HomeMy WebLinkAbout08-8320
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
8320
Permit Number: 8320
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: 6816 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 02-26-21-0010-02400-0020
9/15/2008
25.00
25.00
9/15/2008 Phone:
HOOD CLEAN-QUARTERL Y-PIN CHASERS
Name: PIN CHASERS BOWLING
Address: 6816 GALL BLVD
ZEPHYRHILLS, FL. 33542
813782-5511
L lD (Jo
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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
FAX ~o. 813-780-0021 . 32--0 P,002
'81~7_ City of z"phyrhil"'!F-i""'" ~ ',,,,,,, ~7,""",'
.' ,_, Permit Application ',.,.. "
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.Date Received .. ..' , _I _ , ,:" '~~ptjorie ContacHor- Parmlt ..
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Owner's AdorasS, ,~.o....- _ $'_( _LW-.o _=.- ~= -{) Z.4cK5D.cJ;~"/.{~, ...::;.. - .{::::: ~~ --: =- =.
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Fea Slmpla Iltl"holoer Address [ -'.~ ' ~
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o 'BiD-Hazard Waste Stoiage ..ANNUAL ,'0 Fumigation Tent
o Comm Exhaust Kitchen Hood/OUct D Hazardous Material (Tiar II or RQ F'aclllty) ANNUAL
D Controlled Bi.im '0 Hood Installation
o . Emergancy Genarator " 30 kw D LP/Natural Ga5.'~[;tal~1It1~n
'.0 . Emargency Genarator :> 30 kw ,0 LP/Natural Ga&-AN~':IAL Sale
D Fire Protection MalntJ;lnanca " ANNUAL " 0 . Places of A$sembly.-ANNUAl-
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FEB/20/2007/TUE II: 10 AM
ZEPHYRHILLS BUILDING
Sprinkler
Fin;l Alarm ..
Hood Cleaning
Hood Suppresslon
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~ntractor ,i'
SlQnature L
" Addrellll i
ELECTRICIANr
Signature L
AddI'BS5\
I='LUMB~R
Signature
Address I
MECHANICALI
Signature .
Addre~s i
OTHER I'
SIgnature ~
Address l~
"'Directions:
Fira A1arrtllnetallafion
Fire Pumps
Fira works
RammablJ;l Appllcanon- ANNUAL.;,
Fuel Tanks
, . ,.:~:::~
. '.'~a.:;r
Recrealional,aum. .
Spar1<leiiS ,
Sprinkler SytJtam Installations .
StandpIPJ;lB (Sprinkler sys)
larch RoollngfTar Kettle,
Waste 'fire Storage AN~uAL
J Valuation of Project
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other:
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Registared' t
License # I
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Uc&nse # I
Company E
Reglalared Y I N I
LIcense # I
company I
Registered . Y I N I
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comp"'rtY E
Registered ~ I N..J
Ucenaa # I
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Fee Current
Y/N
Faa Current I Y/tiJ
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Faa Current I Y/N I
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Fee Currant LV-IN I
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l"ae CUrrent 'I Y/N I
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Fill out application completely.
Owner & Contractor elgn back of application, notariZed (Or. copy of sIgned contract wltn owner)
It over $2500, a Notice of Commencement Is reQ\lirad .(Mechanlcl'll work over $5000) .
S\lPPIy two (2) seta of drawings with applicable documentation ,
Allow 10-14 days for review after submittal date. Pan::el #~ obtained from Property Tax Notica (http://app[Bi5eT.pascogov.com}
,-,:~r~}~/~007/T~E II: 10 AM ZEPHYRHILLS ~UILDIN~_., ' , FAX No, 813-780-0021 P,003
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va .....~:~M.' .... . ,..."uu IGF.h':"---::: :, ",,;t; , ' -~"O<).liil'l~'
l~rNaiiiP.E"!F"'EEO RESTRICTIONS' -rhe~nder.lgnea,"nd~~kI;lt'thl>;;PO""" m!\y he"UbjectftO~de~.;,~~J
~,~iC~"",,,,"" moreT,astrict!ve 'than Gounty'reliulatlo",;'1!"~!"~!lI~ed .assumes;r.,ponsiblilty1or =mpliarm.>W1t~",~.;gI
:. ,~pp~oable,deed restrictIons.. a~.J;1iiC<:il,:!~'i~,:- .:.... ". " --,~i&J:;.:;:.:;T;;~
~UN1JlbENSED ',CONTRACTORS !AND 'CONTRACTOR~ESBONSIBIUITIE5:'::' :If-:the 'owner has -hlfed'iavpontraotonQ).;!~~..I...;;i'~,
::contractors.:to und,ertake work"they m~y'be -required :to be llcensed,.in:accordance with s,tate,and lo~I'r~gulations: If .the..:"".,;:' , 'I
, contractor IS not licensed as required ,by law, 'botn'the owner ;and ,contractor 'may"be cited -for :a 'mlsdemeanor ,violation. .:: " , '
"under 'state 'law. If'the owner or intended 'contractor :.are 1,lncertaln,as'to what licensing 'requirements may :apply'for:the'. .:....:::~: ;.)
intended work, 'they are advised -to contact the ,pasco County:Building ;Inspection Division-licensing Sectlorhat 7.27 ~841-
,:8009. ::F,urthermore, if the owner has hired:a contractor or :cQntractors, ;he ls',advised 'to ,have "the contractor(s) sign
,portions of tne "contractor Block" of this application :for whioh "they .will be responsible. 'If you. as'the owner ',sign :as ".the
_,' 'lcontractor, lhat 'may, be an indication that 'he ,is 'not :properly-Iioensed. and is not: ~ntJtled .to :permittl1'19 ,privileges in;Rasco ,~"', "\
'County. , "
,'CONSTRUCTION .LlEN_LAW'(Ch8.pter713, 'Florlda'Statutes,:a's:amended}: If-valuatlon,of work is '$2~500.00 ,or'm~re, ,1 , ':
oertlfy 'that 'I, 'the applicant. have been provided 'with a cOlly',of.:the "Florida Construction LIen ~aw-Homeowner's
;Protection,Guide" prepared byihe Florida Department of Agriculture.:and Consumer Affairs. If the applicant is 'someone,
other'than the'.owner", I certify that I have obtained:a COpyof.the.above described document andpr6mise in good faith 'to
deliver It to the .owner" prior:to commencement. '
CONTRACTOR!,S/OWNER'S:AFFIO,lWIT:1 certify that all the information in this application'ls 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 Iss~ance of a permit, and-that 'all work wlll be pertorrned to
meet standards, of all laws regulating construction, County and City codes, ,zoning regulations, and land
development 'regulation~ in 'U,e jurisdiction. I ,also certify 'that I understand that the regulations of otner
. govemment agencies may applylo th~ Intended work, and that It is rpy responsibility to identify what actions I
'must take-to be in compliance. ,. ' ""
,If I am 'the :AGENT 'FOR 'THE OWNER,'I promise hi good faith to inform the owner ofthe permitting conditions setiorth 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..lssuance of, a permit prevent the Sullding Official from thereafter
requiring a correction of errors In plans, construction or violations of any codes. Every permit,lssued 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 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 exten~ion~ If wor~ ceases for ninety (gO) consecutive days, the jo~ is considered abandon~d. '
oWNER OR A NT
Subscr\bGd and swom to (or affirmed)
by
Who is/are personally known to m~ or ,'ve produced
as identification.
Nota~ pUblic
Notary public
commis5ion No;~
Commission No.
'Name of Notary typed; printed or'stamped
. Name of Notary typed., printed or stamped , '
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