HomeMy WebLinkAbout09-8876 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8876
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 8876 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: 3/05/2009 Name: VICHRIS INC
Total Fees: 25.00 Address: 5214 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/05/2009 Phone: (813)782-9556
Work Desc: FPM-HOOD CLEAN QUARTERLY-VILLAGE INN -SCH 3/12/09
COMMERICIAL SERVICES INC FIRE PERMIT FEES 25.00
.
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$100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE
OF COMMENCEMENT."
P IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- Fire Marshal Office- 813-780-0041
FE$/2U/2007/TUE 11 : 10 AM ZEPHYRHILLS BUILDING FAX No, 813-780-00221 P. 002
a13�eo 0020 City of.ZephyrhillslR?0QL- _' V Fax-813 780-0021
Permit Application a3:ic
_Date Received -'Pliorie Contact for permit
— Owners Phona Number 9, j Cv y, 3≤0�. . ._
Ownlar's Name_-
Owner's Address 3 7 /
Titleholder Phone Number
Fee Slmple-Tltleholder Name
Fee Slmple'TltlaholderAddreas
Job Address .
Subbivlslon d Parcel#
Bio-HazardWasteStorage-•ANNUAL • 0 Fumigation Tent
Comm Exhaust rcitchen Hoad/butt Hazardous Material(Tier 11 or R4 Facility)A}INUAL
Controlled Bum fl Hood Inatallatlon
Emergency Generator 30 kw fi LP/Natral Gas-Installation
LIII Emergency Generator P$0 kw LIII LP/Natural Gas-ANNUAL Sale
Fire Protection Maintenance-ANNUAL LIII Places of Assembly-ANNUAL
emr ��
Sprinkler 0 Q O ❑ IIIIII1Recreational bum .
Fire Alarm o ❑ ❑ F . J fi Sparklers .
Hood Cleaning ❑ D Sprinkler System Installations • V
Hood Suppression Q ❑ Q Standpipes(Sprinkler Sys)
OFire Alarm Installation Torch Ftoofingrrar Kettle .
Fire Pumps Waste Tire Storage ANNUAL
Fire Works ••
Flammable Application-ANNUAL '• Valuation of Project
0 ,Fuel Tanks
fi Other:
Contractor Company C
Signature Registered I N Fee Current Y/N
Address — License# .
ELECTRICIAN Company
Signature
Registered IYIN Fee Current I Y/N
Address [II License#
PLUMBER • Company
Signature I Registered [ 1 Fee Current I Y i
tLi
Address . . License#
MECHANICAL Company
Signature Registered .YIN I Fee Current Y/N
Address .Licensa# .
OTHER Company .
Signature Registered LY/NJ Fee Current I Y I N
Address License#
Directions:
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.(Meehanlcal work over$5000)
Supply two(2)sets of drawings with applicable documentation . S
Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http'leppraiser,pascogov.com)
FEB/20/2007/TUE 11 : 10 AM ZEPHYRHILLS BUILDING FAX No, 813-780-0021 P. 003
cfiar� _ ';ir utivn -, oa*fin =
4OTIQE;OF;DEED:RESTRICTIONS: The undersignedDnd nois-Ithat-this permit may be.-subject to-"dedd":rsstrictloT1 j s t�
4t_ hic}i'tmay'be more•restrictive'than County regulations:`7heuund rs red.assumes:responstbiltryfor:complian,celwlth n, { ar�i
'applicable deed restrictions. aG;eii�aT -
-J.- Y,11NC,lOENSED_CONTRACTORS jAND;CONTRACTOR----RF-SRONSIBILITIES.--'I--,If-the -owner has-hired'rawcontractort
:contractors to undertake work, they maybe required to be licensed-in-'accordance with state-and local-regulations. If-the..
• contractor is not licensed as required I.by law, both'the owner;and-'contractor may-.be cited for:a misdemeanor,violation. :. .. . .
under state law. If'the owner or intended•contractor care uncertain:as'to what licensing requirementsmay:applyfor:the'—
intended•work,'they are-advised-to contact the'Pasco County:Building:Inspection.Division—Licensing Secflonat 727-847
• :.8009. ::F.ur:thermore, .if the owner has hired:a contractor or contractors,the Is-.advised to have-the contractor(s) sign
portions of the °contractor Block" of this application-for which•the-y will be responsible. 'if you, as'the owner sign:as'.the
'econtractor,'that-maybe'an indication:that-he is'not-properly•licensed,and is not entitled-to:permitting-privileges in.'Pasco
-County.
CONSTRUCTION.LiEN-LAW-(Chapter7l3,'Fiorlda`Statutes,as emended): If-valuatlon-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.
CONTRACTOR'S/OWNER'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'tha:AGENT'FOR'THE OWNER,'I promise in good faith to inform the owner of'the permitting conditions setforth in
this affidavit prior-to-commencing construction. -1 understand'that a separate permit maybe 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.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 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'OWNERrURZ-'FAIWRE TO'R1=CORD'A"NOTICE'OF^GOM NCEMENT MAY=RESULT IN YOURPAYING TWICE FOR I VEME TO YOUR PROPERTY. IF YOU iN TO OBT N Fl CING, CONSULT
WITH YOUR L NDE . N N Y BEFORE RECORDING YOUR N E OF M NT.
FLORIDA JURAT(V.5.11 , . '
OWNER OR AGENT CONTRACTOR
Subscribed and swo to(or ed)before m Subscribed and s m to(or )before me this -
by Ny
Who is/are personally known to me or has/have produced Who Is/are personally known to me or has/have produced
as identificatlon- as idontlfication.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed;printed or stamped Name of Notary typed,printed or stamped -