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HomeMy WebLinkAbout08-8310 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL FIRE PROTECTION MAINTENANCE . 8310 Permit Number: 8310 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: 6815 GALL BLVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 9/12/2008 25.00 25.00 9/12/2008 Phone: FPM-SPRINKLER -ANNUAL-QUALITY INN-DONE JULY 29,08 Name: QUALITY INN Address: 6815 GALL BLVD ZEPHYRHILLS, FL. 33542 -()Sed C{ . J ( 0/ &/ 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 813-780-0020 City of Zephyrhills Fire Permit Application Date Received r-- Owner's Name Owner's Address I Shree Sai LLC 16815 Gall Blvd. Zephyrhills, FL 33541 II Pankaj Patel 29341 Rhodin Place Wesle Cha el, FL 33545 Fee Simple Titleholder Name Job Address H Lot # Phone Contact for Permit Fax-813-780-0021 10 ~P:; ~ ?~?:tT~fl/.F1~561 81311 76211 20001 I 81311 97311 24211 Owner's Phone Number I Titleholder Phone Number Sub Division o o o o o ~ Bio-Hazard Waste Storage - ANNUAL Comm Exhaust Kitchen Hood/Duct Controlled Burn Emergency Generator < 30 kw Emergency Generator> 30 kw Fire Protection Maintenance - ANNUAL ~ Sprinkler G::J Fire Alarm 0 0 Hood Cleaning 0 0 Hood Suppression 0 0 IS~mq IA~'llother o 0 I o 0 I o 0 I o Fire Alarm Installation o Fire Pumps I I Fire Works Flammable Application- ANNUAL o FuelTanks o Other: I I~~ Parcel # o o o o o o o o o o o o 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 Recreational Burn Sparklers Sprinkler System Installations Standpipes (Sprinkler Sys) Torch RoofinglTar Kettle Waste Tire Storage ANNUAL Valuation of Project !.fj;L^ j{;;;;<jY~; >y;/;, <;>f);,;lU " -C"Vjb10l:jTcXij YTtj<; Contractor Signature Address I ELECTRICIANI Signature Address I I PLUMBER Signature Address I MECHANICALI Signature Address I OTHER Signature Address I Directions: "",. 001;;"'" ....yy:~<3ili0;;;;jWGW?ii21iJijYJI2Jli!*i0%!2:fj;;'YJrcij;; :J!S}:Z;[f/;ltMffiY$ rii;;U51jA'~f'" Company Registered License # Company Registered Y/N I Fee Current Y/N License # Company Registered Y/N I Fee Current Y/N License # Company Registered Y/N I Fee Current Y/N License # Company Registered Y/N I Fee Current Y/N I License # L ... '''':';;T':;; 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 (hltp://appraiser.pascogov.com) NOTICE OF C;s.ED RESTRICTIONS: The undersigned understands that this permit may be subject to "dAed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired 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 (Chapter 713, Florida Statutes, as amendecl): 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. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT S~1scrbed and sworn to ~ affirme~efore me this 'I O~ by \Y11l' L1l e. lOeJ"\~ Who is/are personally known tp me or has/have produced as identification. .~ Notary Public Notary Public Commission No. ~ Mo r the:.. -:S. GJ.tY\i ~ Name of Notary typed, printed or stamped Commission No. LANDIS ~ ",,#ypu"!-t. NoRMAs~ON # D0494&33 4. R.~ MY COMMIS _'-_ 28, 2009 , EXPIRES: Decell""" Co. $ ~OFf'-&,Q fl.NotaryDi.COUnt- ~ \_800-3-NOTAIlY ~t!'YP~ NORMA J. LANDIS ~~ MY COMMISSION # D0494&33 <I).~ EXPIRES: December 28, 2009 ~OF"" fl. Notary Discount AIsoc. Co. 1-800-3-NOTARY ][ ]8 ~2. INDUSTRIAL FIRE & SAFETY INC. Full Service Fire Protection & Detection A . Company 727 573-1556 Fax: 727 572-7266 11 September 2008 City of Zephyrhills 5335 8th street Zephyrhills, FL 33542 Attn: Jackie Bldg. Dept. Jackie, These applications and checks are for back permits for fire alarm & sprinkler inspections that were performed on 07/29/08 at Quality Inn - Zephyrhills. As we discussed on the phone, we are again registered with your city, and will be following procedures for inspections there from here on. I would like to thank-you for all your help and the information you provided. Sincerely, j~ Michelle Owens Inspections Department 12075 34th Street North - Unit A, St. Petersburg, Florida 33716