HomeMy WebLinkAbout09-9999 • CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9999
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 9999 Address: 7320 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:
Improv. Cost:
Date Issued: 1/15/2010 Name: TOWNVIEW RETAIL LLC
Total Fees: 25.00 Address: 725 CONSHOHOCKEN STATE RD
Amount Paid: 25.00 BALA CYNWYD PA 190042102
Date Paid: 1/15/2010 Phone: (610)667 -5800
Work Desc: FPM- ANNUAL SPRINKLER - PUBLIX #0390 -SCH 1/18/10
WI IN •NFRE -- = ,IN . F- P -M 25.00
0
,,„
.. 1. ;;.,.,, r,: 4,4111; ..,._
FIRE A C - AN 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." Or
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
•
MAR/28/2007 /WED 07:20 AM ZEPHYAHILLS BUILDING FAX No. 813 1 G F. 001
81 ..-780-00.._ City of.Zephyrhill6'Pir, / • Fax-813-780-0021 !;
Permit Application ��� �L��ry A - --
�
Date Received 'Phone Contact for Permit +U J � T F F eral GS+X &A 'Lb 1
, f .�,
..��_ - Tom.,...,.•:.. ...
-. .. ... -� 1 • owners Phone Number 1 I I
Owners Name �(�� \):!& ��- �+i 1 . •
Owner's Address . r13 0 - _ ■ ' 1 RA . r L _, -
• Fee Simple Titleholder Name I Titleholder Phone Number
Fee Simple Titleholder Address 1
Job Address „ r : \ a iJ _ 1 L Lot #
Sub Division Parcel # �..
•
FT Blo-Hazard Waste Storage
ANNUAL Fumigation Tent
I I Comm Exhaust Kitchen Hood /Duct . J] ' Hazardous Material (Tier 0 or RQ Facility) ANNUAL .
in Controlled Bum n Hood Installation
I • • I Emergency Generator < 30 kw n LP /Natural Gas- Inataltatlon
Emergency Generator 5 30 Iav 1 r'INatural Gas- ANNUAL Sale
Fire Protection Maintenance = ANNUAL . 1 Places of Assembly- ANNUAL
. ry Ibemil rt f I Omar CJ ' -:
Sprinkler U Q ❑ t� I Recreational Bum . .
Fire Alarm ❑ Q ❑ 1 1 S x a 3 -R
Hood Cleaning 1 1 of ' ❑ 0 1 1 n Sprinkler System Installations 1�CJ
Hood Suppression ( 1 J ❑ ❑ I . • 1 . 1 1 Standpipes (Sprinkler Sys) 1 \ 1 \ 1 l„> j
' 1 Fire Alarm Installation Torch Roofing far Kettle
Fire Pumps . - Waste Tire Storage ANNUAL • I' , (( Sr r
�'
`�j' �
Fire Works • tttt '
Flammable Application- ANNUAL • .1 • Valuation of Project
Fuel Tanks
Other
Contractor Company . a I► tR 11 It r as
Registered rf ' Fee Current WEE
Signature -4/Pt,d7 • • - �ry
Address movent. .. • �.' r MA'l /i i I 0 - icense # 1911- G-� 1 _
ELECTRICIAN Company
Signature Registered - YIN . [ Fee Current, I Y / N (
Address L , License . 4 J
PLUMBER Company I
Signature Registered Y / N 1 Fee Current Y / N [
Address r 1 License # •1 1
MECHANICAL Company 1
Signature • Registered Y / N 1 Fae Current [ Y•/ N 1
Address [ J • License # [ 1
OTHER Company , Mimi • - _ 1 1 -
•
Signature ,. � • I� ra Registered • ` ��mi Fee Current �
Addres 1%1��17s' �r •'l► y� A� rN ,.. , License* ..., .. `ifi�r �6 y�
A� ....
,,..� ..... ;, ".. rv�. r.:+rc•. - �_- ,:,, -.,r,a -rro xcc.,., -., ..., r.: -.�:. ,... ,.w , ..,.
Direction. . b
Fill out application completely.
Owner 8 Contractor sign baok of application, notarized (Or, copy of signed contract with owner) . •
If over $2500. a Notice of Commencement is required. (Mechanical work over $6000)
Supply two (2) sets of drawings with applicable documentation .
Allow 10 -14 days for review after submittal date. Parcel 4 - obtained from Property Tax Notice (http : / /appreiser.pascogov.com)
•
MAR /2R /2007 /WED 07:20 AM ZEPHYAHILLS BUILDING FAX No. 813 - 780 - 0021 P. 002
NOTICE OF:DEED RESTRICTIONS: The.underslgned understands -that this permit may - be• subJecttto - "dee-d"Erestrlctlons"
which may be more restrictive than County - regulations. The responsibility:for:compliarane +with any . .
