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Home My WebLink About08-8087 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL FIRE PROTECTION MAINTENANCE 8087 Permit Number: 8087 Permit Type: FIRE PROTECTION MAINTENANC Class of Work: FIRE-PROTECTION MAINTENAN E Proposed Use: COMMERCIAL Square Feet: Est. Value: Improv. Cost: Date Issued: 7/18/2008 Name: PEEPLES FAMILY CORP INC Total Fees: 25.00 Address: PO BOX 1058 Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 7/18/2008 Phone: 813 782-2989 Work Desc: FPM-ANNUAL FIRE SPRINKLER FOR 5217 GALL BLVD HYNES MBL HM SUPPLY Address: 5217 GALL LVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-001 0-16600-0010 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 INSPEcnON - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041 813-780-0020 Date Received City of Zephyrhills Fire Permit Application Fax-813-780-0021 Phone Contact for Permit Owner's Phone Number II II Owner's Name Owner's Address Fee Simple Titleholder Name Fee Simple Titleholder Address I Titleholder Phone Number II II Job Address I Lot# Sub Division Parcel # D D D D D D D o B o Bio-Hazard Waste Storage - ANNUAL Comm Exhaust Kitchen Hood/Duct Controlled Bum Emergency Generator < 30 kw Emergency Generator> 30 kw Fire Protection Maintenance - ANNUAL 0~7~D o 0 0 0 CJ o 0 0 0 CJ o 0 0 0 CJ Sprinkler Fire Alarm Hood Cleaning Hood Suppression Fire Alarm Installation Fire Pumps Fire Works Flammable Application- ANNUAL Fuel Tanks Other: o o 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 LP/Natural Gas-ANNUAL Sale -', Places of Assembly-ANNUAL ./ .' /Jipt2! . ,/ Recreational Bum Sparklers Sprinkler System Installations Standpipes (Sprinkler Sys) Torch RoofinglTar Kettle Waste Tire Storage ANNUAL Valuation of Project Contractor Signature Address I ELECTRICIANI Signature . Address I PLUMBER Signature Address I MECHANICALI Signature Address I OTHER Signature Address Directions: Company Registered License # Fee Current Company Registered License # Y/N Y/N Fee Current Company Registered License # Y/N Y/N Fee Current Company Registered License # Y/N Y/N Fee Current Company Registered License # Y/N 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 ,be subjecUo'''deed" :restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for:compliancewith 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. If work ceases for ninety (90) consecutive days, the job is considered abandoned. OWNER OR AGENT Subscribed and sworn to (or affirmed) before me this by Who is/are personally known to me or has/have produced as identification. /- / / Notary Public Public '. Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed. printed or stamped 07-18-'08 11:41 FROM- 813-872-3703 T-623 P001/002 F-383 AAA Fire Protection Services, Inc. 8S02 Sunswc StR:e1 - Tamp&, FL. 33634...}312 -(813) 886.8869 - Fax: (813) 882-3703 Automatic Fire Sprinkler Inspection Proposal/COD tract --=c O"'tl - ) 3 ~ ltelll, ..Oled in tile iD,peclloD report that are ootJdde the 'Cope orNFPA 15 do not imply tllat a full eDgiDuriag tvaluatioa or ala)' olber type of a.aJyBislta. beea tOJllPIeted. Ownct" is rapoaalltle to cornet defldeDcies la a timely maaner. Date of Proposal: May 30, 2008 /' .... , '- . \ { -.'". '.' . , \ I '--'"i ~ ,~~ @ ljt}- Attn: Mr. Earnest Peeples Bill To: Peeples Family Group Addtess: P.O. Box 1058 City, State & Zip: Zephyrhills, FL. 33539 Phone and Fax: P: (782) 2989 - no fax Property Location: 5217 Gall Blvd. - Zephyrhills, FL, Number of Systems (Risers): ONE (1) NOTE: Quote includes Permit and processing as required by Zephyrhills Fire Dept. AAA FIRE PROTECTION agrees to inspect said location on an Annual basis in accordance with N.F.P.A. 25 for a contract price of$ 250.00 per inspection. This proposal does not include inspection or testing of underground fire mains, bacld10w preventors, special hazard systems, fire alarm or kitchen hood systems. This is an inspection contract only. If additional work needs to be done, a separate contract for the additional work will be prepared for your consideration, AAA FIRE PROTECTION to be held hannless for any damages that may arise from performing this inspection. AAA Fire Protection is not responsible for the requirements of owners as indicated'in N.F,P.A. 25. Two copies of our report and recommendation(s) will be forwarded to the owner along with our invoice. One copy should be filed and the other should be forwarded to your Insurance Agent for his/her use, This contract is for a total of One (1) inspection, If applicable, any past due invoices shall be paid before this inspection will be performed, Fees are due and payable upon inspection. Check, Master Card or Visa. Yes ~ No ~d $ 168.00 per quarter for 3 quarters to inspect components of system that require .quarterly inspections per N.F.P .A. 25 Authorized Acceptance for AAA FIRE PROTECTION ~.+~a~~&/ I Authorized Acceptance or the owner t j/lc.F Title PlLc5. . 1-/&- {)g Date Sprblkler Sy.tems llcp.irs lamll.dollS Desiga lDspection 07-18-.08 11:41 FROM- 813-872-3703 T-623 P002/002 F-383 {IJ AAA Fire Protection Servicest Inc Quote 8502 Sunstate St Tampa, FL 33634 Date Quote # 7/1812008 S08.105 Name / Address Work Location HYNES MOBILE HOME SUPPLY 5217 GALL BLVD 2EPHYRHILLS. FL PEEPLES F' AM1L Y GROUP P.O. BOX IOS8 2EPHYRH1LLS. FL 33539 AAA# Terms Contract Date S07.041 Due on receipt Item Description Total Fire Sprinkler Inspection Inspection Of Fire Sprinkler System(s) Riser 2S0.00 Total $250.00 Circle One: MC VISA CHECK Signaturt Authorizing Charge Credit Card # Print Name Exp Date Code: Phone # Fax # E-mail Web Site 813.886.8869 813~882-3703 accounting@aaatptampabay.com www.aaatptampabay.com