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Home My WebLink About09-9243 CITY OF ZEPHYRHILLS 5335 - 8T1-I STREET (813) 780 -0020 9243 ANNUAL FIRE PROTECTION MAINTENANCE np " .�> = 4,f ' -� r, .. x .,......: +� ? �� •`... €fib" 'a .. . ! F�n - . `i= Permit Number: 9243 _,:.�....,.:: ".. . Address: 6719 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: 23,260.00 Parcel Number: 03 26 - 0010 - 03300 - 0010 Improv. Cost: . 6`w, Date Issued: 6/22/2009 Name: SUN MEDICAL CORP Total Fees: 25.00 Address: 6719 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/15/2009 Phone: (813)783 - 6189 Work _Desc: FPM -FIRE ALARM QUARTERLY SIMPLEX GR LP FIRE PERMIT FEES 2 5.00 A 7-2_,vi r FIRE AdCEPTANCE Anal 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 813-780-0020 City of Zephyrhills Fire Fax - 813- 780 -0021 Permit Application Date Received . - - I Phone Contact for Permit ��. m Play t l : Owners Name 1 J` `�� n1nE? �� I Q A S 1 1 6(4 I ISy�, Owner's Phone Number Owner's Address I LA u -km Oat- `Lc or B Vd - • J1 - " S n Fee Simple Titleholder Name \ I �1 ^ tip L ? V Titleholder Phone Number I 1 1 11 Fee Simple Titleholder Address Job Address Oak A L-' Ylyf h itt �1 ` `-�5 '{ 1 Lot # I Sub Division I I I ✓4 � Parcel # 1 1 Bio- Hazard Waste Storage - ANNUAL 1 1 Fumigation Tent Comm Exhaust Kitchen Hood /Duct Hazardous Material (Tier 0 or RQ Facility) ANNUAL n Controlled Bum 1I Hood Installation I I Emergency Generator < 30 kw 1 1 LP /Natural Gas - Installation 1 1 Emergency Generator > 30 kw 1 I LP /Natural Gas - ANNUAL Sale 1 1 Fire Protection Maintenance - ANNUAL 1 1 � Places of Assembly- ANNUAL IUtnyl !Semi' r" "" I IOther I ri Sprinkler ❑ ❑ ❑ I I all Bum Fire Alarm FR'... I 1p,-***.❑ ❑ I I I I Sparklers Hood Cleaning 1 1 ❑ ❑ ❑ I 1 1 I Sprinkler System Installations Hood Suppression 1 1 ❑ ❑ ❑ 1 1 1 El Standpipes (Sprinkler Sys) Fire Alarm Installation n Torch Roofing/Tar Kettle n Fire Pumps 1 I Waste Tire Storage ANNUAL n Fire Works n Flammable Application- on- ANNUAL I Valuation of Project Fuel Tanks n Other: I Contractor �. �._cM� 1 Signature ! Company •- lyric K .��e. C/ �� Registered Y/ N Fee Current I Y /N 1 Address I I License # 1 ELECTRICIAN! Signature I Company i Registered Y/ N J Fee Current 1 Y/ N Address 1 I PLUMBER License # I Signature ! Company 1 I Registered Y / N _I Fee Current 1 Y / N 1 Address 1 License # 1 MECHANICAL! Signature I Company Registered Y/ N Fee Current I Y / N Address 1 1 License # I OTHER Signature I Company Address Registered Y/ N I Fee Current I Y / N 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 h //a ( ttp: ppraiser.pascogov.com) NOTICE OF DEED RESTRICTIONS: The undersigned understands t this permit esponsib Ibty for:compl an etwith any which may be more restrictive than County regulations. Th e undersigned applicable deed restrictions. UNLICENSED CONTRACTORS CONTRACTOR d be RESPONSIBILITIES: esed aco dance with state and locale regulations. r --contractor contractors to of undertake work, they may co der tsto is not ti te law. If c t o w n er r or intended both uncertain as to what I licensing requirements e may violaion under a the on or the Pasco intended work, they are advised to contact _a contractor County tors, he a _ dvised to I have the contractor(s) sign 8009n h . Furthermore, if the owner h as the portions of the " contractor Block" oft tht that is not properly licensed is not entitled permitting pry legesgn P contractor, that may be an indication a County. CONSTRUCTION LIEN LAW (Chapter71 Florida Statutes, a of r t e d e ) If valuation of on work ei $ ,500.00 or more 's certify that I, the applicant, have been provided with a copy other tha he i o Gue" pre , I c by th I have obtained Department Agriculture copy of the described o document and promise in faith to other than the "owner ", I certify that deliver it to the "owner" prior to commencement. - CONTRAS/OWNER'S don e in compliance with pple all ble the information in zoning accurate and land that all wl be done in o p developmens i has commenced prior to issuanc of a permit and that all t work will d be a performed I to meet t a n d rd or in meet st ment r e of all laws the construction, jurisdiction I and understand City codes, zoning rgulations, also certify that that he other development regulations in the 1 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. ons forth in If I am the AGENT FOR THE OWNER, s I in good thatnaoseparat permit may be eq 9 red for l electr cal work, this affidavit prior to commencing construction. P y A plumbing, signs, wells, pools, air conditioning, gas, or other ; {� th and not as au ty t ed violate a or permit issued shall be construed to be a license to proceed w reeq u tr any g a cor rect of errors rors the in plans, construction or a violations of any codes. the Building Official from thereafter t issued shall become invalid rqirnrectn of r in plans, unless m it work au thori ze d a b andoned for pef is a period od of six (6) within onths after the time the is commenced. authorized by the permit is suspended r bor may be requested, in writing, from the Building Official for a period not to days, ni n job i90) (90) tiered a ill nonon justifiable cause for the extension. If work ceases for ninety (90) consecutive WARNING TO OWNER: YOUR FAILURE TO OUR PROPERTY. NOTICE IF YOU INTEND TO BTN N FINANCING, CONSULT PAYING TWICE FOR IMPROVEMENTS TO YOUR WITH YOUR LENDER OR AN ATTO; - BEFORE RECORDING YOUR NOTICE r Caw ENCEMENT. FLORIDA JURAT (F.S. 117.' / CONTRACTOR A _y OWNER OR AGENT Subscribed and s •m to or firmed) before me this Subscribed and sworn • (or ed) before me this by - -_ by Who is/are personally known to me or has /have produced Who is /are per known to me or has/have produced as identification. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped