HomeMy WebLinkAbout08-8319
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
8319
Permit Number: 8319
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:
9/15/2008
25.00
25.00
9/15/2008 Phone:
FPM-HOOD CLEAN QUARTERL Y- WALMART
Name: SUPER WAL-MART
Address: 7631 GALL BLVD
ZEPHYRHILLS, FL. 33542
479 204-1063
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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 $100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE
OF COMMENCEMENT."
....
P IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
F EB/~0/200YTUE 11: lOAM
ZEPHYRHILLS BUILDING
FAX No. 813-780-0021
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'813::?6~~0020
City ofZephyrhiIJ$jf.j~~-o~2~'
Permit Application -.-. -... .
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D LP/N~1Ural Gas~~nstallilllon
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.. 0 ' places of A>;,sembly.ANNUAL
.Bio-Hazard 'iNast~ Stolllge ..ANNUAL
Comm Exhllu~t Kil.chtn Hood/Duct '
. Emergency GerJBra~r " 30 kw
, EmeryerJCy Gfilnerator ;> ilO kw
Fire Protfilclioh Maintenance - ANNUAL
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Sprinkler .
Fi"" Alarm ..
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Fire Alarri'llrJlltllllatlon
F=lre Pumpe
Fire Works
Rammable AppllcaUon- ANNUAl,
,Fuel Tanks
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Contractor
Signature
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ELECTRICIANI
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Addrnss I
PLUMBE;R
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MECHANICAlI
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Addreas I
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SIgnature
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I'"umlglllion Tent
Hez.ardouv Material (Tier II or RQ Faclllty) ANNUAL
Hood Instellallon
Recreatiol12lI.Bum. .
Sparklers ,
Sprinkler SYliltem Installlluons .
S~pIPfilS (SprInkler Sys)
tOrch RootlngfTar Kettle.
Wallie llre Storage ANNUAl
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Valuation of Project
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Fill out appllcaUon completely.
Owner & Contractor lllgn beck of appllcaUon, notariZed (Or. copy of signed contract wHh owner)
It over $2500, a Nollce of ColJ1lJlencement Is required .(Mechanlcal work over $5000) .
Sl.lpply two (2) seta of drawings whh applicable documenllltion .
Allow 10-14 day>; for review aftlilr submittal date. Parcel #- oblllined from Property Tax Notice (http://appfBiser.pascogov.com)
_..t~~~?p/200YTUE 11: 10 AM ZEPHYRHILLS ~UILDIN~_ _.. . . FAX No. 813-780-0021
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rr~1N'GmiQEiQ-f :DEED RESTRICTIONS: "The .underslgne(rDnd~~~1i;tb,<!t.th!~~permlt may be~SUbjectftO-"deed~.ITa-strlction~t~
~T~tiich.~~~a more -r,estrictive 'than Gounty ;re.gulatlon~<[h~~~;~~~~~~d .assumes ;re$ponsiblllty10T :compliarme...~lt~::alilk~~r~~1
, ,-qpplloable.deed restrictions. <l~i1:,iic<:l:!~.(S:- . :.:.. .' .r -~,ti;,;=:j;,'."T.:~
,:.... :lDNlJICENSED ~CONTRAC:rORS !AND 'CONTAACTOR:Rl:SRONSIBIWTIES:-c',If-:1:he 'owner has-hired'.-a~pontractor.tQ);~~...;~J:;f~.
::contractors.to und.ertake work,.they m'ly'.be requlred:to be Ilcensed..in:accordance with ~tate.and loqaI-r~gulations: If .the.:-.~,?.::' ..1
_ contractor IS not lIoensed as required .by laW, 'bot\1 'the owner :and .contractor 'may..be cited 'for :a 'mlsdemeanor ,vIolation. -:: .. . .
. 'under -state 'law, If'the owner or intended 'contractor :are l:Jncertaln ,as 'to what licensing 'requirements may [apply'for :the.' .:.,:::~.; ,..)
intended work, -they are advIsed .to contact the .Pasco County:Building ilnspection Division-licensing SecUon;at 727 ~847- ..
-:B009. ::F.urthermore,.if the ~wner has hired:a contractor or :cQntractors, iha Is'.advised 'to .have ihe C"ontractor.<-s) :sIgn
. .portlons oftha 'contractor Block" of this appllcationior.whichihe'y.will be responsible. 'lfyou, as'the owner'.slgn:as..the
'''contractor, that may .be -an indication :that .he. is not :proper!y..licensed, and ;s not.. ~ntltl~d .to :permittll!Q .privileges in-;Rasco ..':.~. "I
'County. . .'
,-CONSTRuC'nON -LlEN.LAW"(Chapter71.3, :Florlda'Statutes,:as:amended): If-valuatlon.of work is '$2:500.00 .or'm!lre, ,I . .:
oertlfy that '1, ihe applicant. have been provided 'with .a copy' nf:-the "Florida Construction LIen ~aw-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.falth.to
deliver It to the .owner" prior:to commencement. .
CONTRACTOR'.sJOWNER'S:Af.FIDA-VIT: .1 certify that all the information in this application' Is accurate and
.that all work will be done in complian.ce 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 Issl1ance of a permit and'that .all work wUl be petiormed to
meet standards. of all laws regulating construction, County and City codes, .zoning regulations, and land
development .regulation~ in .t~e jurisdiction. I .also certify -that I understand that the regulations of other
. govemment agencies may apply.to th~ Intended work, and that It is rrY responsibility to identify what actions I
must take-to be in compliance. :. . .:.
.If I am-the.AGENT"FOR'THE OWNER,' ( promise in good faith to inform the owner of-the permitting conditions setiorth in
thIs affidavit prlor.to'commfmcing 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, o'r
set aside any provisions of the.technical cod~, nor shall Issuance of-a permit prevent the !?ullding 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 th.e time .the work is comml:lnced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and ~III demonstrate
justifiable cause for the ex.ten~ion. If wo* ceases for ninety (90) cons~cutive days, the jo~ is considered abandon~d. .
P. 003
OWN~ OR
Subscr\bQd and
by
Who isJare personally known \0 m.e 0 ha .
asi .
CONTRACTOR
SubscrlbEld and sworn \0 (or afftrmed) before me this
Py
Who Is/are personally known to ffiQ ~r haslbave produced
, 8S idenllfic8lion.
Nom!)' Public;
Notary Public
commission No;~
CommIssion No.
'Name of Notary typed; printed or-stamped
. Name of Nomry typed,. printed or stamped . .
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