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Home My WebLink About09-9372 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9372 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 9372 Address: 7821 G ALL 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: Improv. Cost: Date Issued: 7/24/2009 Name: CHINESE TAKE OUT RESTAURANT Total Fees: 25.00 Address: 7821 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 7/24/2009 Phone: Work Desc: FPM- SUPPRESSION SEMI -HONG KONG RESTAURARNT- SCHE 7/24/09 b , r : d° y . , :spa RC COMMEIAL FIRE EQUIPMENT CO. FIRE PERMIT FEES 26.00 5.00 i t sg_o—oy 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 $100.00, whichever is greater. All work shall be performed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Wr ti � P �. IT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813- 780 -0041 1 813-780 -0020 City of Zephyrhills Fire Fax - 813 -780 -0021 Permit Application Date Received Phone Contact for Permit lira NA rsim t5 Owner's Name fill A A • . Owner's Phone Number I I 1 1 Owner's Address I Fee Simple Titleholder Name I I Titleholder Phone Number I I I I Fee Simple Titleholder Address I ;,r'.a';.:Tkra`§6$ Yu-:`: r^ dF' a�?'#' v..€' ra „,�n.,.;;r."'.i:`;i<...:.«: f„ .r.x, .. a.. •.s �.,.:;4:;< <- ,.ar;.a3afi :.+.r:ara*« c9'.%r .a.;a:�, «a .. �t::.r:; s3�`L;aafs.�+�.',a r;, ".. Job Address 17b?- / 54// Ag/oz) Lot # Sub Division I I Parcel # 1 Bio-Hazard Waste Storage - ANNUAL = Hazardous Material (Tier II or RQ Facility) ANNUAL . E Comm Exhaust Kitchen Hood /Duct El Hood Installation El Controlled Bum n LP /Natural Gas - Installation El Emergency Generator < 30 kw n LP /Natural Gas - ANNUAL Sale El Emergency Generator> 30 kw El Places of Assembly-ANNUAL n Fire Protection Maintenance - ANNUAL [J Recreational Burn 7 v EMU GTili Mail Sprinkler L j ❑ ❑ ❑ Ej Sparklers Fire Alarm [J ❑ ❑ ❑ f I E Sprinkler System Installations Hood Cleaning [] ❑ ❑ ❑ I I LI Standpipes (Sprinkler Sys) Hood Suppression IN ❑ /1�. ❑ I 1 El Torch Roofing/Tar Kettle El Fire Alarm Installation !� = Waste Tire Storage ANNUAL R Fire Pumps Fire Works R Flammable Application- ANNUAL A. Valuation of Project Fuel Tanks Q Othhe . I a ,.3...3:efi?. ,?Ya2rv,.,K r <.lti.<"i3*,:"�'�SP3�Pi„ •... 3' ?% JS�: aan ; °.:;,= _ Y'.i "�.'::+.."'.dSA7t.. Contractor Company [4/ ei /YJ 4 C/4 / * Signature Registered RIME Fee Current Y / N Address 021Min tir ll=�f1j License # I ELECTRICIAN Company I Signature Registered Y/ N . 1 Fee Current I Y/ N Address I I License # PLUMBER Company Signature Registered Y/ N 1 Fee Current I Y/ N I Address I I License # I I MECHANICAL Company I Signature Registered Y/ N 1 Fee Current I Y/ N I Address I I License # I I OTHER Company I Signature Registered Y / N J Fee Current I Y/ N j Address License # I Directions: ^a -r., +.:. ...., .�.::. •:..,�..aa; ;: -. .:.- ., ::, ...� �. ,::... ..;" ems..,, ,.,, .., � .... ,r::.:.�, r . , <:X ra<.; . � wku ....s -: .,; ;: uaa .o. .. t s: 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 (http: / /appraiser.pascogov.com) NOTICEPFDEED RESTRICTIONS: The undersigned unde u de hiis permit responsibility .for:compl a th which may be more restrictive than County regulations. The _applicable deed restrictions. CTOR RESP.DNSIBIL'RIES: If the owner has - hired - a - contractor or - - UNLICENSED 'CONTRp they y may be required they maybe required be licensed in accordance with state and local If the contractors - to . undertake work, law, both: the owner and contractor may be cited - fora misdemeanor violation oe under to is • not licensed owner as req intended -dy Pasco County Building Inspection Division — Licensing Section_at 727-847 - under state