HomeMy WebLinkAbout08-8165
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
8165
Permit Number: 8165
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:
Address: 7909 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
8/06/2008
25.00
25.00
8/06/2008 Phone:
FPM-QUARTERL Y HOOD CLEANING FOR RUBY TUESDAY SCHEDULED 8/7/08
Name: RUBYTU SDAY RESTAURANT
Address: 7909 GALL BLVD
ZEPHYRHILLS, FL. 33542
;(yJ # ;) ~
8- zjJu u
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 INSPECTlON
CALL FOR INSPECTlON - 8 HOUR NOnCE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
813-78Q.(l021>
Date Recai\l8d
Owner's Name
Owner's Address
Job Addl'llS5
Sub DMilon
City ofZephyrhUIs'A~; "
Permit Application
Gl" c.\.
Fex-813-7S0-0021
'I~
,-
I R~.;~~~e_~r
Fee SImple TfUeholder Name I
rea Simple Titleholder Address '1
- ~-
Phorie Contactfcr Permt
~~-
2. =- H r _. li >
11ltIeholder Phone Number
j~IJ ;~;~~: I~ lll~ I
I II II I
I
~.
,
I
.--.,
-
Lot #
./
o Bio-Hazard Waste Storage -,ANNUAL
Q-, Comm ExhlIuLStKilchen HoodJDuct
D OorMJIIed Bwn
Cl
D
D
Emergency Generatar < 30 kw
Emergency Generator> 30 kw
Fire Protecffon Malnten1!1nce - ANNUAL
Sprlnlder
Fire Alarm
Hood Cleaning
Heod S~pression
D Rre A1ann'lnstallatlon
fire Pumps
Ere Worb
B __--UAt
B Fuel Tanks
o Other: I
.=:~r !. \0} ~
Address ,_
~=W.Nr
Address I
PLUMBER I
Slgnature
Address l
MECHAN/CALl
SIg1lll.ture
Address I
I
OTHER
Signature
Address I
DIrectlons: --
Parcel #
]
...
FumlgB.1lan Tent
Hazardoull Material (TIer /1 or RQ Fscilly) ANNUAL
Hood InIrtll.Uation
LPlNIltural Gsa-lnstBllallon
LPJNaturaI Gas-ANNUAL. Sal&
P1acBS of Assembly-ANNUAL
Racraatlonal Bwn
Sparklers
Sprinlder'System Installations '
Standpipes (Sprlnkl&r Sys)
Torch Roaf\ngITar KetIIe
Wale Tire Stonsge ANNUAL
,~ Valuation of Project
--
I
I
f
I
I
I
I
I
_I
1"
I
.,
I ~eN()f Fe~~TI/" ~/N r
1 I
= I Y/N I FeeCurrent I
Ueense# - I I
:: I Y/N I
Ucen98 # I I
= I Y/N
.L1eenae *' I
Company I
Regls1erlld Y I N
Ucense # f_
Company
RegIstered
License #
Y/N
Fee Currant
Y/N
I
Fee Current
I YfN f
I
Y/N I
J
Fee Cu/Tlll1t
"
FJlI ow appllcatlDn CClfJIPleteIy.
Owner & Contractcr sign back of appl/cellan. notarized (<6. copy r:I signed contract with owner)
If over $2500. a Notice of Commencenwnt Is requrecl.(Mechanlcal work OYEII" $50(0)
Supply two (2) setB of drawings wIttl.ppllcabJe cklcumentlStlan .
Allow 10-14 daysforl'llvlew aftersubmllal date. PaIceI#- obtained from PropEI7ty Tax NotIce Chtip:/hwnlll8r.pBllCDgtIV.com)
JUL/13/2007/THU 02::S PM ZEPHYRHILLS BUILDING
FAX No. 813-780-0021
P. 003
NOTICE OF OEED RESTRICTIONS: The U1'Iderslgned understands that this permit may be SUbJect to 'deed" restrlctlons"
whk;h may be more restYidlve then Gou!'ily regulations. The u~lgned aseumes ,re.ponslblllty for compliance with any
applicable deed re&trlctions. " . . , .
