HomeMy WebLinkAbout08-8639 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8639
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 8639 Address: 7320 GALL BLVD
Permit Type: FIRE PROTECTION MAINTENANC E ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENANCE Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number:
Improv. Cost:
Date Issued: 12/12/2008 Name: TOWNVIEW RETAIL LLC
Total Fees: 25.00 Address: 725 CONSHOHOCKEN STATE RD
Amount Paid: 25.00 BALA CYNWYD PA 190042102
Date Paid: 12/12/2008 Phone: (610)667-5800
Work Desc: FPM-SPINKLER QUARTERLY-PUBLIX BEING DONE 12/20/08
WIGINTON FIRE SPRINKLERS,INC. FIRE PERMIT FEES 25.00
P (o
FIRE ACCEPTANCE Final
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
• MAP,/?8/2007/WED 07:20 Al ZEPHYRHILLS BUILD NC FAX No" 81 fljpU —o' C1 1
8i3-780-0020 �i� Ity of.Zephyrhllis'Fine= t" '� 2-1l I u0 80-0021
✓� permit Application 20t
Date Received Phons t O(lslfld bj(�
owner: nelu�e_d1 I,�t}hJ �
Owner's Name 3 pQ.l�(�rAJ
Owners Address \' + �`}}
Simple Titleholder Name Titleholder Phone Number { II EJ
Fes I �
Fse Simple'ntleholder Address
Lot#
Job Address
Parcel#
Sub Division
6lo-Hazard Waste Storage—ANNUAL [ ] Fumigation Tent
Comm Exhaust Kitchen Hoodlouct, [ Hazardous Material(Tier 11 or RR Facility)ANNUAL
Controlled Bum [TIHood Installation
Emergency Generator<30 kw LP)Naturel Gas-inatallatlon
Emergency Generator 5 30 kw .LP/Natural Gas-ANNUAL Sale
Fire Protection Maintenance:ANNUAL . Q Places of Assembly-ANNUAL
Sprinkler ❑r ® E Recreational Bum
el
Fire Alarm ❑. O Q' O 1 Sparklers f& \z\zoo
Hood Cleaning d O O �� r[] Sprin 1
kler'System Installations v
Hood Suppression iJ O O liii LII Stendplpes(Sprinkler Sys)
aFire Alarm Inetelletion Torch Roofing/Tar Kettle
ire Pumps El] Waste Tire Storage ANNUAL
Fire Works
Flammable Application-ANNUAL Valuation of Project
Fuel Tanks
• Other:
Contractor Company
Signature
Registered Y/NJ Fee Current Y/N
Address License#
ELECTRICIAN Company
Signature Registered Y/N Fee Current. Y/N
Address License#
PLUMBER Company
Signature j Registered Y!NJ Fee Currant Y/N
Address • . License#
MECHANICAL Company
Signature Registered Y/N Fee Current Y'/N
Address License#.
OTHER • Company
Signature Registered Fee Current PIY N
Address License#
Directions:
Flit out application completely.
Owner&Contractor sign bank of application,notarized(Or.copy of signed contract with owner)
If over$2500.a Notice of Commencement is required(Mechanical work over$6000)
Supply two(2)sets of drawings with applicable documentation
Allow 10-14 days for review after submittal date. Parcel If-obtained from Property Tax Notice(httpJ/appraiser-pascogov-com)
MAR/'L'3/2007/WED 07:20 AM ZEPHYRHILLS BUILDING FAX No, 813-780-0021 P. 002
'NOTICE OF:DEED RESTRICTIONS: The undersigned understands-that this permit may.be,subjectl.to-"deed"Erestrlctlons"'
which may be more restrictive than County'regulations. 'The-undersigned assumes responsibility:forrcompliarme=with any
.applicable deed restrlotions.
UNLICENSED CONTRACTORS AND-CONTRACTOR...RESPONSIBILITIES: If the owner has-hired-.a-"contractor'or' ._
contractors lo 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 suite 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(Chapter71l3, Florida Statutes,.as.amended): If valuation of work is$2,500.00 or more, I
certify that 1, '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'SIOWNER'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. 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 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 YQUR LENDER OR N ATI'ORNçY BEFORE RECORDING YOUR NOTICE OF CQMMENCEMENT.
FLORIDA JURAT(F.S.117.03
OWNER OR ADEN Y• CONTRACTOR _—_
Su1 b and s to or f affirmed)be a me this S e and m to(or affi d) ore me this
�by N►o r tDVIs I 12 ►IO _by1tcIt r . ae�
Who Is/are personally known to me or has/have produced Who Is/are persons known to me or has/have produced
— as Identification. —, AI I A as identification.
Notary Public Notary Public
Commisslo o. 1 1d\3. Commission No. IJ IJ 4
Mttzi
Name of Notary typed,printed of stamped Name of Notary typed,printed or stamped
MITZI VANCE MITZI VANCE
Notary Public,State of Florida Notary.Public,State of Floriae
My comm.exp. Oct. 9, 2009 My comm.expo. Oct. 9, 2009
Comm. No. DD 479643 - Comm.No. DD 479643
5912-D Breckenridge Pkwy,Tampa, FL 33610
Ph:(813)623-2333—Fax; (813)620-0333
Fax
To: Jackie From: Mitzl Vance
City of Zephyrhills
Fax: (813)780-0021 Pages: 3
Phone: (813)780-0020 Date: 12/11/2008
Re: Fire sprinkler inspection permit CC:
❑Urgent lZ For Review CI Please Comment O Please Reply O Please Recycle
• Comments:
Please see the following permit application for Publix #0390 located at 7320 Gall Blvd,
Zephyrhills, FL. The inspection is scheduled for 12120/08. I will mail the check out to you
today.
Thank You,
Mitzi
Phone:(813)623-2333 ext#201
Fax:(813)620-0333
Email:mlyc wiainton.net