.applicable deed restrictions.
'UNLICENSED CONTRACTORS AND •CONTRACTOR...RESPONSIBIL1TIES: If the owner has 'hired::a . or -
contractors to undertake work, they may be required to be licensed in accordance with state and Iocal If the
contractor is not licensed as required by law, both the owner end .contractor may be cited .a 'misdemeanor violation
.under state law. Ifthe 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 Which will be responsible. If you, at .the owner sign as the
contractor, that may be an indication 'that he is not properly licensed and Is not entitied•to'permitting .privileges in Pasco
County.
CONSTRUCTION LIEN LAW (Chapter 7 13, Florida Statutes,.as.amended): if valuation 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 ail 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 all work will be performed to
meet standards of all laws regulating construction, Cpunty and City codes, .zoning regulations, and land
development regulations in the jurisdiction. l 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 l
must taketo be In compliance.
if I am the AGENT FOR - THE OWNER, 1 promise In good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. 1 understand that a separate permit may be 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 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 abandoned.
'WARNING TO OWNER: YOUR FAILURE TO RECORD A 'NOTICE OF .COMMENCEMENT MAY "RESULT IN 'YOUR '
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH • UR LE • ER O' . N ATT'• RN : EFORE RECO" a ING YOUR NO ICE OF COMMENCEMENT.
FLORIDA JURAT (F.S . S OWNER OR AGENT. r< CONTRACTOR ,Bf a this
S bed and sworn to (or affirmed) before me is S s bed and sw (or aftl
Y_ 0 by � C AlIt,s } . A t
ho Is! re personally kngWO to me or haslhave produced W o I are personallly j kngwn to me or has/have produced
�JIA as identification. ! • as identification.
Notary
Public / - Notary Public
4, ' , --
Commission No. f/ t v`-'rt° Commission No.
1
1 Il: ? i +Z1 V C .
Name of Notary typed; printed or stamped Name of Notary typed, printed or stamped
•
�1 M ITZI VANCE
6 �E1
4001•141, , M ITZI Y ,ANCE � COMMISSION s NNgt3oeo
r COH P S IRES 09 >< 9 211360 .EXPIRE; OCT 09 2013
"Mile EXPEXPIRES O9 2013 BON= nfAOEx
I rl 1146tJAANCE OOANMI M ........ ,
1.
•
O
0
N
an
O =
en v O �ei
. H ^ - -
•
m O
M
b {L V
76 . __ Hul less .Tax _....... -.-.. *PAID* 0
J9 eeliiliw Hillsborough County Tax Co
;ch --: ,$0357 012 . snyder
an% : R . Receipt 017202, c0
-t: 0193 7%:," Pay Code: 4106 •0
- i0 /20:ISe E R24 - 2010 $72.00 e
algber 311 Florida Statutes, requires o
e eDar pmt to. collect social h
_its 'numbers for the issuance of
Ineyy Tax receipts.
:1 pus lax . $
.Check Tendered: . 472. 1
0 la
o
0
0
n 1- a m • N . 74 4
c V W
7 a >
co 4 d
0 w X
O cfj c
•
re w so
p 0
cu
to n3 I Z R w E IL
IZ 0
m.
z O b o a - a
tli 47) o CZ o s'r
C z a: Z 6
u , � o . Vw 11 C � ws oW . sl
z I m a Zmd
0 b
1 • N ^LIJ S
z ate
x f'• 1. s
N s
t 0 c0
t y Z ` n
•
N to g C v C7)
N I
1.
Wi inton
FAX �J Fire Systems
5 912 -D Breckenridge Pkwy • Tampa • FL • 33610
Phone: (813) 623 -2333 • Fax: (813) 620 -0333
To: City of ZephyrhilIs Building Dept From: Mitzi Vance
Attn: Jackie Re: Occupational license
Fax: (813) 780 -0021 Pages: 2
Date: 1/15/2010
Urgent [] Please Reply �J For Review {X]
Comments:
Please see the following as requested.
Thank You,
Mitzi
Phone: (813) 623 -2333 ext 201
Fax: (813) 620 -0333
Email: mlv@wiginton.net
C16 •
5912 Breckenridge Pkwy.
Suite
Tampa, FL 33610
W'g,n (813) 623 -2333
F IRE SYSTEMS Fax (813) 620 -0333
www.wigintonfiresystems.net