HomeMy WebLinkAbout10-10194 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10194
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 10194 Address: 7631 GALL BLVD
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE - PROTECTION MAINTENAN•E 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:
._..;° e , :�_ . ..
Date Issued: 3/04/2010 Name: SUPER WAL -MART
Total Fees: 25.00 Address: 7631 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/04/2010 Phone: (479)204 -1063
Work Desc: FPM - QUARTERLY HOOD CLEANING FOR WAL MART
•M -I IAL -VI IN FIR - ER 1 F 25.00
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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."
I t02!
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
COMMERCIAL SERVICES, INC.
DATE INVOICE NO. COMMENT 18 6 3 7
AMOUNT DISCOUNT
NET AMOUNT
Payee: ZEPHYRHILLS
02/24/10 * * * * * ** *25.00
WAL -MART - PERMIT FOR KITCHEN EXHAUST CLEANING
TOTAL
FE3/20 /2007 /TUE 11:10 AID ZEPHYRHILLS BUILDING FAX No. 813 P. 002
'813=780=0020 City of ZephyrhilleFit � -poi" • : Fax- 813-780`•0021 • - i1:
Permit Application ------ . • ••.�a„
Received ,,_ - . -�
Date � •
Ph one C ont ac t for permit
Owner's Name - -- -• icJ 4 19�?1 /. ii91 j Ems( i -5 -- • - — Phone Number e/ 1 '.2 3 c c : ' _..._ •
Owner's Address Ia ..5 .J .0 . ....65 .<�- I
, i4 s 7 — 3.2- v
•
' Fee Simple Name • ' . Titleholder Phone Number
Fee SimpleTftleholderAddress 1 . •
i'Mi:'..I nC•:.. wr...� '. — n.J'- •'c " ..1..: ..1 :. - /T.. F- :.�' ^'.i.•::a J- .:...�.'•,r - 1 �:i.l . ._.. ..:'1: "4.r. �'r:: - w a c..Y..•.�, li.- •.at'��i ... u....,T' N./.' .�_!, , J ?J.`F•'
Job Address I i i'• may l D� / 2 coral tic! 10 Lot #
Sub Division (p3/' el4 i/ 8/14 '
Parcel #
I Bio- Hazard Waste Storage -ANNUAL •• • ' • 1 - •1 Fumigation • , • I 1 Comm Exhaust Kitchen Hood/Duct ( I Hazardous Material (Tier II or RR Facility) ANNUAL .
I Controlled Bum Hood Inatallatlon •
. • Emergency Generator c 30 kw •. • .. . n LP /Natural Gas - Installation
• n , /
1 ' Emergency Generator ? $0 kw n /
LP /Natural Gas - ANNUAL Sa{e .
I _ I Fire P rotectioh Maintenance - ANNUAL ' . 1 1 • Places of Assembly - ANNUAL / f ",
• ' . Jinn) Lsemrl LAni l timer ` � r (,._ Sprinkler I • ' 0 ❑ ❑ 17 Recreational Bum.. f • F ire Alarm ' I 1 ❑ ❑ ❑ ' n Sparklers •
Hood Cleaning »'. ❑ " ❑ I 1 L: I Sprinkler System Installations .
Hood Suppression LJ El ❑ . o 1' • • 1 I. Standplpea (Sprinkler Sys)
' • 1 • 1 Fire Alarm Inetaltat•on • • • . El Torch Roofing/far Kettle .
Fire Pumps 71 Waste Tire Storage ANNUAL •
Fire Works . • .. •
Flammable Application- ANNUAL '' .) . Valuation of Project • • -
r 1 .Fuel Tanks . . . •
I .I Other: TT I
contractor .. Company
Signature Registered' Y/ N 1 FOB Current I Y/ N I
. Address L • .. a ....j _ Licens .. •
ELECTRICIAN Company
Signature - Registered Y I N 1 Fee Current 1 Y/ N
Address n License # ( 1
• PLUMBER . . • Company
Signature Registered Y/ N 1 Fee Current I Y/ N
•
Address ( License # 1 1
MECHANICAL • Company 1
Signature . Registered . Y / N j Fee Current Y/ N 1
Address 1 - . . - 1
OTHER Company I
Signature . ' Registered Y / N - 1 Fee Current •1 Y / N j
•
Address L License #
- .....a.'_ ...a . :... , x!- r.z•...:.mr-nerr. -... _.,- .�r..,re, n. , .,rra�ir ,.. •... ...
Directions:
FIl out application completely. .
Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner) -
lf 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: / /eppraiser,pascogov.com)
FEB /20 /2007 /TUE 11:10 AM ZEPHYRHILLS BUILDING FAX No, 813 - 780 - 0021 P. 003
.:fit•2.:
♦ A'F'B _ y Y, ry'.�: ` . -_ -- _ .-. . :1 10E-
ctior '- :. ,r tioA
. ,..l :DEED:RESTRICTIONS: Th e. undersignedf.nd �nas1hat permIt may.be:subjectfto "deed ":restrictior< t
r
wfiaiCYiemay'be' more restrictive than County' re, gulatlons:` Thecurn dgrs�ned .assumes_responsibllityfior�omplianmelwlthn �,!a
,•applicable. deed restrictions. aeiciical :- : - - .. t __
_a
"1J
.- 'NEIC'ENSED CONTRACTORS AND =CONTRACTOR - I' RESRONSIB1LITIES: If -the - owner has - hired 'ra- contractort00,777 '
.;contractors: to undertake work, maybe required :to be Iicensed.in accordance with stete.and local If .the..
contractor is not licensed as required '.by law, 'both - the owner ;and 'contractor maybe cited :a misdemeanor Violation. .
' - state 'law. If owner or intended contractor Lare uncertain:as'to what licensing 'requirements may :apply for:the
intended work,'they are advised:to contact the , Pasco County:Building;Inspection .Division— Licensing Section-at 727 = 847-
-8OO9. =Furthermore, if the owner has hired :a contractor or :contractors, he is advised to have - the contractors) sign
.portions of the "contractor Block" of this appllcation-for which - they.will be responsible. lf you, as owner.slgn :as•.the
econtractor,Tat may bean indication:that he•is not:properly licensed •and is not entltled-to:perfnittfng- privileges in-'Pasco •
-County.
CONSTRUCTION_ LiEN - LAW. (ChapterTl3, Florlda'Statutes,ra' : he d e "Florida Construction Const of Lien is L =500.00 more, 11 aw— Homeowner's I
certify that 1, 'the applicant. have been provided with a copy
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. I certify
that no work or installation has commenced prior to Issuance of a permit and 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. 1 also certify that l understand that the regulations of other
_ government agencies may applyto the intended work, and that It is my responsibility to identify what actions!
must take'to be in compliance. •
'If 1 amthe AGENT 'FOR'TI-IE OWNER,'I promise in good faith to inform the owner of the permitting conditions setforth in
thls affidavit prlorto commencing construction. .1 understand 'that a separate permit may 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 thetechnical codes, nor shall Issuance of a permit prevent the I3ullding Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit.Issued shalt 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 1 da s e dem extension
n
may be requested, in Writing, from the Building Official for a period not to exceed ninety (90) days
cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
•
"'WARNING PAYING W IC E OWNER: 'YOUR "FAI S T YOUR iJR PROPERTY. A-NOTICE
YOU 'OF'.
INTEND TO OBTAIN FINANCING, I CONSULT
PIG TIC FOR IMPRO EMENTS T Q
WITH Y•UR L NDER •R. A , •R•," BEFORE RECORDING YOUR NOTICE OF OMM NCEMENT.
FLORIDA JURAT (F.S. 117 4112 .
OWNFR OR AGENT 4 CONTRACTOR
Subscribed and swo to (or a ° , med) before m o this Subscribed and sworn to (or affirm before me this •
• or has/have produced by • by • W ho Is(are personally Known to me or hahas/have produced
Who is /are personally known to me duced p as identification. produced d .
as identification. �� —
Notary Public
Notary Pu .
•
Commission No: Commission No,
•,
Name of Notary typed, printed or stamped .
Name of Notary typed; printed or stamped .
City of Zephyrhills
pi 1ME �q,
Building Department
ti
5335 Eighth Street Zephyrhills, Florida 33542 (813) 780 -0020 Fax (813) 780 -0021
'v im , „
W. A. `Bill" Burgess
Director of Building March 4, 2010
Licensing & Zoning
Commercial Services Inc
2465 St John's Bluff Road, S
Jacksonville, FL 32246
Re: Information needed for contractor registration
renewal 09/2010
Please be advised before we can issue any more
permits we must have the following:
- Worker's Comp Cert of Insurance
- Business Tax Receipt for Jacksonville
09/2010
- $30 contractor renewal fee for 09/2010
(payable to City of Zephyrhills) with
mailing of Attn: Building Department.
Thank you for your cooperation and we've enclosed
copies of three permits with applicable receipts.
Sincerely,
Bobbie Sharon Swetland, CLO
Building Department
Enclosures: 3 copies of permits & receipts