law. If - the owner or intended. contractor are uncertain .as - to what licensing - requirements contractor(s) sign 8009. slow he , they are the 'owner er has hired th 8009.: Furthermore, if the owner has hired .a contractor or contractors, �ponsi )self youaas• the owner as the application-for which-they ermi .privileges owner si in as th e portions of the "contractor ay be Bloch' io n t h a t he ri licensed and is not entitled p contractor, that may be an indication that he is not properly If valuation of work is"$2;500.0 or more, I County. ` (Chapter-713, Florida Statutes,�� ended): CONSTRUC -the applicant, LAW ( a co of the "Florida Construction Lien La c z a r H o is someone other than the "owner", I certify Protection i oat 1, - the r plicent, have .been Department -with copy loin Guide" prepared by Florida Depadmentco Agriculture t above described doc and promise applicant in good faith to Protect that w have obtained a copy tify lication is accurate and deliver itlto the owner" prior to commencement. 1 certify that all the information in this app CONTRACTOR'S/OWNE t all work be don in o ce all applicable laws regulating construction, zoning and land - that all m ent will li done in compliance with development. A is hereby made to obtain issuance of a permit and that installation work indicated. I certify performed to P and City codes, . .zoning work will be regulations, and d t o meet t a n d rd or of l has commenced prior County construction, meet standards of all laws regulating development regulations in the jurisdiction. I also certify that I understand that the regulations of other t a encies may apply to intended work, and that it is my responsibility to identify what actions I . govemmen 9 permitting conditions set forth in must take to be in compliance.. good faith to inform the owner of the this i affidavit the AGENT Comm E OWNER, I Promise in 'g r installations not specifically included in the application. lt• o prior to commencing construction. -1 understated that a separate permit may be required for electrical work, this affidavit pr gas, d in violate, cancel, plumbing, signs, wells, pools, air conditioning, g or other p roceed with the work and not as authority prevent the Building Official from thereafter perms issued n p i io be construed c o i s i d ense top permit issued shall be invalid aftr requiring aside any provisions of r the in plans, con olctionoraviolations of any codes. Every issuance, or ;f work come authorized by unless the a correction of errors in c unless the work authored by such permit is commenced within, six months P months after the time.the work is commenced. An extension nd will demonstrate suspended or abandoned for a period of six (6) period not to exceed ninety (90) day the pe is euspe from the Building Official. for a p may be ;requested, in writing, (90) consecutive days, the job is considered abandoned. justifiable cause for the extension. If work ceases for ninety ( � t�'ICE DF'�COMMENCEMENT Mp,Y "RESULT IN 'YOUR WARNING D OWNER: YOUR FAILURE TD RECORD A PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO YOUR NOTICE DFO COMM CONSULT WITH YOUR LENDER DR AN A .BEFORE RECORDING FLORIDAWRAT (F. o R g L and swum to (or affirmed) before me this DR AGENT_______--------- or affirmed).before me this by Subscribed and •sworn to ( Who u�arE -- p orraliy (mown to me or has - produced by ve roduced as identification. Who i a personally known t° w as iderdifu tion Notary Public Nary Public Commission No. Commission No. Name of Notary typed, printed or stamped • Name of Notary typed: Pn or stamped STATE OF FLORIDA SKE DEPARTMENT OF FINANCIAL SERVICES �` - DIVISION OF STATE FIRE MARSHAL K - '• f; ti- ; �� ' Y TALLAHASSEE, FLORIDA " �� : r.,r- . FIRE EXTINGUISHER PERMI THIS CERTIFIES THAT: k l w V EMPLOYER: COMMERCIAL FIRE EQUIPMENT CO 10236 FISHER AVE TAMPA. FL 33619 - LICENSE NUMBER: 38504200021988 - FIRE EQUIPMENT CLASS D LICENSE HAS COMPLIED WITH FLORIDA STATUTES AND HAS QUALIFIED FOR THE TYPE AND CLASS SHOWN HEREON TO SERVICE, REPAIR. INSTALL, INSPECT ALL TYPES OF PRE - ENGINEERED FIRE EXTINGUISHING SYSTEMS. Chief Financial Officer . .