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Home My WebLink About10-10188 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 10188 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 10188 Address: 7050 GALL BLVD "— Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL. Class of Work: FIRE - PROTECTION MAINTENANCE Township: Range: Book: Proposed Use: MEDICAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 30-2 6 - 20-0000-00200-0010 Improv. Cost: Date Issued: 3/03/2010 - . Name: FL HOSPITAL OF ZEPHYRHILLS Total Fees: 50.00 Address: 7050 GALL BLVD Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 3/03/2010 Phone: Work Desc: FPM ANNUAL FIRE SPRINKLER & SEMI FIRE ALARM FOR HOSPITAL S M X RINNELL L' #.... ..a IR P P RMIT F E 50.00 6,1 IR A P E final AN 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 $100.00, whichever is greater. All work shall be performed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." 1 P � IT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813- 780 -0041 ., 813780 -0020 1 City of Zep hyrh ills -Fire. Fax - 813 - 780 -0021 " Ajt ""� Permit Application Date Received -- Phone Contact for Permit Owner's Name S T MPT,FXGR T NNFT,L I Owner's Phone Number i813 II 626 115 4 8 2 Owners Address 1 4701 Oak Fair Blvd TAMPA FL 33610 Fee Simple Titleholder Name I - f Titleholder Phone Number 1 1 1 1 1 Fee Simple Titleholder Address I -_-. yam. _ Job Address /® 50 CAc(kk %t‘1 k - 7 - €p es tkf ` S ,L 3 � 5 ill Lot # I Sub Division I Parcel # I 1 Bio- Hazard Waste Storage - ANNUAL Fumigation Tent i I Comm Exhaust Kitchen Hood /Duct Hazardous Material (Tier Ii or RQ Facility) ANNUAL I i Controlled Bum Hood Installation � 1 Emergency Generator < 30 kw LP /Natural Gas - Installation . I 1 Emergency Generator> 30 kw LP /Natural Gas- ANNUAL Sale I . I • Fire Protection Maintenance - ANNUAL 'i Places of Assembly- ANNUAL f b / T� L 1Semi )Aril ! Maw ce / / Sprinkler. ❑ ❑ v. I 1 Recreational Burn / -1 Fire Alarm 1 —.7. 0 , ❑ 1 1 I ( t ' �� ` I Sparklers \ 5'0 Hood Cleaning 0 ❑ ❑ nkfer m fl • Hood Suppression I I ❑ r a s ro s /3 fr O ...El 1 3 I I . St s (Sprinkler r Sys) n Sprinkler Install andpip le / r / �• 301 Fire Alarm Installation {!' I,. L Torch Roofing/TarKettle I- I Fire Pumps I I ' Fire Works • Waste Tire Storage ANNUAL I 3 Flammable Application- ANNUAL 1 j Valuation of + of n o Project I I Fuel T anks • I I Other: .. 5" ?24" X? :£?3✓.d..?_'k$".+453'v' y s _..w 6'' .. !s3^W'ifi:^a.'@ .f+. • ` x` hCEK+VZ M b B aS. -e ,,,, "7• .r`-J—',..- - 1'°" -b orax7., —, Contractor Signature I .£ .t Company 3 fyri � S � C . d Registered Y / N Fee Current Y/ N Address i , License # ..i ELECTRICIANL ... Company ' • Signature I Registered ( Y / N 1 Fee Current I " :Y / N Address' 3 I,` License # I I PLUMBER I Company Signature I Registered I Y/ N A Fee Current 3 Y/ N Address I i I License # . I • I MECHANICAL' I Company Signature Registered I Y/ N 1 Fee Current 3 yin, I Address I. I License # I i OTHER I I Company Signature Registered I Y/ N j Fee Current i Y/ N I 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 (http: / /appraiser.pascogov.com) • 'NOTICE OF :DEED RESTRICTIONS: The undersigned understandt at assumes permit re u -d "T e st w'th o any which may be more restrictive than County regulations. The -undersigned _applicable deed restrictions. UNLICENSED CONTRACTORS AND bO N eg R A ed'to be E licensed S ac i co E dan c e with state and local r If contractors to undertake srequired work, they may I contractor is s not licensed as required bYa the owner uncertaa as to what lcen { requ� em ri may app y fo th violation under n state law. If the owner or intended _ intended ed t work, they y a are advised to contacte heP contractor County or otra Building n tors Inspection hes dvi to a l have the cotntractor(s) 727-847- sign pio Furthermore, if t he owner has hired portions 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 permitting privileges in Pasco County. 500.00 or more, I CONSTRUCTION - LIEN LAW (Chapter713, Florida Statutes,.as. amended) If valuation of work is $2, certify that 1, the applicant, have been provided Department of Agriculture and Cons a ume Affairs If the applicant is someone other Protection Guide" thei o prepared wner " , I certify i fy that I have Florida a p other than the 1 ertiave obtained a copy of the above described document and promise in good faith o deliver it to the "owner" prior to commencement. - that-all work wil CTORl be d o n e in compliance with applcablelaws regulating t consttr p uction, zoning u and land l be done in ompli development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that work installation has commenced construction, prior uction of a d City odes, at zonling work will be regula iO ps, land m eet t standards of all laws regulating rmed to development regulations in the jurisdiction. I also certify that f 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. in If 1 'am the AGENT FOR THE OWNER, I promise in good faith to inform the owner fit f the permitting it ue i i o n set forth work, __ this- affidavit prior to commencing Construction_ ..1understand_ that .. aseparate p r , may. .. _ for fo plug, , signs, wells, pools, air conditioning, gas, or other it e and ot not ecifically a s authority includto d violate e cancel, li a A or permit issued shall be to be a license to proceed with set aside any provisions of the technical codes,{ on of any codesPrEvery permit t iss ed shall becom thereafter e inv bid unle t a correction of errors lans, permit is u c unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorize by the permit is suspended or abandoned for a Official d for 0 a period not to exc he ne y days and will demonstrate may be requested; in writing; from the Building ing consecutive days, the job is considered abandoned justifiable cause for the extension. If work ceases for ninety (90) WARNING TO. OWNER: YOUR FAILURE TO RECORD A NOTICE 'OF "COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR. IMPROVEMENTS TO YOUR R RECORD[NG YOUR NOTIC O OC_%111: ENCEMENT. CONSULT OPERTY. IF YOU WITH YOUR LENDER OR' AN ATtO' - BEFORE FLORIDA JURAT (F.S. 117.I. �'� / CONTRACTOR J` OWNER ORAGENT Subscribed and s om to or -' rmed) before me this (or . ed) before me this by Subscribed and swam • ( ) by • Who is /ar p Wally known to me or has/have produced Who is/are personally 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