HomeMy WebLinkAbout09-8861 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8861
ANNUAL FIRE PROTECTION MAINTENANCE
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Permit Number: 8861 Address: 7320 GALL BLVD
Permit Type: FIRE PROTECTION MAINTENANC E ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENANC E Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number:
Improv. Cost:
rn
Date Issued: 2/26/2009 Name: TOWN VIEW RETAIL LLC
Total Fees: 25.00 Address: 725 CONSHOHOCKEN STATE RD
Amount Paid: 25.00 BALA CYNWYD PA 190042102
Date Paid: 2/26/2009 Phone: (610)667-5800
Work Desc: FPM-HOOD CLEAN SEMI-PUBLIX
SOUTHEASTERN PROTECTION SERVICE FIRE PERMIT FEES 25.00
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Chapter 633, Florida Statutes,authorizes the City to charge and collect user fees to pay4or 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 ofZephyrhillsFir • tQ e( ( Fax-813aso-0021
Permit Application
Date Received
Phone Contact for Permit
Owner's Name Owners Phone Nunber 3
Owner's Address
Fee Simple Titleholder Name TNlehokler Phone Wiinber II r�
Fee Simple Titleholder Address t-
Job Address7-6;AyeMXI F! 3a CI
Sub Division Parcel#
El Bio-Hazard Waste Storage-ANNUAL El Furigalan Tent
Comm Exhaust 1t5tcfrerr Hood/IDuct [ ] Hazardous Ma erial(Tier 11 or RQ FacNty)ANNUAL
El Controlled Bun Q
QEmergency Generator<30 kw Gas-won
El Emergency Generator>30 kw a LP/Nehral Gas-ANNUAL Safe
Fire Protection Makdenance-ANNUAL Q Places of A ssembly-ANNI/AL
® ®®
Spder ❑ ❑ ®
riM ❑ Recreational Bun
Fire Alarm O O ❑ I_I c
Hood Cleaning ❑ tH ❑ CI El Sprinkler System In Lions I r
Hood Suppression ❑ ❑ O C I c:j standpipes(spdr+kter Sys) I:4
Fire Alarm loon Q Torch FtooGrg/Ter Kettle
Free Pumps EJ Wa Tire Storage ANNUAL
Fee Works
Flammable Application-.ANNUAL F_I Valuation of Project
Fuel Tanks v(
a Omer
Contractor
Signature d Gf7. Registered Y/N Fee Current Y/N
Address License#
ELECTRIC j_________________________________' �j Company
Signature / Registered Y/N Fee Current Y/
Address License#
PLUMBER Company
Signature Registered Y/N Fee Current Y/N
Address License#
MECHANICAL Company
Signature Registered Y/N I Fee Current F Y/N
Address License#
OTHER
Company
SignatureRegistered Y N I Fee Current I Y/N
Address License#
Directions: - -_
Fig 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:/appralser.pascogov.com)
'NOTICE OF:DEED RESTRICTIONS: The undersigned understands thatthis permit maybe-subject:to"deed!:rgstrictions"
which may be more restrictive than County regulations. The.undersigned assumes responsibility for rompliance'with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILRiES: 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 fora misdemeanor violation
under state 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 property licensed and is not entitled-to permitting.privileges in Pasco
County.
CONSTRUCTION LIEN LAW(Chapter713,Florida Statutes,-as-amended): If valuation of work is$2;500.00 or more, I
certify that I, -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.
----00NTRACTORSIOWNER'a--AFEIDAVIT: I certify that all then formation.in..fliapplication 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. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pods, 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 sbc 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 YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
—Subscribed and swum suhsc�ed.�Rd_ m do(or atlirrned)before mettle
Who is/are personally known to me or hasAwve produced Who We personally lowwn to me or heslhave produced
as kient ficaiion. as won.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed printed or stamped Name of Notary typed,printed or stamped
Mar 26 09 02: 45p Southeastern 4078309602 P. 1
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FAXI
SOUTHEASTERN PROTECTION SERVICES
160 W. Evergreen Avenue Suite 180
Longwood, FL 32750
Phone: 407-830-5647—Fax: 407-830-9602
Email: spsofflraaoLcom
• DATE: MARCH 26, 2009• TO: JACKIE
FROM: ED MEYER
• RE: PERMIT
• FAX: 813-780-0021 a
•
: NO. OF PAGES: 2
0
• I AM FAXING OVER THE PERMIT APPLICATION FOR PUBLIX
• LOCATED ON 32765 EILAND BOULEVARD. SINCE WE DID NOT f�
NEED TO USE PERMIT#8861 FOR THE PUBLIX LOCATED ON 0
a� GALL BLVD, CAN YOU PLEASE TRANSFER OR VOID THE
INFORMATION ON THAT PERMIT SO IT CAN LIST THE CURRENT
a REQUEST.
IF YOU HAVE ANY QUESTIONS PLEASE DO NOT HESITATE TO
• CONTACT ME.
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THANK YOU!
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