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Home My WebLink About09-9199 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9199 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 9199 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: :"StriT 771:717:777757 Date Issued: 6/04/2009 Name: SUPER WAL -MART Total Fees: 25.00 Address: 7631 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/04/2009 Phone: (479)204 -1063 Work Desc: FPM- SUPPRESSION SEMI- MCDONALDS INSIDE WALMART 6%1 n g': 7:77,21;;717171 HERNANDO FIRE e, SAFETY EQUIPMENT FIRE PERMIT FEES 25.00 1 76(-° v FIRE ACCEPTANCE Final a " 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." !! /. 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 . A q ( i 7 813 - 780 - 0020 City of Zephyrhills iF � ^?^ Fax-813-780 -0021 Permit Application - Date Received _ 1 1 _ Phone Contact for Pent* 1 U 11 Owners Name .... i /74 7N,A /)94'1 S .A 091% h I own Phone Number l 1 I / 1 •I Owners Address , " , / 4 _ ' .0 i i� Lam© Fee Simple Titleholder Name Titleholder Phone Number I I I I Fee SimpleTltlehwlderAddress I Job Address 76.7 .... .-7/4zi, ..• V 4J • Lot # 1---'— Sub Division . ! . : " Parcel # .I ❑ Bio- Hazard Waste Storage - ANNUAL ❑ Fumigation Tent • ❑ Comm Exhaust Kitchen Hood/Duct ❑ Hazardous Material (Tier I1 or RIO Facility) ANNUAL ❑ Controlled Bum n Hood Installation ❑ Emergency Generator < 30 kw ❑ LP/Natural Gas - installation ❑ Emergency Generator > 30 kw ❑ LP/Natural Gas- ANNUAL Sal* Mk Fire Protection Maintenance - ANNUAL ❑ Places of Assembly- ANNUAL Sprinkler ❑ ® ® ®- ❑ Recreational Bum Fire Alan 0 ❑ ❑ ❑ T1 ❑ Sparklers Hood Cleaning ❑ ❑ ❑ ❑ 11 ❑ Sprinkler System illation . Hood Suppression ❑ y ❑ 11 ❑ Standpipes (Spdn der Sys) • ❑ Fire Alarm Installation - - ❑ Tenth Roofing/Tar Kettle Fire Pumps ❑ Waste Tire Storage ANNUAL Are Works Flammable Application- ANNUAL 1 ( Valuation of Project Fuel Tanks _ ED eli -_ Contractor L /N FeeCrrrent Y/N Company Signature /�� . �,� — Address WAtat l f r/fil�?lit/ «�:IP5MYAL%(IYfj . License # I I f/ 7 4 141/-4 4 ' J. ,1.64 ' Registered I Y/N I Fee anent Y/N I Address I / License # I I PLUMBER Company Signature Registered I Y/N ( Fee CUnsnt I Y/N I Address I I License # I I MECHANICAL Company Signature I Registered I Y/N 1 Fee Current ( Y/N I Address I ( License # I I OTHER Company Signature Registered I ¥ / N• I Fee Current I Y/N I Address License # Directions: FIN out application completely. Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner) If over 52500, 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 :DEED RESTRICTIONS WITeltndersigned understands that this permit may .beaublectrZo deeid ':restrictions" which may be more 'restrictive than v0ountylregulations. The .undersigned assumes responsibilityjordopmpliarace any .applicable deed restrictions. 'UNLICENSED .CONTRACTORSV►TID1C0N7RAGTOR RESPONSIBILITIES: - - If - the owner - hat, .hil -ad •ti ,L.untractor or - contractors to 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 and contractor may be cited for a - misdemeanor violation under state law. .1f 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 b n indication that he l is not properly licensed and is not entitied•t you, permitting .privileges sign as the egesin Pasco contractor, may County. CONSTRUCTION LIEN LAW (Chapter713, Florida Statutes,.as.amsded): If valuation of work is $2500.00 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 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 e en aregulations cies may apply jurisdiction. the also certify that I understand and that it Is my responsibility toeidentify regulations other what act ons I gov agencies take to be in compliance. If I am the AGENT FOR THE OWNER, I 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 is 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. V work ceases for ninety (90) consecutive days, the job is considered abandoned. IN YOUR WARNING TO OWNER: YOUR FAILURE 70 RECORD ROPERTY�IF YOU I D TO O TAIN 'COMMENCEMENT MAY ANCING, CONSULT PAYING TWICE FOR IMPROVEMENTS TO YOUR . - • - MENN WITH YOUR LENDER OR AN ATTORNEY BEFORE R CORDING YOU - 0 • F FLORIDA JURAT (F.S. 117.03) CONTRACT • - /I �• __ OWNER OR AGENT wr � '1'• Subscribed and sworn to (or aflirmed) before me this S . . bed f.tif ; .�G ►' '� a�� l� Who are m - or a produced . - , • � : C?'� Who is/are personally known to me or has/have produced as identification. identlficatlon. • • Notary Public '�� . d • �� .tary Public r or Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped pRpN SP�► RAC CIS ► Sg10N ERLAZ 8 pDg44 ppnifat 12, 2012 T82