HomeMy WebLinkAbout09-9526 - CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9526
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 9526 Address: 76 GALL BLVD
Permit Type: FIRE PROTECTION MAINTENANCE 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:` gy 8 s
Date Issued: 9/09/2009 Name: SUPER WAL -MART
Total Fees: 25.00 Address: 7631 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/09/2009 Phone: (479)204 -1063
Work Desc: FPM - QUARTERLY HOOD CLEANING FOR WALMART #706 SCH FOR 9/9/09
•M. IA 'VI _ IN - -MI S E 25.00
11 °S-(2-
'LC 07
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IR A EPTAN E 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." �!
-i
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
FED /20 /2007 /TUE 11:10 AM ZEPHYRHILLS BUILDING FAX No. 813 P,002
'813:780 =0020 • City of.ZephyrhillSFirii,-0o?^ :Fax-813-780-0021 • • •:if ;
Permit Application -• -• adiic
Date Received • • P ho Contact for Permit
Ownsr'sName_ --- J , :f�r.— iPe 's'��4i •_ Owner's Phone Number 99 / 1 ` � 5/Z 306' ....._
Owner`s Address . /v 5, J 1 .0 S 1 / :f 7 J 2 y to
4r •
Fee Simple Name • . Titleholder Phone Number ( '
Fee Simple Address
� ... !w d .. - ....... _.. ..
Job Address . . . , i _ / /// �/ / _ �► ^__ Wm / Lot # _
Subblvlslon 1i Parcel
■
E Bio- Hazard Waste Storage - .ANNUAL •• • - ' • n Fumigation Tent ' • • ,
1 1 Comm Exhaust Kitchen Hood /Duct I I Hezardoue Material (Tier II or RQ Facility) ANNUA .
I ' Controlled Bum Hood Installation •
Emergency Generator c 30 kw LP /Natural Gas- insta I I 1Iatlon le
Ti 1]�
• 1 ' Emergency Generator ? 30 kw LP /Natural Gas - ANNUAL Sale I
Piro Protection Maintenance - ANNUAL ' " I. 1 - Places of Assembly-ANNUAL •
. 177171 LSamI I IAN I tithe Sprinkler ' • 1 Q I7 ❑ Recreational Bum .
Sparklers .
Fine Alarm • El ❑ O ❑ . ... I . I- I P ' •
• Hood Cleaning it ❑ - ❑ I I I • - I Sprinkler System Installa -
. •• - Hood Suppression I • 0 r] i0 I • I I I Standpipes (Sprinkler Sys)
' • I 1 Fire Alarm Installation . I I Torch Roofingffar Kettle . .
Fire Pumpa • 7 Waste Tire Storage ANNUAL
Fire Works ' • ' • . • •
Flammable Application ANNUAL . 1 I Valuation of Protect • • -
•
•
1 .Fuel Tanks . . . •
.. I
Other:
i
Contractor • . Company _. -1
Signature Registered Y/ N 1 Fee Currant I Y/ N I •
•
Address I" • .. . . . . ....1 _ License #- .I. 1 .
ELECTRICIAN • Company 7
signature - Registered Y I N I Fag Current -I Y/ N I •
Address I —1' License # ( I
PLUMBER . . • . . . Company
1
Signature Registered Y/ N I Fee Current I Y / N
Address I _ • I License # •
MECHANICAL Company 1
Signature Registered . Y / N I Fee Current Y/ N 1
Address I 1 1. .
-License # . I .
• •
OTHER . • company I
•
Signature Registered Y / N • I Fee Current .I Y / N
Address Llcenee #
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 .(Mechanlcal 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: / /eppraiser.pascogov.com)
•
FEB /20 /2007 /TUE 11:10 AM ZEPHYRHILLS BUILDING AY, No, 813 P, 00
oatios. - -_ :. ;, c0oa a *!iri =
'" 4N 'QTibE;HO'F;DEEDRSTRICTIONS: The. underslgned=und nOisathat-this permit maybe : subject to "deed;:restrictiotl s.trj
iwfiiiCh'ernay'be more restrictive than County regulations- gun_-ie . , • . ,assumes_responsibllit fior com iar�e •wlfh n r
.applicable-deed restrictions. ae�cii ^T_ - -.. !'
- 7 111N1:iC•ENSED rCONTRACT.ORS 'AND zCONTRACTOR "=RESRONSIBILITIES:= ',lfthe - owner has hired'ra- contractor.t - �" :` '
.contractors to undertake work, maybe required:to be licensed in accordance with state. and local if -the_
contractor is not licensed as required .by law, 'both owner and .contractor may..be cited for :a - 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•advlsed contact the Pasco County :Building;lnspection •Division— Licensing Sectlon.at 727 -847-
13000. :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 whiclytheY will be responsible. If you, as•the owner.slgn :as .the
contractor. that may be ar indication:that he is not:properly licensed..and is not_ entitled - to :permitting .privileges in Rasca • ,
-County.
CONSTRUCTION -LIEN -LAW (Chapter 1 i3, 'Florlda`Statutes,:as:amended): If valuatlon.of work is more,:1 .
certify •that 1, the applicant, have been provided with a copy ..0 "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 l have obtained: a copy of.the -above described document end promise in good
deliver It to the "owner" prior:to commencement.
•
CONTRACTOR''SIOWNER'S :AFFIDAVIT: •1 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. 1 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. 1 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 1
'must take'to be in compliance.
if 1 am•the .AGENT FOR'THE OWNER, .1 promise in good faith to inform the owner of•the permitting conditions set in
this affidavit prlor'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 codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors In plans, construction or v iolations of any codes. Every permffissued 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 'OWNER: •YOUR" FAILURETO 'RECORD'A'NOTICE'OPCOMM 'CEMENT; . ESULT -IN YOUR
PAYING TWICE FOR IM: " OVEM TS TO YOUR PROPERTY. IF YOU INTE J 0 OBT y A ; NG, CONSULT
WITH Y• UR L NDE' • -. ' N ■ i� - YBEFORE RECORDING YOUR N • d OF 0 C NT.
FLORIDA JURAT (F.S.11 ! f'' OWNER OR AGENT /� ; CONTRACTOR d and swo ' . = ' ed) before m9 this
Subscribed and swo t for : r =d) before me this Subscribed b
by y
Who is /are persona ly k .' to me or haslhave produced Who Is /are personally Known to me or has/ dent a produced cao .
as identification_
Notary Public
• Notary Public • Commiesion No; , Commission No
'Name of Notary typed; printed or stamped Name of Notary typed, printed or stamped . .