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HomeMy WebLinkAbout09-9223 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9223 ANNUAL FIRE PROTECTION MAINTENANCE ( r e € �a - a v hv Permit Number: 9223 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: 'S M Date Issued: 6/10/2009 Name: SUPER WAL -MART Total Fees: 25.00 Address: 7631 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/10/2009 Phone: (479)204 -1063 Work Desc: FPM-SPRINKLER ANNUAL- WALMART- SCHEDULE 6-10-09 , INTERNATIONAL FIRE PROT ECTION IN FIRE PERMIT FEES 25.00 C, .. , raj t nr + W„ � »� a &° FIRE ACCEPTANCE Final W 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." War' Jr. A 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 9 2,1 , 3 813 -780 -0020 City of ZephyrhillsFir•.e• Fax -313 -780 -0021 Permit Application r 0-0 ? Phone Contact for Permit Date Received • 6 ..w_ .. ...w..� I Owner's Name J Lin- M 417t 0 7 © b Owner's Phone Number _ Owner's Address _ Fee Simple Titleholder Name 1 j Titleholder Phone Number , • Fee Simple Titleholder Address Lot Job Address yq• Sub Division I I Parcel # y`Y i�Y 5 "•':, F..•.rt.,.. „:a,r'..N�' .. .. mats a;:.C!o _.w :: �.., ...., _ 1 I Bio-Hazard Waste Storage - ANNUAL ) I Fumigation Tent I Comm Exhaust Kitchen Hood/Duct U Hazardous Material (Tier II or RQ Facility) ANNUAL ET - Controlled Burn j Hood Installation • El Emergency Generator < 30 kw I I LP /Natural Gas - installation .h54 Emergency Generator 30 kw LP /Natural Gas - ANNUAL Sale Fire Protection Maintenance - ANNUAL I I Places of Assembly- ANNUAL Sprinkler ❑='�semr1 ((C )vtner ❑ ❑ I/S° 1 Recreational Burn • Fire Alarm ❑ ❑ ❑ l j , I Sparklers Hood Cleaning ❑ ❑ ❑ I 1 1 1 Sprinkler System Installations Hood Suppression ❑ ❑ ❑ , 1 I Standpipes (Sprinkler Sys) ; T Fire Alarm Installation n Torch Roofing/Tar Kettle • Fire Pumps 1 I Waste Tire Storage ANNUAL Fire Works Flammable Application- ANNUAL Valuation of Project Fuel Tanks in Other: l Rl.r�': W.mn, L..."a.,l y ?: "'YAN ..P. "' .. -•• J. "::f. .. :... 'f• " _.. - ... ... ..... ... y4.i... , , ...- ♦ . .. Contractor Company . Signature ‘ Registered Y / N Fee Current Y / N 6 Address • ( License # 1 ELECTRICIAN Company Sicnature Registered Y / N Fee Current Y / N Address .I License* PLUMBER Company Signature Registered _ Y / N Fee Current Y / N Address I License # MECHANICAL Company Signature . Registered Y / N 1 Fee Current , Y / N Address' License # OTHER. • Company Signature Registered Y / N 1 Fee Current 1 Y / N 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 (httpJ /appraiser.pascogov.com) • ED RESTRICTIONS: The undersigned understands rit that this permit responsibility r i cti any which may be more restrictive than County regulations. The•.un 9 h .applicable deed restrictions. CTOR RESP.ONSIBILITlES: If the owner has -hired - contractor or UNLICENSED to 'CONTRACTORS AND `CONTRA contractors �to. undertake work, they may be required to be licensed in accordance with state and local regulations. If the f contractor is • not licensed . as required by taw, bolo b are uncerta n .as what li easing •requiremen may app y the vi olation a Ion under state law. If owner or intended contrar Setion:at 727-847- 5009. rth a Furthermore, they y are advised hired ..p County Building ato he is advised ed t - the coNnntra t n as p009. Furthermore, if the he owner ner er has has hirred .a contracto .privileges in as the sign portions Hof the "contractor Block" of this application - for which they will be responsible. If you, as e o contractor, that may be an indication that he is not properly licensed and is not entitied -permitting County. CONSTRUCTION .LIEN LAW (Chapter713, Florida Statutes,- as.amended): If valuation of work is "$2;500.00 or more, I of the °Florida Construction Lien Law — Homeowners licant is ' someone certify that I, - the applicant, have been provided with a copy • Protection Guide" prepared by Florida Department PY � the�bove described document and prom Pse in good' faith to other than the "owner", I certify that I have obtained deliver it'.to the "owner" prior to commencement. that all the information in this application is accurate and CDN-I•RACTOR'S /OWNER'S - AFFIDAVIT: I certify that laws regulating construction, zoning and land that all work will be done in compliance with all aPP ermit to do work and installation as indicated. I certify development. Application is hereby made to obtain a permit ermit and that all ion as wi ll io performed to meet t work rd or installation l has commenced ti g construction, County and City codes, .zoning regulations, and land meet standards of all laws regulating that I understand that the regulations of other 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 AGENT'FORTHE OWNER, I promise in - good �fan hthat inform the owner of the permitting a separate permit may be required fo work, If i a specifically included in for application. this affidavit prior to commencing air conditioning, . or other installations not included in violate, cancel, tier, A plumbing, e i issue - signs, wells, pools, air to be conditioning, 9 or permit a s issued p i io be construed ch i s a license es, nor shallliiissuance of a permits not as event the Building Official from thereafter set aside any provisions of the technical c permit issued shall become invalid requiring a correction of errors in plans, construction or violations of any codes. Every P work authorized by such permit is commenced within. six after the timed permit issuance, commenced. , or if work authorized by th e pe the (90) days nd will demonstrate may be is suspended ed, in or g, from the a period ci six r m ) may be ;requested, in writing, from the Building Official. for a p eriod not to exceed ninety ( 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 ' i F YOU IC 'COMMENCEMENT OBTAIN M NANO NGTCDNSU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROP WiT H YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMM NCEMENT. FLORIDAJURAT (F.S.117.03) CONTRACTOR DINNER OR AGENT Subscribed and swum to (or affirmed) before me this Subscribed and sworn to (or at'firmed).before me this by b Y Who is�ere rsp onally Imown to me or ha hatl produced Who is/are personally known to m ks identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, Panted or stamped Name of Notary typed, Panted or stamped •