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Home My WebLink About09-8878 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8878 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 8878 Address: 7631 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: 34-25-21-0110-00000-0010 Improv. Cost: r �''. s ��y Date Issued: 3/05/2009 Name: SUPER WAL-MART Total Fees: 25.00 Address: 7631 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 3/05/2009 Phone: (479)204-1063 Work Desc: FPM-HOOD CLEAN QUARTERLY WALMART-SCH 3/11/09 a COMMERICIAL SERVICES INC FIRE PERMIT FEES 25.00 � kE ilF oe. x.< r 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 FEB/20/2007/TUE 11 : 10 AM ZEPHYPHILLS BUILDING FAX No, 813-780-0021 P. 002 813 780 0020 City of.ZephyrhiI115FirZ00z,., Fax-81 3-780 0021 Permit Application -•-• 3 "= _`• --• Ptiorie Contact for permit _ .Date Received owner's Phone Number iI !v �a O . --- Owner's Name----�- — Owner's Address. $7J / 5 U — 32-2 y to Titleholder Phone Number Fee 6mple7ltieholder Name Fee SimplemtloholderAddreas all Job Address Subblvlslon CY p Parcel# pHio-Hazard Waste Storage.ANNUAL a FumlgationTent Comm Exhaust Kitchen Hood/Duct Hazardous Material(Ter II or RQ Facllily)ANNUAL Controlled Bum Hood Installaflon ' Emergency Generator' 30 kw [ J LP/Natural Gas-tnstallaticn Emergency Generator>;30 kw LP/H tural Gas ANNUAL Sale Pine Protectioh Maintenance-ANNUAL •' �'"� Places of Assembly-ANNUAL_ ELI L emr A�Tn I I' _I Sprinkler Q ❑ O RecreaEional Bum . • Fire Alarm • O ❑' O ' .0 Sparklers Hood Cleaning 0• ❑ ❑ Sprinkler System installations • Hood Suppression ❑ ❑ .IJ [ El Standpipes(Sprinkler Sys) Fire Alarm Inetaliation E] Torch Roofing/Tar Kettle . • Fire Pumps Waste'tlre Storage ANNUAL•Fire Works Flammable Application-ANNUAL VafUatloll of Project LIII Fuel Tanks ' Other: Contractor Company Signature L Registered /N I Fee Current Y/N Address • III1 _ License# ' ELECTRICIAN Company Signature Registered Y/N Fee Current • Y/N Li Address license# PLUMBER • ' • Company Signature Registered YIN Fee Current Y/N Address License# I ' MECHANICAL Company Signature Registered .Y/N Fee Current '('I N Address .License#. OTHER '. Company . Signature Registered Y/N ' Fee Current Y 1 N Address License# Directions: Fill out application completely. Owner&Contractor sign back of application,notarized(Or,copy of signed contraot with owner) if over$2500,a Notice of Commencement Is required.(Mechanical work over$5000) Supply two(2)seta of drawings with applicable documentation Allow 10-14 days for review after submittal dale. Parcel#-obtained from Property Tax Notice(htipJ/approiser,pascogov.com) FEB/20/2007/TUE 11 : 10 AM ZEPHYRHILLS BUILDING FAX o, 813-780-0021 P, 003 _ talOTICEOF:DEED RESTRICTIONS: -The undersigned`und n s.�that this permit maybe rsubject,to-"deed ":�:estrictlorl � try iwhichYr11 y-bemore-restrictive'than County regulations assumes:responsibllity1for compliartcelwlth n gar�i 'appllcable'deed restrictions. ' ac;ciiedT_ - ,j)NC,IC,ENSI=D ,CONTRACTORS jAND;CONTRACTOR--RESBONSIBILLITIE'S: -;If'the -owner has-hired-rawcontractor. .-t' .: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 maybe cited'for:a-misdemeanor violation. i -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:BuildingsinspeotionDivision—Licensing Sectlon:at727-847 :.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 applleation.for.which•they will be responsible. 'If you, as,the owner'.slgn:as'.the - contractor,'that-may bean indication:that he'is'not:properly'licensed,and is not entitled-to:permitfing.privileges in-'Pasco -County. CONSTRUCTION-LIEN.LAW-(Chapter713,'Florida'Statutes,�s:amended): If-valuation.of work is $2,500.O0 or-more, 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 Af₹airs. 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 in this application'ls 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. . I am'theAGENT'FOR'THE OWNER,'I promise If in good faith to inform the owner of-the permitting conditions setforth in this affidavit prior-to-comm6noing construction. 