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Home My WebLink About08-8222 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL FIRE PROTECTION MAINTENANCE 8222 8222 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: 7325 ALL BLVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 34-25-21-0000-00300-0020 8/14/2008 25.00 25.00 8/14/2008 Phone: FPM- SEMI SUPPRESSION -SWEETBAY SUPERMARKET cJ~ 8/ 6-0 t 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 $100.00, whichever is greater. All work shall be performed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." ... P IT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTlON CALL FOR INSPECTlON - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041 OWner's NiUTlEI -1 J L5"te/R"/ 11,A-Jl 5t/f'~1t /1S1.1 7~,) C,4u.- /JvYO 2~#yl2-#1U5 r-t 7Jsy/ FAX No, 813-780-0021 /l1)W Fax-81" '780-0021 .;,>>, ~, City ofZephyrhills':F1lfet ,';':'.: k ~() ~ - Permit Application - tr m~'---f .~I [ '~I :\- r'~' Owner's phone Number , ?I:J 7 F () / d j' ~ . p, 001 APR/09/2007/MON 02: 15 PM ZEPHYRHILLS BUILDING 813-78l;l-0020 o'ite Received . Owner's Address Fee Simple Titleholder Name Fee Slmple'litleholder'Address f Trtleholder Phone Number n -lL -.-. L I _ -J 'I cJ - l ~ ' 2-6)OI#L#7U/~ p~ 7.7fy/ 'I ' Percell# ] D Fumigation Tent D Hazardous Meterial (iter II or RQ Feclllty) ANP4UAl. ',D Hood Inslllllation D LP/Natural Gas-Installation D LP/Natural Ges~ANNUAL Sale D places of Assembly-AP4P4UAL D Recreational Bum o 'Spartders D Sprinkler'System Installa6on:!; D D D I Lot # Job Address SubDivisIon = D D 'D D ,D o Emergency Generator < 30 I<w '~ency Genenitor> 30 kW Fire Protectioll Maintenance - ANNUAL . 'D,~'I1;)e'ffi!],~~ Sprinkler 0 0 [j LJ D [:l 0 DC], Do [] oc=J Do Voc=t l'ill3 Alarm Hood Cleaning Hood suppTMslon Standpipes (Sprinkler Sys) Torch RoollnglTarKettle Waste Tire storage ANNUAL ~ ::~-- D Other: 'I _ ~ m ~~~:~~:~~~~ ,I '" Addrees [{IIf') C(UtllPlIJudi'l.. #8, aI-?1~)rC.- i.f~ J:LECTRlCIANI ' I Signature Add1'e$S I I ~~~~~: 1 I ~~I ] MECHANICALI I SIgnature , ' Addressl I OTHER I ] Signature Addrm;\-! _ ---, Dlrectlonlil: ---' I Fire P\.Impa Fire Works Flammable Application- ~NUAL ,~ Valuation of Project : I r -= I : r -r= CompanY 1m CeI,."TUt.. Sj.J~r 0 CH1Ilt<<J(1f},vc.. ,Registered N I Fee Current L Y IN' _~icen~_#_,.J / eJ tfr ~CX) l) /~ dO;} I ~;=~ ~Y/N I F\HJCurrent l Y/N I L1cellge # L I Company 1 Registered , Y I N Licen", # I Compilny I Registered , Y I N I, Fee Cwrent I Y I N . LIcense # L =:d ~ Y I N I. Fee Current License" L J Fee Current L Y7N I I I I Y/N J I Fill out application complelsly. Owner & contradOr 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) ssts of dr.lWlngs with applicable documentatior'l ' Allow 10-14 days for review after ,ubmitllll daw- Parcel # - obtained from Properly Tex Notice (hltp:l/appralsef,pascogov,corn) ___._... . OM"'M _ ___M'___ . M" 'NOTICE OF:DEEO:RESTRICTIONS: The.undersigned understands-that this permit may.be'subjectfto7.Hdead~.rrastrictionsw.. .which may be more restrictive-than Coun~regulations. The'.undersigned.assumesresponsiblliwJor;eomp!iar.l:celwith any:. . .applicable deed restrictions. UNLICENSED :CONTRACTORS AND 'CONTRACTOR RESP.ONSIBILITIES: If-the owner has 'hired';a~contractor 'or .. contractors io undertake work. they may be required .to be licensed in accordance with state and local'r~gulations. If the contractor is not licensed as required by law, both the owner and .contractor may.be clted-for.8 .misdemeanor violation under state law. If the owner or intended 'contractor are uncertain ,as 10 what Iicensing'requirements may ;apply for the intended work. th~y are advised"to contact the:Pasco County:Building Inspection Division-licensing Section.-at 727-847- 8009. Furthermore, If the owner has hired :acontractor or contractors. he is advised .to .have .the contractor(s} sign portions of the Hcontractor 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 entltled:topermitting .privileges In Pasco County. CONSTRUCTlON'.LIEN:LAW (Cnapter713,'Florfda 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 Agrioulture.and Consumer Affairs. If the appllcant Is'someone other than the'~owner". I certify that I have obtained a copy ofthe above described document and promise in goo~1"faith to deliver It to the Howner" 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 petmit and' that all work will be performed to meet standards of all laws regulating construction, County and City codes, ..zoning regulations, and land development regulatlon~ in tf:le jurisdiction. I also certify that I understand that the regulations of other . government agencies may appiy 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 ofthe permitting conditions set-forth in this affidavit prior .to commencing construction. .1 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 al1Y 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 OOf11menced within six months of permit issuance, ot if work authorized i;ly 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 (SO) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. .WARNING TO OWNER: YOUR 'FAILURETO RECORD A'N'OTICE 'OF 'COMMENCEMENT MAV'RESUL T 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 COMMENCEMENL FLORIDA JURAT (ES. 117.03) . . OWNER OR AGENT coNTRAC-u ~ -./ ~?!!;z' -~ c;J Sub$Cl1bed and SWOrn to (or afflrmlld) before me ttlls Subscribed ~ before me this by ~. Who Is/are personally known to me or ha6lhave produced Who is/ate personally k.nown to me or haslhave producsd as Identlftcalion. as identification. _Notary Public Notary Public Cornmlsslon No. Commission No, Name of Notary typed, printed or stamped Name of Notary typed; printed or stamped ZOO 'd IZOO-08L-EI8 'ON XV~ ~NlalIn8 SllIHHAHd3Z Wd SI:ZO NOW/LOOZ/SO/NdV Ru~ 14 08 03:24p ~. DEBBIE JENKS .. ..................( , -l '. .--...- ~ ~ H ~ \'\ ~ r- 704-377-5140 :-:!.aJ 'C: CI'l )> o .':'0 . i I ~ . \ (;:). i '-c:::>! I ,~,. 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