HomeMy WebLinkAbout10-10018 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10018
ANNUAL FIRE PROTECTION MAINTENANCE
sy. $ Gi : ' e s� °emu a e- ® :',
Permit Number: 10018 Address: 7325 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- 0000 - 00300 -0020
Im rov. Cost: ;v a < t
Date Issued: 1/26/2010 Name: SWEETBAY SUPERMARKET
Total Fees: 25.00 Address: 3801 SUGAR PALM DR
Amount Paid: 25.00 TAMPA, FL 33619
Date Paid: 1/26/2010 Phone:
Work Desc: FPM- SPRINKLER ANNUAL- SWEETBAY
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FI - A EPTAN inal
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."
ark
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
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Permit Appiicatior q 33 ?
Date Rec,eived I I
Phone Contact fcr Permit I 1 D.. 11 — '1
Dwn=3 Nag--;.- I V-kerc\rion\----- -.\-.0.1 0 )---) 1 c,--wner's Phone Number I I
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Owners Adcress ci,- ..,30(.37 ( she Do 0
Fee Simple Titleholder Name
I 1 Titleholder Phone Number I I I I
Fee Simple Titleholder Address
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Bo-Hazard Waste Storage - ANNUAL F Tent
j Comm 'Exhaust Katcher Hood/Duct Hazardous Nlateriai (Tier 11 or RC Facillty'i ANNUAL
En Controlled Bum
1 Hccd Installation
1 1 E.mergency Generator < 30 KW
LP/Natural Gas-Installation
ti Emergency Generator > 30 .cw Fl LP/Natural Gas-ANNUAL Sale
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Fire Protection Maintenance - ANNUAL Paces of A.ssernbly-ANNUAL
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Sprinkler 1 I n -
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I Recreational Bum
Fire Alarm ri 7 D Di Sparklers
Hood :7:leaning 7 7 7 1 I Sprinkler System Installations It/0 / b
Hccd Suppression, I D Di D Standpipes (Sprinkler Sys)
Fire Alarm Installation Torch Roofing/Tar Kettle
Fire Pumps
I Waste Tire Storage ANNUAL
1 I Fire Works
pi Flammable Application- ANNUAL
1 I Valuation of Project
Fuel Tanks
I Other:
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NOTICE OF DEED RESTRICTIONS. The undersigned understands that this permit may be subject to "deed restrictions'
which may be more restrictive than County regulations. The undersigned assumes responsibility forcompiiance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired .a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
_rider state law. If the owner or intended contractor are uncertain as to what licensing - requirements may .apply for the
ntended work, they are advised to contact the Pasco County Building Inspection Division — Licensing Section at 727 -847-
3009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
oortions 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 to permitting privileges in Pasco
County.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is 82;500.00 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. 1 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 I
must 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 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 TO RECORD A 'NOTICE OF COMMENCEMENT 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 RE CORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA, J! DRAT (F.S. 117.03)
OWNER OR AGENT _ CONTRACT
Subscribed and sworn (or affirme oje me th)s
Subs ribed and sworn to (or affirmed) oeiore me this _ 01't(�.S0
by ie or has /have produced
Who i are personally' known
Who is are personally known to me or endfio ation. ie produce" p Y as identification
as identifi;
Ndta�' c,JDii-
Commission No. Commission No.UD &� e)
Name c NPtary t/P P or std I
Name Id _, lJ.a! hJJ .. prjni G r Sip i'IG °_o
.
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01/25/2010 03:29 7275818332 PIPERFIREPROTECTION PAGE 02/02
•
CITY of ZE CERTIFI 1
r! . v CONTRACTOR 1
'' , 5335 8TH ST. •
YRHILL FL- 33542 r i�� t �. j
PERIOD COMMENCING OCT. 1, 2009 TO SEPr r o Ob'i '‘°19 fiM
Type: FIRE SPRINKLER SYS' 6130!2010 ph: (727)581 - 9339
E�� E�tpiree: 9i2311010
Certified: JOHNSON CPP620621 30.00 10128I2009
451523000119 Qualifier OHNSON, CHRISTOPHER #1 ^:3ft�� aid: fl .CB
Expires: 9/23/20 Cash 0 30.00
Workers Comp: 20488736 Check 01 .
Notes;
heck >!1 0 •
a • LA--40%.0 PIPER FIRE PROTECTION INC f�NAG .QE}
521 COMMERCE DR SOUTH P �,� qo %gq C ITY
LARGO,F�. 33770 a gp.cart Fri
This registration expires each year on '• lf a pro ec . rb
.4.
lon
01/25/2010 03:29 7275818332 PIPERFIREPROTECTION PAGE 01/02
Pip er Fire Pro tection Inc
P.O. Box 9005
Largo, FL 33771
Telephone: (727) 581-9339
Fax: (727) 581 -8332
FAX TRANSMISSION COVER SHEET
Date: January 25, 2010
To: City of Zephyrhills
Attn.: Jackie
Fax: 813- 780 -0021
Phone:
Subject: Chris Johnson fine sprinkler registration
Sender: Jennifer Plouffe
YOU SHOULD RECEIVE 2 PAGE (S), INCLUDING THIS COVER SHEET. IF YOU
DO NOT RECEIVE ALL THE PAGES, PLEASE CALL (727) 581-9339.
Thank you,
Jennifer