UNLICENSED. CONTRACTORS AND CONTRACTOR RESPONSIBILmES: If \he owner has hlred a contractor or,
conlractore '0 undertake work. they mllY be AKlUIr~ 10 be bnse<l '" accordance wtlh ~i818 and Iacal regulations. If the
contractor Is notlicenssd as required by laW, both the owner and con1rai;:tOr me, be cIIed (or e misdemeanor violllllon
under , state, law. if the owner or intended contreator ere uncertain 88 to wh~ lloen,lng reqlJlremerrts may epplY (or the
Intended work, they are advisBd to contact the PI18CO County au.dlng Inspection DivilIlOt1--I.ic8nsin9 Section al 727-847~
8009. Furthermore. If the owner haa hired a QOntrec\Of or contraclot$. he 15 adv_ 10 have the conlral!\or(s) sign
portions of the .contraolor Block' of thl& appltoalion for which they.wlll be responsible. If you. as \tie ownsr sign as the
contractor. that may be ari Indication that he Is not properly Ilc:ensed and Is not sntItIed to peml\tllng privneges in Pasco
County. .' ' . '.
'mANSPORTATION IMPACTIUTIUTIES IMPACT AND RESQURCE RECOVERY FEE:S: The undersigned under6land& '
thlill Tranaporbttlon Irripect Fees a,nd Rec;otne Rec;vvery Feee may eppIy to the ~trucUon of neW b",ndlngs, change of
Wie In existing buildlnge. or eXP8f\Slon of 8ldstIng bulldmgli. al lipeGifled in Pasco County OrdInanea numbsr 89-07 and
go-07. 8& emended. The undersigned ".0 underslends. that 8UCn fees. 8& I11lIlY be due. wlU be Idenllfled st \he Ilme of
permitting. Ills further underlltood that lrenspol1ation Impact Fees and Resource RecoVery Fees must be paid prior 10
receiving a .certiflcate of occupancy' or tlnal power ""ease. If the proJeot dotS not"Irwolve a certlncal8 of occupancy or
't1na1 power n:l,,"e, the feeS must be'p~d 'prlorlo p~lt !nuance. Furthermore, If Pesco County Water/Sewsr Impact
'fees 111'9 due, \hey must be paid prior to permit ie.uance In acoon:lanc:e with eppIic8ble Pllfco ~ty ordinances. .
CONSTRUCTION L1EN LAW (Chapter 713. Florida StaMM, u amended); If v8h.latlon of Wortc Is $2,500.00 or more, I
cer1Ify that I.. \he applk:8nt, , have been provided with a copy of the "Florlda ConstruotiOn Lien Law-Homeowners
. Protectton GUide" pAlpared by the Florida Departm8nt of Agriculture and Coneumer Af't8Irs. If the epplic:an! i8 &Oll1110ne
. other than lhe 'owner", I certIfy that I have obtslned a copY of the above desciibed document and promlse In good faith to
deliver It to the 'owner" prior to commencement., ' "
CONTRAC1'OR'sIOWNI;R'S APFlDAVIT; I certify thst all thelnfOrmalion In this appllcatlon Is aocurate Bnd that all work
Will be done In compllan~ wllh all applicable laWs regullltlng constr\lcUon. ~ and I~d deYelopmenL Appllc1ltlon it
hereby ml1de to obtsJn a psrmit to do wor1< and \rlStBIaUon as Indicated. I C8l1Ify that no work or inF;lalIalion h8&
commenced prior to lssuam;.i of a permit and !hat II~ work will be pBlformad to meelstandards of all taWS regulating'
constl\lclion. COUflIy' end OIty 01KiN. z.onIng rlllQulallons. and lend deVelopment regulations in the JurlsdictlOn. I a1,0
certify that- I ~nderstand ahat'the regulallon& of other government egem;les maY apply \0 Ihe Intended work, l1I'ld, that II ill
my responalblllty to identify whaI agtlOns I must tRIte to be in compliance. Such agencies Include but.e notliti1lled to:
Department of EnvironmenlSl Prol8ctioo-Cypt'9S1 Bay\ulads. WeIhInd Areac and Env~nm<<ltaUy SllASitIve
Lands. WelerlWastvwaterTr8atment. " '
Sou\hwelit florida Waler ~ment DIsn:t-Welle. Cyp..., BayhescSs, Weiland Areas, AlterIi1g
Watercourses.' ,
Army Corps of Engl~re-Seawells, Docks, N8\llgable Wawrwayv. , . ,
Department of Health & RehabUllaliY9 5ervtcelllerwironmental Health UnIt-W811s. Wastewater Treatment.
