HomeMy WebLinkAbout09-8919 CITY OF ZEPHYRHILLS
5335 - 8T1-I STREET
(813) 780 -0020 8919
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 8919 Address: 7320 GALL BLVD
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE - PROTECTION MAINTENAN •E Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number:
Improv. Cost: , t
Date Issued: 3/16/2009 Name: TOWNVIEW RETAIL LLC
Total Fees: 50.00 Address: 725 CONSHOHOCKEN STATE RD
Amount Paid: 50.00 BALA CYNWYD PA 190042102
Date Paid: 3/16/2009 Phone: (610)667 -5800
Work Desc: FPM - SPRINKLER QUARTERLY /SUPPRESSION SEMI- PUBLIX -SCH 3/18/09
WIGINTON FIRE SPRINKLERS, INC. FIRE PERMIT FEES 50
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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."
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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
MA %/28 /2007 /WED 07:20 AM ZEPHYAHILLS BUILDING FAX 1o. 813 -780 -0021 0' P. 001
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813-780 -0020 City of.Zaphyrhilis'Firie= Fax -813- 780 -0021 .I;
Permit Application �i(r . _
Date Received .. _ Phone Confect r Permit.. _ . M ,,.,,, s J�� 201
Owner's Name „ • - j 1 • Owner's Phone Number _1 I I I
Owners Address '132D &ii k \ " 61 q t = .1L1 ' i 1 t _ ._
Fee Simple TlUehoider Name . ' TUeholder Phone Number _
Fee Simple Titleholder Address I --,
Job Address 1 mt) dL f s \v ..
� Lot#
Sub Division Parcel # 1 1
FT Blo-Hazard Waste Storage - ANNUAL n Fumigation Tent .
•
n Comm Exhaust Kitchen Hood /Duct : FT • Hazardous Material (Tier 11 or RQ Faculty) ANNUAL
•
n Controlled Bum I I Hood installation
• I Emergency Generator < 30 kw 1 LP /Naturl Gas - installation '
• I ' 1 •Emergency Generator> 30 kw 1 LP/Natural Gas - ANNUAL Sale
I I Fire Protection Maintenance - ANNUAL . F Places of Assembly-ANNUAL 1—(15P82:4-.
!semi 1,, / !semi I Vtner
K \„ _ J 1C(�1 1lac
Sprinkler (� ❑ ❑ 7 Recreational Bum . j � 1 L �
Fre Alarm fl . ❑ 0 ❑ I 1 Ti spar k lers : CJlI� ( N
Hood Cleaning 0 . ❑ 01 I 1 1 Sprinkler System Installations
Hood Suppression 13 tii( ❑ I. 1 7 Standpipes (Sprinkler Sys)
•
I-1 Fire Alain lnatallation I I Torch Roofing/Tar Kettle . .
Fire Pumps Waste Tire Storage ANNUAL
Fire Werke
Flammable Application- ANNUAL .I • Valuation of Project
Fuel Tanks
Q • Other: 1
contractor • • • Company I
Signature . . _ Registered Y / N 1 Fee Current 1 • Y / N 1
Address 1 _ ._ License # I 1
•
ELECTRICIAN Company .
Signature . . Registered - Y / N •• 1 Fee Current. { 1 Y / N 1
Address I License .# 1
•
PLUMBER — • Company I
Signature Li Registered Y / N 1 Fee Current 1 Y/ N 1
Address Llcenee •I
MECHANICAL Company 1
Signature Registered Y / N 1 Fee Current 1 Y/ N 1
Address I _I • License # ( . 1
OTHER Company Li i - = �;
Signature `� Registered • ram' Fee Current ��
Address F 11z , a q�: 'i G r.. 2��'jy�'py . License # k�r:?� :1
a ,., .. ,, +:, rr..r,..••r+ :,:r.�•. .,�..,,._..r x- z ,v: ,,. .r_r..+ i:. ic: .,, .... .._, y..,,.,a..«.+ame ^ n;•a:..w,ns r r4'' .... ., •. r.•_...
Directions:
Fill out application Completely.
Owner & Contractor sign bank of application, notarized (Or. copy of signed contract with owner) .
If over $2500. a Notice of Commencement is required.(Machenical work over $6000)
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: / /appreiser_pascogov_com)
•
MAR /28 /2007/WED 07:20 AM ZEPHYAHILLS BUILDING FAX No. 813 - 780 - 0021 P. 002
NOTICE OF :DEED RESTRICTIONS: The .undersigned understands -that this permit may .be'subjectao "deed "Irestrictians" •
which may be more restrictive than County 'The responsibility'for:compiianne =with any . .
.applicable deed restrlotions.
•UNLICENSED 'CONTRACTORS .AND - CONTRACTOR..RESPONSIBiLITIES: If the owner has 'hired or • -
contractors lo undertake work, they may be required to be licensed in accordance with state and local If the
contractor Is not licensed as required by law, both the owner end - contractor may be cited'for .a misdemeanor violation
.under state law. If owner or intended contractor are uncertain -as'to what licensing 'requirements may :apply for the
intended work, they are advised to contact the-Paseo County Building inspection Division — Licensing Section.at 727 -847-
8009. Furthermore, if the owner has hired .2 contractor or contractors, he is advised to have the contractor(s) sign •
portions of the "contractor Block" of this application for Which they will be responsible. If you, as - the owner 'sign as the
contractor, that may be an indication 'that he is not properly licensed and Is not entitled 'permitting .privileges in Pasco
County.
CONSTRUCTION LIEN LAW (Chapter 713, - Florida Statutes,.as.amended): If valuation of work is $2;500.00 or more, I
certify that 1, the applicant, have been provided with a copy of the "Florida. Construction .Lien. Law—Homeowner's
Protection Guide" prepared by 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: l certify that all the information In thls application is 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 1
must take be in compliance.
tf 1 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. I 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 Tr RECORD A 'NOTICE 'OF 'COMMENCEMENT MAY IN 'YOUR -
PAYING TWICE FOR IMPROVEMENTS TO , OUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH • UR LE • ER O' N Arts R _ Y _ FORE REGO' • ING OUR NONCE OF COMMENCEMENT.
FLORIDAJUF.T. -. -
OWNER OR AGENT -1la CONTRACTOR ,
S bed and sworn to Ora' e. . ore me � • .Svpscr �bed and or aflirme e e this
`3 by N�aro s l 3112--104 3112--104 b {c zvt� . fe.�L,er
�
Who Is /are erson_allyknpwn to me or has/have produced Who Is/are personally kna t4 me or has/have produced
p t" t as Identificatio ) IA as identification,. •
Notary Public Notary Public
Commisslon No. i D L q ie - Commission No. rpo Ltrilloq3
Vano II Vancc
Name of Notary typed; printed or stamped Name of Notary typed, printed or stamped
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•
MITZI VANCE . MITZI VANCE
Notary Public, State of Florio: Notary Public, State of Florida
My comm. exp•. Oct. 9, 2000 My comm. exp Oct. 9, 2009
Comm. No. DD 47964 ? Comm. No. DD 479643
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