HomeMy WebLinkAbout08-8416 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 "8416
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 8416
Address: 7246 7422 GALL BLVD
Permit Type: FIRE PROTECTION MAINTENANC E ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENANC E Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number:
Improv. Cost:
Date Issued: 10/13/2008 Name: ZEPHYRHILLS RETAILS LLC
Total Fees: 100.00 Address: 7246 GALL BLVD
Amount Paid: 100.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/13/2008 Phone:
Work Desc: FPM- 4 RISER -QUARTERLY SPRINKLER- 7246 - 7422 GALL BLVD TOWNVIEW
RODAN FIRE SPRINKLERS, INC. FIRE PERMIT FEES 100.00
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 VITER
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 el t Fax-813-780-0021
Permit Application _._
Date Re fl Phone Contact for Permit
Owner's Name Owner's Phone Number II II
Owner's Address
Fee Simple Titleholder Name Titleholder Phone Number
Fee Simple Titleholder Address
Job Address -1 ZLI ti/- ILl j` Lot#
Sub Division Parcel# <' l-≤--ZI 0010 67Z4b
Bio-Hazard Waste Storage-ANNUAL Fumigation Tent 3S- 5 Z/ -OO1O
Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tier II or RQ Facility)ANNUAL 0 -O0I t
EJControlled Bum Hood Installation
Emergency Generator<30 kw [ ] LP/Natural Gas-Installation
Emergency Generator>30 kw LP/Natural Gas-ANNUAL Sale
Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL
r y emi ®n er
Sprinkler ❑ ❑ ® Recreational Bum
Fire Alarm ❑ ❑ O II a Sparklers
Hood Cleaning O O ❑ I a Sprinkler System Installations
Hood Suppression O ❑ O I a Standpipes(Sprinkler Sys)
Fire Alarm Installation Torch Roofing/Tar Kettle
Fire Pumps Waste Tire Storage ANNUAL
Fire Works
Flammable Application-ANNUAL I Valuation of Project
Fuel Tanks
Other:
Contractor Company
Signature Registered Y N Fee Current Y/N
Address License#
ELECTRICIAN Company
Signature Registered Y/N I Fee Current Y/N
Address License#
PLUMBER Company
Signature Registered Y/N I Fee Current I Y/N
Address - License#
MECHANICAL Company
Signature Registered Y/N I Fee Current I Y/N
Address I License#
OTHER Company
Signature Registered Y/N I Fee Current Y/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(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(httpJ/appraiser.pascogov.com)
which be more
RESTRICTIONS: The undersigned The undersigned assu es responsibility subject
for cmpl a'n eetwith any
which may be more restrictive than County
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has-hired :a-contractor or
contractors tb undertake work, they may lie required to be licensed in accordance with state apd local-regulations. If the
contractor is not licensed as required by law, both the owner and contractor maybe bited for a misdemeanor lviolation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply
the
7-
intended work,mtheyr are w to contact s edeacontractor asco County
orBuilding
contractors, heInspection
is advised to tcensing Section at have he contractor(s)sign
8009. Furthermore, if the owner hasl be responsile If as the
portions of the "contractor Block of tis on that he i isanton for which they ot'prope properly licensed tland is not entitled toypermittingeprivileges gn Pasco
contractor, that may be an Indicate
County. valuation of
CONSTRUCTION LIEN LAW (Chapter713, Florida Statutes,,as amended):
f de o): Ifa Construction n r Lien La,50k is 0.00 owner's
or more, I
certify that I, the applicant, have been provided with a copy is someone
Protection Guide" prepared by the Florida Department of Agriculture eabove described document Affairs.
and prompseantgood faith to
other than the"owner", I certify that I have obtained a copy of
deliver it to the"owner" prior to commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and
that all work will li done in comhereby iance madeoth obtal applicable laws in a permit to do work andregulating stallationconstruction, zoning as indicated. Icertify
lan
development. Application is h y and that all work will be
et and rord nofaalla regulatinggommenced prior to construction, Countysuance oa a permit
codes, zoning regulations,rfand land
meet standards of all laws
ovet regulations in the jurisdiction.
intended work, and that it is my responsibility to the
ide ratify twhat actions I
government agencies may apply
must take to be in compliance.
If I am the AGENT FOR THE OWNER, I promise
t good
rstan that a ired
faith
d inform
separate permit may be equpermitting
condit for ions
electr caf work,
this affidavit prior to commencing construction I understand
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application.
permit ta issued an shall io construed to e a codes, nor shalnse to e issuanceed with of a permit e work p event the not as hB ding Officority to ial from thereafter, cancel,
requiringset aside any provisions of the technical requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
, or if work auth orized by
unless the work authorized by such permit is commencedmonths after the time the work is commenced. An extension
the a
permit is suspended or abandoned for period of six(6) days and
maybe requested, in.writing, from. the Building cases0 ortal for a ninety(90)riod not consecutive days,the job i exceed ninety s considered abandoned.demonstrate
justifiable cause for the extension. If work
WARNING TO OWNER: YOUR FAILURE TO ECORD A YOUR PROPERTY. IE OF COMM EMENT MAY IF RESULT T
IF YOU INTEND TO OBTAIN FINANCING, CONSUL
PAYING TWICE FOR IMPROVEMENTS TO
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR E CO ENCEMENT.
FLORIDA JURAT(F.S.117.03
CONTRACTOR is
OWNER OR AGEN u e n sworn to r W
u scr' a an swo to(or rmed before me this �b
Y Who is/are ors me or has/have produced
Who is/art personally known to me or has/have produced as identification.
as identification.
Public
L�
£?t if Notary Public
� �1� 4'10 I
Commission No.
��.b M� Commission No.
Name of Notary typed,printed or stamped
Name of Notary typed,printed or stamped
1,RY P;8.c CAROLL(TRAY
roe ;:.e% CAROL L CaRAY * * MY COMMISSION 4 DD 410846
t EXPIRES:October 22,2009
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* * MY COMMISSION#00 470846 OFFLdt Bonded Ttsu Budget Noised Services
EXPIRES:October 22,2009
Bonded The Budget Notary Services