'I understand'that a separate permit may 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.authorrty to violate, cancel, after, 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 abandongd. "WARNING To-OWNER: - OUR"FAIL'URE TO"RECORD'A'NOTICE'OF-COMMENCEMENT MAYr: ULT=IN'YOUR PAYING TWICE FOR I PP O E TO YOUR PROPERTY. IF YOU INTEN O OBTAIN AN ING, CONSULT WITH Y UR L NDE N Y'BEFORE RECORDING YOUR NOT OF OMM CE NT. FLORIDA JURAT(F.S.11 OWNI=R OR AGEN7 CONTRACTOR Subscribed and sworn r affi e e Is • Subscribed and sworn (or aflirme befor me this ' by by Who is/are personally known to me or has/have produced Who Is/are personally known to me or has/have produced as identification_ 'as identification- Notary Public Notary Public Commission No. Commission No. Name of Notary typed;printed or stamped Name of Notary typed,printed or stamped • Commercial Services, Inc. NATTIONWIDE EXHAUST SYSTEM CLEANING&FIRE PRE ON SERVICES 2465 ST JOHNS BLUFF ROAD JACKSONVILLE FLORIDA 32246 PHONE: 1-800-359-7083 Send to: The City of Zephyrhills From: Mary Alkhoury Attention: Ms. Jackie in Building Dept Phone Number: 800-359- 083 ext. 111 Phone Number: 1-813-780-0020 x 3513 Fax Number 866-847-32 3 Fax Number: 1-813-780-0021 Number of Pages, Includi g Cover: 2 O URGENT O REPLY ASAP C)PLEASE COMMENT C)PLEASE REVIEW 1I FOR YOUR INFORMATION D e: March 5, 2009 Good morning Ms. Jackie, See the attached document you requested. Please.give me a call to et me know when everything is good to go and updated so our crews are able to perfo hood cleaning services. If there are any questions, please don't hesitate to contact e. Thank you and have a great day, May Alkb0ury Service Coordinator Commercial Services: KEC Division P: 1800-359-7083 ext. 111 F: 1866-847-3273 Monday—Friday 8:00AM—5:00PM Email: MAlkhourv(commercialservices.com • DnTE Xrn CERTIFICATE OF LIABILITY INSURANC 03105/2009 PRODUCER Serial#148691 THIS CERTIFICATE 15 ISSUED AS 4 IATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS ON THE CERTIFICATE CONDON MEEK HOLDER. THIS CERTIFICATE DOE NOT AMEND,EXTEND OR 1211 COURT STREET ALTER THE COVERAGE AFFORDE BY THE POLICIES BELOW. CLEARWATER FL 33768 INSURERS AFFORDING COVERAa NAIL# INSURED INSURER A: FRANK WINSTON .RUM INSURANCE.INC. INSURER B. FrankCrum 1-800-277-1620 INSURER C: 100 S MISSOURI AVENUE INsun ERD: CLEARWATER FL 33756 INSURER I- THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY ERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OP ANY CONTRACT OF OTHER DOCUMENT WITH RESPECT TO WHICH THIS ERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,B LUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INDR A00'L TYPE OFINSURANCE POUCYNUMBER P0UCYEFiCYIVR POEJGYEXrNATION UNITS LTR INSRD DATE MM/DD DATE MMIDO CENERALUABIUTY kCHOCCURRENCE 1 COMMERCIAL O®JERAI.UABLITY RE DAMAGE M ono No S CLAIMS MADE OCCUR D EXP eaa S ROONAL A ADV UUJRY Z ERN.ADD TE E ORMADQREGM'EUMITAPPUEBPERlf§ROOVCTS-COIAPIOPAGO S POLICY PROTECT ElLDC AUTOMOBILE UABNJTY MEINSO SINGLE UNIT S ANYAVTO ( a I ALLOWNED AVTOS LY INJURY S ULED AUTOS oeleenl HIRED AUTOG ILY INJURY S NON 0VYNIE AUTOS reWdeeO DAMAGE S S ncddeIIO GARAGE L.IAGIUIY A ONLY-EAACCp5NT S ANY AUTO R THAN EA CC$ A ONLY: AGO S EXCESS I UMBRELLA LIABILITY H OCCURRENCE S OCCUR Mamma MADE A GREGATE B S DEDUCTIBLE S RETENTION S S . VIOIBLEae COMPt NIATION AND AC STATU. A EMPLOYERS'UABLITY WC 900000000 Co00 0000 01/01/2009 01101/2010 TORY LIMITS OT►IeR ANY PROPRIETOR/PARTNER/EXECUTIVE Or•F10ER/MEMBER EXODUDEOT EACH ACCIDENT 1 000 000 gym.deedme wldae DIAL PROVIMOMB ANew 1OWL"g-POUCYUMIT DISEASE•EA W $ 1 000 000 S 1,000.000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLF81 EXCLUSIONS ADDER BY ENDORSEMENT/SPECIAL PROVISIONS EFFECTIVE 09/3012002,COVERAGE IS FOR 100%OF THE EMPLOYEES OF FRANKCRUM LEASE TO COMMERCIAL KITCHEN EXHAUST CLEANING,INC(CLIENT)FOR WHOM THE CLIENT IS REPORTING HOURS TO FRANK RUM. COVERAGE IS NOT EXTENDED TO STATUTORY EMPLOYEES. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED PCJCfAE BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL WDWILLNDEAVOR TO MAIL 50 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO TS&LEFT,BUT FAILURE TO DO SHALL IMPOSE CITY OF ZEPHYRHILLS NO OBLIGATION OR LIABILITY OF ANY IOND ON THE INSURER,ITS AGENTS OR BUILDING DEPARTMENT REPRESENTATNES, 5335 8TH STREET AUTHORIZER REPRESENTATIVE ZEPHYRHILLS,FL 33542 /fir , COMMERCIAL SERVICES,INC. 14 5 29 Payee: ZEPHYRHILLS 03/02/09 ''*******25.00 PERMIT FEE 1 I I O°l