HomeMy WebLinkAbout09-8773 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8773
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 8773 Address: 5214 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: 11-26-21-0010-16600-0250
Improv. Cost:
Date Issued: 1/28/2009 Name: VICHRIS INC
Total Fees: 25.00 Address: 5214 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1/28/2009 Phone: (813)782-9556
Work Desc: FPM-SUPPRESSION SEMI-VILLAGE INN
SECURITY FIRE EQUIPMENT LLC FIRE PERMIT FEES 25.00
ff 4
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
813-780-0020 City of Zephyrhills Fire Fax-813-780-0021
Permit Application I J
)ate Received �Phon Ct for P - R �_._...
_ - __..
ermit
)wners Name Owners Phone Number
)wnees Address [Ji/ L,
vh
.as Simple Titleholder Name I Titleholder Phone Number II II I
'ee Simple Titleholder Address I _ —
ob Address Lot#
tub Division Parcel#
Bio-Hazard Waste Storage-ANNUAL Fumigation Tent
Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tier II or RQ Facility)ANNUAL
Controlled Bum Q Hood Installation
Emergency Generator<30 kw [ J LP/Natural Gas-Installation
Emergency Generator>30 kw LP/Nalural Gas-ANNUAL Sale
Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL
_ _ uuier
Sprinkler 0 ❑ O O Recreational Bum
Fire Alarm 0 O ❑ I Spariders
Hood Cleaning ❑ O O I I SprinkierSystem Installations
Hood Suppression O O CI Q Standpipes(Sprinkler Sys)
Fire Alarm Installation Torch RoofingiTar Kettle
Fire Pumps Waste Tire Storage ANNUAL
Fire Works
Flammable Application-ANNUAL ___________ Valuation of Project
Fuel Tanks
Other:
Contractor Company
Signature Registered Y/N Fee Current I Y/N
Address License#
ELECTRICIAN[ Company
Signature Registered Y/N j Fee Current I Y/N
Address License#
PLUMBER Company
Signature Registered Y/N I Fee Current Y/N
Address License#
MECHANICAL Company
Signature Registered YIN Fee Current Y/N
Address License#
OTHER Company
Signature -, ) Registered I urrent N
Address Q License# 6 2
Di Z
rections:
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(http//appraiser.pascogov.com)
IOTICE OF-DEED RESTRIC11ONS: The undersigned u nderstards that this permit may.besAdwsefrlctlons'
which may be more restrictive than County regiiatlons. The undersigned.assumes responsloNty fcracompiiaace'with any
ippticabte deed restrictions.
I� AND : If-the owner has tied-a-contractor or - -
ontactors to undertake work,they may be requiedto be licensed in accardanoe with slats and local-regidallons. If the
motor is not licensed as requkad by law, both the owner and contractor may be c liedior a lsdemearror violation
ender state law. (fibs owner or intended-contractor are uncertain-as to what licensing-nequiemernts may apply for the
mended work,they we advised-to contac t the Pasco County Balding Inspection Division—Licensing Section_at 727-847-
1009. Furthermore,I the'owner has hired a contractor or oorrtractors, he is advised to have-the contractor(s) sign
rortions of the`contractor Block'of this app5on-foc whichthey will be responsibl& if you, as-the owner-sign as the
ontractor,that may be an indication that he is not properly licensed and is not entilled-to permitting privileges in Pasco
county.
:ONSTRUCTIDN.LIEN-LAW(Chapber713,-Florida S ties,as anrarrded) if valuation of work is$2,300.00 or more,
�ertlfy that 1, the applicwnt, have been provided with a copy of the 'Florida Construction LienLaw—Homeowner's
Drotection Guide' prepared byihe Florida Department of Agriculture and Consumer A#fais. lithe applicant is someone
Sher,than the`owner",I certify that I have obtained a copy of the above described document and premise in good-faith to
i&iver it to the`owner prior to
CONTRA AFFIDAVIT: I certify that all the intormatlun 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 ablate a permit to do work and motion as indicated. I certify
that no work or irwlall n has connmanced prior to issuance of a permit ardthat all work wIN be performed to
meat standards of all laws regulating constw4lon, County and City codes, zoning regulations, and land
development regulations in the judslictkiui. I also. oerBfy that I understand that the reguiatio ns of other
government agerIes 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-M O WNER, I promise in good faith to inform the owner of the permNng conditions set forth in
this-affdavt 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 it ors not spur Included In the application. A
permit issued shah 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 shah issuance of a permit prevent the Buldig OtLel from thereafter
reghiig a correction of errors in plans, construction or vioiallons of any codes. Every perms issued shah become invalid
unless the work auilwrI d by such permit is commenced within six morrtrs of permit issuance, or t work authorized by
the permit is suspended or It=rdoned for a period of slot(6)months after the brae the work is commenced. An extension
may be requested, in writing,from the Building official for a period not to scorned ninety(90)days and will deanonak4e
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned-
WARNING TO O NNER: YOUR FAL:IIRE TO RECORD A NOTICE OF CWWT MAY RESULT IN YOUR
PAYING TVNCE FOR TO YOUR PROPER Y. IF YOU INTEND TO OMAN FINANCING,CONSULT
FLORIDA JURAT(F.S.117.03) -
Srdas:tibed and swore iQ(or sMmrsd)b�fors me his S1#aaIbed and swan ID{a n l)bsicra me Sts
'Mao W e personeby tmw�bias ar fiaelttare produced
vMro islets psaarrry bruMrie 1D ere or hrdhreMe.produced as idan on
as ideriacaforr. •
PubMc Notary Pd*--
cu N ____________ - Noy
Name of Noy Iyp.d.plI, i or sfarrrped Name of NofiY typed,latrMed or aismped