Loading...
HomeMy WebLinkAbout09-9786 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9786 ANNUAL FIRE PROTECTION MAINTENANCE e 4 ° a : -,r: I'€ ‘. e3. Permit Number: 9786 Address: 7306 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: 35 25 - 0010 - 08800 - 0000 Improv. Cost: __ W _ t °# * Date Issued: 11/20/2009 Name: TOWNVIEW RETAIL LLC Total Fees: 25.00 Address: 725 CONSHOHOCKEN STATE RD Amount Paid: 25.00 BALA CYNWYD, PA 190042102 Date Paid: 11/20/2009 Phone: Work Desc: FPM- SPRINKLER QUARTERLY- TOWNVIEW RETAIL R•DAN I- -' _ , INC. - - = E 25.00 ":° # L xo.;�.. '.•. _,:_ "�. '.. t2 a0 ?�aa ,a,� s ,,7 a:. a `z K; , ;CEo',r. ,d ,a _...... TAM 6."44 FIRE AC 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." apPIP IOW 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 of ZephyrhiUs Fax - 813-780 -0021 it Permit Application . _ _ Date Received Phone Contact for Permit 1 (.a Zl J 135'7 l ,� {'FE 'T*w n.: -. a �� .. r , c-...v .., , -,t, W a: _ _ -'. - •-, c - - . r ::r«mn a�*t¢ , Owners Name t.b1(,leV-) <Fje5 t.-4. I Owners Phone Number ( 1 • Owner's Address ( us C...-VNie5L4Ol4OC b lam -5r, gb, Fee Simple Titleholder Name Titleholder Phone Number , Fee Simple Titleholder Address I I Pi Job Address ' ' O( , (9 PAtr> , u�tt Lot# Sub Division 1 OP Z C'l0 kt"ig- -thU.s Parcel # ZS • Z,1 to AymW 0006 El Bio- Hazard Waste Storage - ANNUAL ED Fumigation Tent n Comm Exhaust Kitchen Hood /Duct n Hazardous Material (Tier II or RQ Facility) ANNUAL Controlled Bum n Hood Installation LJ Emergency Generator < 30 kw n LP /Natural Gas - Installation n Emergency Generator> 30 kw n LP /Natural Gas - ANNUAL Sale (7 Fire Protection Maintenance - ANNUAL n Places of Assembly- ANNUAL � 71301 'semi' raj Uther Sprinkler E 4 ❑ ❑ n Recreational Bum Fire Alarm El ❑ ❑ ❑ I 1 n Sparklers Hood Cleaning 0 ❑ ❑ ❑ I I n Sprinkler System Installations Hood Suppression Ej ❑ ❑ ❑ I 1 n Standpipes (Sprinkler Sys) a Fire Alarm Installation = Torch Roofing/Tar Kettle Fire Pumps n Waste Tire Storage ANNUAL Fire Works Flammable Application- ANNUAL I 44 .7-..V. 00 ( Valuation of Project Fuel Tanks Q Other: I Aro or maw Contractor ' - f' R . bti►) Company AMAIN F12 5Ati 'KL7t l s . / I Signature r/ - Registered Y / N I Fee Current Y / N Address I IF License # S a 0L4,),rx711 41 1S CI. ELECTRICIAN Company I Signature Registered Y / N 1 Fee Current I Y / N Address I License # I { PLUMBER Company I Signature *. Registered Y/ N I Fee Current 1 Y / N I Address I I License # I I MECHANICAL Company I Signature Registered Y/ N I Fee Current I Y / N 1 Address I I License # OTHER Company I Signature Registered Y/ N 1 Fee Current I Y/ N 1 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 (http: / /appraiser.pascogov.com) NOTICE OF'DEEDRESTRICTIONS: The undersigned understands that this permit may be subject :to - "deed "restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for:compliantewith: any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: 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 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 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 e is not enfitled you, as privileges Pasco contractor, that may be an indication that he is not properly p Y County. CONSTRUCTION LIEN LAW (Chapter713, Florida Statutes, a s ame d e o ): If valuation of Construction Lien $2,500.00 or more, ' I certify that I, the applicant, have been provided with a copy 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. forth in tion affidavit prior to commencing c plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. set aside an y p i io be ns of the construe technical codes, nor shall issuance of a permit prevent the Building Official from thereafter set asde any provisions shall become invalid unless a correction of errors plans, violations of six months months of permit p s ermit ance, work authorized by unless the work authorized such p ermit An extension the permit is suspended or abandoned andoned for a period of six (6) months after the time the worWoms and will demonstrate may be requested, in writing, from the Building Official for a ppriod,not to exceed nin onsrdered abandoned. cause for the extension. If work ceases for ninety (90) consecutive d s RESULT WARNING TO OWNER: YOUR FAILURE TO RECORD NOTICE F YOU INTEND TO I F NANO NG CONSUL IN PAY TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR OMMENCEMENT. FLORIDA JURAT (F.S. 117.03) � = 111111111 CONTRACTOR OWNER OR AGENT S sc • d a swom t• or • - .) bef9 - me this Subscribed and sworn to (or affirmed) before me this b • G r • S - bY stare ersonall down to a or has /have produced Who is /are personally known to me or has /have produced .�J P ----- as identification. as identification. 4 ..r l O otary Public Notary Public 1 ` �� ' 4111 � Commission No. Commission No. < ,HERYL A. DUFFEL typed, printed or stamped Name of Notary typed, printed or sta.," EXPIRES: November 12, 2011 Name of Notary typ P ,rF,a° goaded Thu Budget Notary Services =