� 01 101 12008 09 04 Manatee s I t 9828660002 1213112009 Issue Date Type Class County License/Permit Number Application # Expire Date STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES . '` DIVISION OF STATE FIRE MARSHAL ;`'_ TALLAHASSEE, FLORIDA a ' ~ `' � - �,� . te e.; FIRREQUIPMENT DEALER LICENSE sw' THIS CERTIFIES THAT: 0810111818184=1401111118110MINISKIren t 10116 AVE TAMPA, FL 33619 - QUALIFIER: BRUCE W VARNADOE HAS COMPLIED WITH FLORIDA STATUTES AND HAS QUALIFIED FOR THE TYPE AND CLASS SHOWN HEREON TO SERVICE, REPAIR, INSTALL OR INSPECT ALL TYPES OF PRE - ENGINEERED FIRE EXTINGUISHING SYSTEMS. a ote7c 4 Chief Financial Officer 01101120081 07 I 04 I Hillsborough 1 f410111181011110811111811 9828660001 1213112009 Issue Date Type Class County License/Permit Number Application # Expire Date ACORD CERTIFICATE OF LIABILITY INSURANCE 1 DATE(MMIDD/YYYY) 9 PRODUCER 863.68S. S495 FAX 863.688.4344 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Herndon & Associates Insurance, LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P 0 Box 3608 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Lakeland, FL 33802 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED 8 Wayne Enterprises Inc INSURERA: Colony Insuance Group DBA: Commercial Fire Equipment Company INSURER P 0 Box 2442 Bridgefield Employers Ins Co INSURER C: Brandon, FL 33509 -2442 INSURER D: 1 INSURER COVERAGES E " THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT TERM OR COMMON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS -CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH INSR POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID (LAMAS. LIRR II TYPE OF INSURANCE POUCY HUMBER DAI POLFF EFFECTIVE D Y EXPIRATION OMITS GENES UABIUTY G13254709 02/21/2009 02/21/2010 EACH OCCURRENCE $ 1 MarERCML GENERAL u " DAMAGE TO RENTED Co ,000 ,000 CLAIMS MADE X OCCUR PREMISES (Ea ooprrence) $ 100,000 A ( MED EXP (Arty one person) _ $ 5,000 PERSONAL & ADV INJURY s 1,000 ,000 GEN'L AGGREGATE Lim APPUES PER GENERAL AGGREGATE $ 2 ,000 ,000 n- o I I .IE n LOC PRODUCTS - COMP/OP AGG_ $ 2 ,000 ,000 AUTOMOBILE LIABILITY BINED ANY AUTO (Ea COA S SINGLE LIMIT $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Per ) HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per ) (PIN acx $ GARAGE UABIJTY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS ! UMBRELLA UABIJTY 1 OCCUR 1 I CLAIMS MADE EACH OCCURRENCE _ AGGREGATE DEDUCTIBLE $ RETENTION $ $ PLOYE ER COMPENSATION Y/N 083028471 01/14/2009 01/14/2010 X ( I s ANY PROPRETO(yp EX TO RY L B EL EACH ACCIDENT $ 1,000,000 (Mandatory yyeers� describe un S IAL PROVIS below E.L DISEASE - EA EMPLOYEE $ 1,000,000 OTHER E.L DISEASE - POUCY utAn $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEIICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAN- lO DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL City Of Zephyrhills IMPOSE NO OBL GATION OR UABNJTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR S33S Eighth Street NTATIVES Zephyrhills, FL 33540 AUTHODREPRESENTATIVE • Betty Newsom/BETTY rte ACORD 25 (2009/01) y ®1988 -2009 ACORD CORPORATION. All rights reserved. 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