Septic Tanks. ' .
US Envlronm$fllal ProtectIon AgBncy-~1l1os ebatemenl
Federal Aviation Authorlty-Runweys. .
. I understand thallhe follOWing reelrlctlon6 apply 10 the Ulle of fill:'
Us".of fill 16 nOt 81lowed In Flood ZOne V unless expreesly permitted. ' "
If the rill material ill to bEt used In Rood Zone "A-, It ~ understOod that B drainage plan addlll6slnV a
'compensaliMO volume: will be aubmllled at time of permitting whlDh ie preplRd by Ii professional BIlginesr
IiCllilllSed by the State of Flortda., ' .' '
If Ihe ml material Is to be Uled In Flood ZOne 'A" in con~n with.. permitted bU~dIng U6lng .tem wan
conalruotlon, I certify that fill will be used only to tlII the area wIIht". the &lem WIlli. . ,
If ffll mlltet1al 18 to be used In any area, I C40lJtIfy that use r:A llLdl ftn will 'lot adverseI)' affect adjacent
, propertlee. If UGe of fills found to adver.Mlly ~ lId~ propertial, the owner mey be'dted for violating
the condilions of the building permit lesued under the attached permit application, for lots less It1el'I one (1)
. acre which we eI8vatSd by r~I. an anglRe8nld drainage plan Is required. '
If I em the AGENT FOR THE OWNl:R; t proml8& In'good faith to Worm the owrier or the permitting conditIonS let fDr1h tn
this aftIdavlt prior tg oommenclng construdlon. 'I underetend lhat a separate permit may be rvquhd for electrical work;
plumbing. signs, wells, pools, sir oondIlionIn9. gas. or other iristallaUonG nol speoillcally lnoIuded in the spptiGellon. A
permit i'lluad shall be conslnled \Q be a lIcene'e tv proQ88d with the wurk and not ell authority 1a"vIOIate. cancel, aI,ter, or
. set aside any provi&\one of Ihe technical cadell. nor shall 'Issuance of a permit prevent tie BulIdInIJ OfIIcial from thereafter
requiring B cooGCIion of IIITOl'I In plans, construction or violations of any codes. Every permit ..sued shall bel;ome Invalid
unless the work authorlzBd by suoh ptIrmllls r;OI1lmenc:ed within elx months of permit iBSUl!II)C8, 01l'1 work authoriad by
the permit ,. suspended or abandoned for II period of sill. (8) monlh& alter thellm~ the work Is commenc;ed. An extension.
may be feqUestuO. In wr1Iing. bI1'l the BuildIng. 0fIId1l1 for a pertod not to ex.ceed ninety (90) days and. wnl demonstrate
juetlllable caUlS" for the extension.. If worlt Oli~ fo".nlnely, 11l9} co~ days, ~ Is COC'S~ t1bandoned.
, WARNING TO OWMER.: YOUR FAILURE TO RECORD A NonCE OF COMMENCEMeNT MAY RESl.!LT IN YOUR
, PAYING twiCE FOR IMPROVEr.'IENTS TO YOUR PROPERTY; IF YOU IM'TaID TO OBT~ F_"ClNG. CONSULT
R N R FO Y 'u C
F\,ORlD JURAT (I';S. 117.03)
OWNIR Oft AGENT
S\lb$UIIIlId and l;WOm to (or 8llItm8d) baro..1'/I8 Ihb
. by .
WtIO I$/elll perw_11jI kllOWi1lo me or hnlhllYe pmdoad
8s1dt1"r!IIlceIan.
III_IY. PullllC
--r!"'~ publo
Com/Ills$lOn No.
~MlRIan No.
, _ ofNoIsJy typed. pt1nIed or~
Mame. of NoIary .typed. prlnled or sl\lnlpecI