllOW 1.1.. DlelAH - POUCY LIMIT .1.000.000
OTHER
DUCRIPTlON 01' Ol'mtATlOH$' LOCATIOIilS , VEttlCL.S/l!XCLu.l0N8 Ablll!D 8Y IlNIlORllEMeNT IIPSc1AL PROVlIION8
Certlftcate Holder Is addltlonallnsu red for work done on their behalf by InsUred. Form ,
CGD037040S is attached to General Liability policy which provides Blanket Additional
Insured coverage If the Insured has agreed to such In 8 written contract or agreement.
Form .CGD1881103 Waiver of Subrogation also applies.
Various cleaning Jobs to be done In the city of Zephyrhllls Florida.
CERTIFICATE HOLDER
City of Zephyrhills- Building
Department
5335 8th Street
Zephyrhllls, FL 33542
CANCELLATION
SHOULD ANY' OF TIft AllOW DI!SCRl8I!D POUellS II! CANCI!lLIIlIII'ORI! TIft! EXl'11t4~
DATI! THI!RI!OI'. 'ftll! .SUING IN$UIUIA WlL~ ENDEAVOR TO MAIL .....3.ll..... DAYV WIUl'l1iN
NOllCETO TH& CERTIFICATE HOLDllR NAMeD TO THI! LIl'1'. BUT 'AILUIU! TO 110 &0 $ItAlL
IMPOII! NO OBUII4TlOtl 01' lJAIllLITV 01' ANV KIND UPON THIi INIUIUiR, rra ACIliNTI OR
REPRESINTAllVliS.
F1&IENTATIVI
PGG
CI ACORD CORPORATION 1888
919-661-5145
ACORD 25 (2001/08) 1 on
ft2520525/M2313"1
2008.Jul.17 09:38 AM DunnWell Facilities Services 919.661.1900
7/9
DunnV'kn
I LJi-.YfJ1 Z a"J,t? I give Shevaun Schulte cf Ounn,..1I permission to sign for
thF. VJork permit requIred to perform kitchen exhaust cleanirigs in the city of Zephyrhills.
~ .
. .
~A'..~J ~Cihuit-e.._.
~r""mlil ~
~~..~
(Sign Name)
o I I G II FicJ:.>?
(Date)
III
PO Ei,)X 1908 · Gamer. NC27529 · PH 1-866-n4.1100 . '=X919--66Ni745 . www.dunnweIJ.com
2008.Jul.17 09:37 AM DunnWell Facilities Services 919.661.1900
2/9
Dunn'l'kn
503 0 Highway 70 E
Garner, NC
27529
7/17/2008
City of Zephyrhills
BUildin~ Department
5335 8 Street
Zephyrhills, FI
33542
Jackie.
I have included all the necessary paperwork required to update the information you
have for our company. If you have any questions, please contact me at 1866-774-1100
x107 or alternatively at iohn.russell@.dunnwell.com. Thanks for all your help.
Regards,
John Alston Russell
Account Manager
PO Box 1908 · Garner, NC 27529 · PH 1-866-774-1100 . FX 919-661-5745 . wwwdunnwell com
The Nation's Provide, of Facrlrtres Services
200B.Jul.17 09:37 AM DunnWell Facilities Services 919.661.1900
1/9
[Fca12.K{
Dunn\Akll.
To: Jackie
PIUe: 813-780-0021
lie. Contractor Pennit
Prom: John Russell
Pall_: 9 (including cover letter)
Date: 711712008
Cl Urgent X For Review 0 Pi.... Comment X Ple..e Reply
- Gamer. NC 27529 - PH 1-866-n4-1100 - FX 919-661-1900 - WWW.dunnwelJ.com