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HomeMy WebLinkAbout09-8914 CITY OF ZEPHYRHILLS 5335 - 8TH STREET • (813) 780 -0020 8914 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 8914 Address: 7631 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: Date Issued: 3/12/2009 Name: SUPER WAL -MART Total Fees: 25.00 Address: 7631 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 3/12/2009 Phone: (479)204 -1063 Work Desc: SPRINKLER QUARTERLY - WALMART- 3/13/09 _ INTERNATIONAL FIRE PROTECTION IN FIRE PERMIT FEES 25.00 C ( fr)— 9 0 a 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." 0! P IT 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 81F-780-0020 City of.ZephyrhillsFire• Fax - 1313-780 -0021 Permit Application Date Received Phone Contact for Permit Owners Name tJA L l44fr /7 4.9 ?0 C, �, `, Owners Phone Number Owner's Address �74, 31 64-0- /J L v'© le- 1r( "Y 7 (J /( Fee Simple Titleholder Name Titleholder Phone Number Fee Simple Titleholder Address 2$36iFi ThiNtrZ iika & * m Y ,w LOt# Job Address Sub Division Parcel # r Bio-Hazard Waste Storage - ANNUAL Fumigation Tent n Comm Exhaust Kitchen Hood /Duct 1 1 Hazardous Material (Tier II or RQ Facility) ANNUAL I I - Controlled Burn 1 1 Hood Installation 1 - 1 Emergency Generator < 30 kw 7 LP /Natural Gas - Installation Emergency Generator> 30 kw I I LP /Natural Gas - ANNUAL Sale Fire Protection Maintenance - ANNUAL 1 Places of Assembly- ANNUAL Lltrly ) Semi I FUT 1 I Uther 1 Sprinkler ❑ ❑ 1 Recreational Bum Fire Alarm ❑` ❑ ❑ I 1 1 1 Sparklers Hood Cleaning n ❑ ❑ ❑ 1 1 1 I Sprinkler System installations Hood Suppression f 1 ❑ ❑ ❑ I 1 1 1 Standpipes (Sprinkler Sys) 1 Fire Alarm Installation 1' 1 Torch Roofing/Tar Kettle Fire Pumps FT Waste Tire Storage ANNUAL El Fire Works Flammable Application- ANNUAL of Project Fuel Tanks 1-1 Other: 1 Contractor , Company . Signature Registered Y / N Fee Current I Y / N j Address 1 1 License # I ELECTRICIAN Company Signature Registered Y / N Fee Current I Y / N Address I License # PLUMBER Company Signature Registered Y / N j Fee Current Y / N Address License # 1 I MECHANICAL Company Signature Registered Y / N _ Fee Current I Y / N Address License # 1 OTHER Company Signature Registered Y / N Fee Current I Y / N I Address 1 License # M . .._ _._.;... - " '-" = ."rc't . '''' -' . , .A - _ _ _ _ y . ... -- - -. . rv. '.--- -.. 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 (httpilappraiser.pascogov.com) OTICE ;OF :DEED RESTRICTIONS: The undersigned understands that a perpermit re ay.be ru c t t ' rrce vetc any which may be more restrictive than County regulations. The•.un 9 .applicable deed restrictions. required - to be licensed in accordance with state and local a .olathe under state law. If UNLICENSED 'CONTRACTORS AND `CONTRACTOR RESPONSIBILITIES: If the owner has -hired - contrac or or - contractors s o undertake work, they may be q I for the contractor is • not licensed as required by taw, both the owner .and contractor may be cited � or Pasco County Building Inspection Division— Licensinthe contractor(s) 84g the owner or intended contractor are uncertain .as to what licensing requirements may :app 8 009. a F ur th er they are the ow owner contact th he is advised to have application - for which - they will be responsible. If you, as - the owner •sign as the p orts Furthermore, if the owner has hired .a contractor w or contractors, eY wi privileges si t as th e portions r, the "contractor ay be Block" of this contractor, that may be an indication that he is not properly licensed and is not entitled o work is $2;500.00 or more, County. ; If valuation CONSTRUCTION LIEN LAW (ChapterTl3, Florida Statutes, as: amended): provided with a copy of the 'Florida Construction Lien Law—Homeowner's applicant, have been p omeo w_H is someone certify that 1, the app the Florida Department of Agriculture and Consumer Affairs. If the app other th an t Guide" prepared by of the above described document and promise in good faith to other than the "owner", I certify that I have obtained a copy deliver it'.to the " ow prior to commence that all the information in this application is accurate and CONTRACTOR'S/OWNER'S - AFFIDAVIT: I certify and land applicable laws regulating construction, zoning and land that all work will Application done in compliance is hereby y ade to with a made to do work and installation as indicated. I certify that development. work o in coon and City codes, .zoning regulations, an that no work or installation has commenced prior to issuance of a permit and all work will be de s o af other meet standards of all laws regulating cons County that 1 understand that the regulation development regulations in the jurisdiction. I also certify 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. the A GENT FORTHE OWNER, I promise in goosof nd that aoseparat permit may be permitting required for conditions electrical work, this i of construction. I undo lication. A this affidavit prior to commencing as, or other installations not specifically included in the app Y plumbing, e i is wins, wells, pools, air conditioning, be a license 9 issued be construed to be a license to proceed sua a permitdprevent the ding i Officeal from thereafter invalid permit iss er i ng shall become r e q aside any provisions r the in pla s codes, nor or is requiring a correction of errors in plans, construction or violations of any codes. Every p ark authorized by such permit is commenced within six a o the of p ssu commenced. uthorized iby unless the w (90) days and will demo may permit is suspended ed, in or abandoned for a perio of for period not to exceed ninety ( S a ) may be',i•equssted, in writing, from the Building 90 consecutive days, the job is considered abandoned. justifiable cause for the extension. If work ceases for ninety (90) MAT RESULT IN YOUR P 'WARNING IG I OWNER: YOUR FAILU TO YOUR RECORD A 'NOTICE NOTICE OF COMMENC PAYING TWICE FOR IMPROVEMENTS 70 YOUR PROPERTYNG IF YOU YOUR INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORD FLORIDkJURAT (F.S. 117.03) Cp�RACTOR OWNER OR AGSM Subscribed and sworn to (or affirmed) before me this Subscribed and sworn to (or affirmed) before me th b b Who is/are " personally known to me or has /have produced Who i" ersonally known to m ar identificationro as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped