HomeMy WebLinkAbout09-8709 • CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8709
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 8709 Address: 7325 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: 34-25-21-0000-00300-0020
Improv. Cost:
Date Issued: 1/09/2009 Name: SWEETBAY SUPERMARKET
Total Fees: 25.00 Address: 3801 SUGAR PALM DR
Amount Paid: 25.00 TAMPA, FL 33619
Date Paid: 1/09/2009 Phone:
Work Desc: FPM-SPRINKLER ANNUAL- SWEETBAY
PIPER FIRE PROTECTION INC FIRE PERMIT FEES 25.00
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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."
a.,
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 ll1RHILLa BUILDING -
• X13-`r8o-oa2o City of Z�phyrhllEs Fire
Fax-
313-780.0021
Permit Application
Date Received Phone Contact for Permit
Owner's Name I J\ ( Owners.Phone Number L_� I
Owner's Address [ 30 O
Fee Simple Titleholder Name Titleholder Phone Number
Fee Simple Titleholder Address
Job Address / �lSO 1 Loth
I _ / .
Parcel#1 V G �l�lt-mil J`
Sub DivlSlOn II V AIN T
Bio-Hazard Waste Storage-ANNUAL Fumigation Tent
Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tier 11 or RO Facilit�)ANNUAL
Controlled Sum F Hood Installation
Emergency Generator<30 kw LP/Natural Gas■Installatlon
Emergency Generator>30 kw LP/Natural Gas-ANNUAL Sale.
Fire Protection Maintenance ANNUAL Places of Assembly-ANNUAL
Sprinkler '. Recreational Bum
Fire Alarm Sparklers
Hood Clean/Suppression j Sprinkler System Installations
Fire Alarm Installatlon Standpipes(Sprinkler Sys)
Fire Pumps 0 Torch Roofing
Fire Work5 I
Waste Tire Storage ANNUAL
Flammable Application-ANNUAL 11
Valuation ro
Fuel Tanks of Project
Other:
Contractor Company
Signature Registered . Y'/N Fee Current Y/N
Address License##
IIJ
ELECTRICIAN . Company
Signature Registered . Y iJ Fee Current j Y/N
Address License#-
PLUM2ER Company.
Signature k Registered /N Fee CurrentJi `i/N
Address I License#
MECHANICAL Company
signature Registered Y'N i Fee Current Y/N
Address i i License
g ti
ER Company It _ t �! C.��
� ne Registered - I Pee Current 1 {/N
ry a
Address Ucense:r
ectiene: �u r ! V 45 s 3 bO D I ( / /9
!il�'Ui pllCciiC�.i! '1 iuiE:ely.
Dwner u' 'Contractor Sign CSC\or 3oplication,!iotarizad:'fir,ocoy of signed contract wilt)owneri
if over x2500,a Notice Cr Commencement is required(Mecnenipei work over 55000)
-uppl;v '2;sets of rawings'vfth eppliceole 7ocumentation
Allow'10-'?»days fcrreview after submittal date.
it
11 11' Eli ZEPHYRR I LLS BUILDING 1
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit maybe subject to "deed" 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 unclartaln 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 727847
8009. Furthermore, if the owner has hired a contractor orIcontractors, he is advised to have the contractor(s) sign
portions of,the 'contractor Black" 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. i
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statute , 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'S/OWNER'S AFFIDAVIT: 1 certify that all the information Ih 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 iindicated. I certify
that no work or installationhas 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₹o 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 vjlth 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 Nock authorized by such permit is commenced wilihin 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 ( 0) consecutive days, the job is considered abandoned..
WARNINGITO 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 R CbRDING YOU O ICE'OF-COMMENCEMENT
.
FLORIDA JUT`(FiSi"1`1To3)'
OWNER OR AGENT CON
Subscribed and sworn to(or affirmed)before me this Subsc and sworn t r affirmed)before me this
by -o 7kr
Who is/are personally known to me or has/have produced Who ie/a personally kno o me r has/have produced
as Idenfficadon. A JA as Identification.
Notary Public Notary Public
Commission t'lo. Commission No. D 1D _ "r
1yrs J? -ssc,
Name of Notary typed,printed or stamped Name cfNotary typed,printed or stamped
KRISTEN HESSE
!lotary Public, State of Florida
My comm. exp. Sep. 17, 2010
Comm. No. DD 595549
@1/09/2009 00:40 7275818332 PIPERFIREPROTECTION PAGE 01/02
2D - 1 -Lj
BUSINESS TAX RECEIPT looms
City of Largo +� -
2008 2009 FILE # 2009003451
DBA; PIPER FIRE PROTECTION INC
Busineaa Name & Mailing Address Physical Addreaa, Owner, Phone
PIPER FIRE PROTECTION INC
CHRISTOPHER R JOHNSON 521 COMMERCE OR S
521 COMMERCE DR LARGO, FL 33770
LARGO, FL 33770-1634
CHRISTOPHER R JOHNSON
727-581-9339
FIRE PROTECTION I CONTRACTOR
Classification NAICS No. Qty• Amount
FIRE SUPPRESSION 19r'05
2000 $144.00
( ¼
STATE; 45152300011 99 6/30/2010. �•y
Certificate N 369.
ANY TRII ING, PRUNING, REI+JDVING OR OTHERWISE ILTtkING TREES, SHRUBS, & PLANTINGS ON THIS
PROPERTY MUST BE APPROVED BY THE CITY OF LARGO PRIOR TO SUCH ACTIVITY. PLEASE CONTACT THE
PLANNING DEPARTMENT AT 727-587-6749.
Engaging in any business occupation is subject to zoning restrictions. The collection of
this Business Tax/Administrative Service Charge does not authorize the holder to operate
in violation of any City ordinance, law or regulation. Each holder is solely responsible
for notifying the Community Development Department, in writing, of any change in status,
location or ownership. Renewal notices will be sent to the last known address and owner
of record. Issuance is in no way intended as an approval or disapproval of the holders
competence or skill.
This Easiness Tax Receipt expires 30 September 2009. Penalties are provided. by F.S. 205 if
not renewed before J. October 2009. Additional penalites of up to $250 may apply if not
renewed by 31 December 2009.
THIS IS NOT A BILL NO REFUNDS
POST IN A CONSPICUOUS PLACE
bay
CDPR3026.RPT .
01/09/2009 00:40 7275818332 PIPERFIREPROTECTION PAGE 02/02
STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF STATE FIRE MARSHAL
TALLAHASSEE,FLORIDA
CERTIFICATE OF COMPETENCY
THTS CERTIFIES THAT: CHRISTOPHER R JOHNSON
521 COMMERCE DRIVE SOUTH
LARGO, FL 33770-
BUSINESS ORGANIZATION; PIPER FIRE PROTECTION TNC
CONTRACTOR I INCLUDES THE EXECUTION OF CONTRACTS REQUIRING THE AB1LIrY,EXPERIENCE,KNOWLEDGE,SCIENCE,A7`11)
SKILL TO INTELLIGENTLY LAYOUT.FABRICATE.INSTALL,INSPECT,ALTER,REPAIR OR SERVICE ALL TYPES OF FIRE PROTECTION
SYSTEMS,EXCLUDING PRE-ENOrTNEEREA SYSTEMS.
Chief Fleaodal Officer
07 01 2008 07 15 Pinellas 45152300011999 0586250128 150.00 06 30 201.0
Issue Date Type Class County License/Pcrmit Number Application a Taxes&Fees Expire Date