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Home My WebLink About08-8191 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL FIRE PROTECTION MAINTENANCE 8191 Permit Number: 8191 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: Book: 8/13/2008 25.00 25.00 8/13/2008 Phone: FPM-SPRINKLER ANNUAL FOR WALGREENS-SCHEDULED 8/13/08 Name: WALGREENS Address: 6429 GALL BLVD ZEPHYRHILLS, FL. 33542 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 PROPERTYI 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 Fee Simple Tltlehplder Name I Tllleholdtir Phone Number l . II. II ,I I='ee Simplelltleholder Address ~ : ~: ~~ =~. '~E4jA r.:U'~\\lr~\j'~'~~~\"-' ---?=""rJ ~"'," _~... "',,- ~ ~ - ~~ _.1 . ~=,. ~.l '~""'. --..::.,-. "._..J D Blo-Hazard Waste Storage -ANNUAL 'D Fumigation lent ' D Comm 8<haust Kitchen Hood/Duct D HElzardous Malerlal (Tier II or RQ Facility) ANNUAL D Controlled B\.lm D Hood In~lal\atlon o E:mergency Generator < 30 kw D LPjNatUfBl Gas-Inatallatlon . D . Emergency Generator" 30 kw D LP/Natul<\l Gas-ANNUAL SlIle IV1 Flrt'l Prot~tion Malnt..nence -ANNUAL D Places of A~~0mbly-AIIlNUAL ~~\ . , \ ~d lp '1V1 ~(JY I::>eoiiiil ~ ~ 0 -~ Sprinkler CJ ,..... L-J Recreational Bum 'fu-- \ \5\ ffi, Fire Alarm 0 0 0' o' [=:=J D Sparlders . O r-1 D //'" o 0 [J L-..J Sprinkler SY"lem Installations ./ ) o POD c:=l 0 Standpipes (Sprinkler Sys) // (') I q I j D Torch Rootingrrar Kettle ~ 7) / D Waste Tire Storage ANNUAL ~/ 1 .1 ' Valuation 0 ' --- MAP/28/2007/WED 07:20 AM ZEPHYRHILLS BUILDING 813-780-0020 City of.zephyrhllls'Firec Permit Application Date Received Owner's Name Owner'll Addre~ll Hood CleElning Hood SuppressIon ~ D "...'--~-"llI.,.-"'" I Fire Alarm lri~tellation Fire pl.lJT1pS Fire Workll Flemrmable ApplicatIon- ANNUAL Fuel Tank6 Other: I ~'lj FAX No. 813-780-0021 P. 001 Fax..1113-780-0021 'I! - .:.'!~ I Phone Contactfor Permit Owner':; Phone Number 11'I~2. I '~ "iltilll1Il!.l.... i Wl!t:eIJ.U.~ '~ -r-"~' '---~"'f'~~ , , I Fc;eCurrant 1 . Y / NI I "<:y--~lll- Contractor Signllture Address I ELECTRICIANL Signature Address I PLUMBER SIgnature Address [ MECHANICAL Signature Addre5~ OTHER Signature Addrelils DirectionS: I I I I I J ~!:I! ,.......,It!'f4] ~~I~ Company ~ Registered Y/N l.icense # L l Y/N I ty IN~ I I Y/N I Fee Current Y/N Company Reglsterei:l Fea Current. Y/IiJ I License # J Company Registered L1cenee # ComplIny RegIstered License # Y/N Fee Current Company Registered LIcense # 1='111 out IIPplication comple~ly, Owner & Contrllctor sign baak of application, not3r1~d (Or. copy of signed contract with owner) If over $2500. a Notice of Commencement is required (Mechanical work over $5000) , Supply two (2) sats of drawings with applicable documentlltlon Allow 10-14 days for revieW after submittal date. Psrcel #. obllllned from Property TaX Notice (http://appraiser.pascogov,com) ". MAR/28/2007/WED 07:20 AM ZEPHYRHILLS BUILDING FAX No. 813-780-0021 P. 002 'NOTICE OF :DEEDRESTRICTIONS: The undersigned understands .that this permit may ,be'subJecmo-"dee:d'~rr8strlctlons'" which may be more restrictive than Gounty regulations, The.undersigned .assumes responsibility Jar :comp!iarme1with any , .applicable deed restriotions. . 'UNLICENSED ~CONTRACTORS AND "CONTRACTOR.RESP,ONSIBILlTIES: If'the owner has 'hired';a-'contractor 'or' .. contractors 10 undertake work, they may be required to be licensed in accordance with state and locahegulations. If the contractor Is not licensed as required by law, both the owner :and contractor may be cited 'for .a 'misdemeanor violation .under st~te 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 hlred.a contractor or contractors, he Is advised tohave1he conttactor(s) sign portions of the "contractor Block" of this appllcation'for which"they will be responsible. If you, as.the owner'slgnas the contractor, that may be an indlcationfhat 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 ConstructionUen 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'SAFFIDAVIT: I certify that all the information 10 this application is accurate and that all work will be done In compliance with all applicable laws regulattng 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, Cpunty 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,<:>r 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 viol!3te, 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 Issuange, 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 nihety (90) consecutive days, the job is considered abandoned. WARNING 'TO OWNER: YOUR FAILURE TO RECORD A 'NOTICE 'OF 'COMMENCEMENT MAY'RESUL T IN YOUR PAYING TWICE FOR IMPROVEME STO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH UR LE NEY EFORE RECO ING YOUR NO ICE OF COMMENCEMENT, FLORIDA JURAT . .117.03) OWNER OR AGENT ~p~<J..ilnd swqq to ~affirmL~ me this ~y 1'1 \(l \'15 Who 15/\1'& personal!}' known to me Dr has/have produced M 1\ ~ as Identification, IJI1;i~ · _~""Ii, Commission No. ,\~ l..\'l9lJ.\3 \Y\ \ -b \ \[0. f'( e- Nama of Notary typed', printed or t:tamped '- , CONTRACTOR~.,~.6~ A. A.-~J S.4P~b~and ~~ 10 (or afl!rm,:.d),~ _me this - ~by T~tl.V\~ J:) rr~ Who ls/ar~PPTSonally known to me or has/have producad ~ ~ ..... ' as identlflcatlon., J1~~.. . NoW"""' C~m;,,1on No. . RD~I.:,4 ~ . ., , ,V\\~ '{(J~ Name of Notal)' typed, printed or stamped MITZI VANCE Notary Public. State of Florida My comm. exp-. Oct. 9, 2009 Comm. No. DO 479643 MITZI VANCE _ry Public, State of Florida My comm. exp-.Oct. 9,2009 Comm. No. DO 479643