HomeMy WebLinkAbout10-10195 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10195
ANNUAL FIRE PROTECTION MAINTENANCE
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Permit Number: 10195 Address: 6816 GALL BLVD SEE NOTES
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: 02- 26 -21- 0010 - 02400 -0020
Improv. Cost:
777 �� 4
Date Issued: 3/04/2010 Name: x ,
PIN CHASERS BOWLING
Total Fees: 25.00 Address: 6816 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/04/2010 Phone: (813)782 -5511
Work Desc: FPM - QUARTERLY HOOD CLEANING FOR PIN CHASER LANES
• MM RICIAL - V1 IN IRE P - MI FEES 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 $100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE
OF COMMENCEMENT." r!
/i
P �• IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813- 780 -0041
COMMERCIAL SERVICES, INC. 18 - 3 5
DATE INVOICE NO. COMMENT AMOUNT DISCOUNT NET AMOUNT
Payee: ZEPHYRHILLS 02/24/10 * * * * * ** *25.00
PIN CHASER LANES - PERMIT APPLICATIN FOR KITCHEN EXHAUST
CLEANING
TOTAL
FEB /20 /2007 /TUE 11:10 AID ZEPHYRHILLS BUILDING FAX No. 813 P. 002
'813- '780'0020 • City of.Zephyrhill$F.?tEg-00?^ •Fax- 813 -780 -0021 • • : ;.11.-
:._. Permit Application = -• -• • • aaiic
. . ,
Date Received i • • . ,._ hor i e Contact for Permit
B r i — Owners Rhone Number �� y 7.2 ,_.,7 . 436 • ... _
..
Owner's Name --- — :! _ •_ . -_
Owner's Address . v29‘,5 — 57 J�xos e 1''-- .Pt) •,TAzoe.. b,cv, /lc,. /- / ..3 .v
Fee Simple Name Titleholder Phone Number • Fee Simple - titleholder Address 1 „ �,, ; ;M , .
Job Address 1 / �' ! / / // Iu p Lot # • r ( o'
ra [I
5ubbivtslon .... �t - Parcel #
Bio- Hazard Waste Storage -ANNUAL 1 • •1 FumlgationTent ,
I Comm Exhaust Kitchen Hood /Duct ' 1 1 Hezardoue Material (Tier II or RO FaciIlty) ANNUAL - .
Controlled Bum • I 1 Hood Installation '
•
' Emergency Generator < 30 kw .. . n LP /Natural Gas - Installation •
1 1 ' Emergency Generator 30 kw • 1 1 LP /Natural Gas - ANNUAL Sale \
1 lire Protectioh Maintenance •• ANNUAL •' 1. I • Places of Asembly - ANNUAL_
prim 'Semi1 IAN 1 utner i 9
• • Sprinkler i. 0 ID I 1 Recreational Sum J0 l •
! ` •
Fire Alarm • n ❑ ❑ ❑ 1 . .: i Sparklers . •
Hood Cleaning XI O' ❑ ❑ l_ I I I Sprinkler Syetem Installations .
. •• - Hood Suppression U• u 0 0 I • • I I. Standpipes (Sprinkler Sys)
Fire Alarm Installation . 1 1 Torch Roofing/Tar Kettle . .
• Fire Pumps ' • n Waste Tire Storage ANNUAL •
Fire Works . ' . ...
Flammable Application- ANNUAL. ' • • ' • • Valuation of Project •
I ,Fuel Tanks . • •
I I I
Other
Contractor
Company
Signature Registerrd jj Y/ N I Fes Currant 1 Y / N •
Address ( _ License - . •
ELECTRICIAN Company 1
Signature C • Registered Y/ N I Fee Current I Y/ N I •
Address I • �' license # l 1
' PLUMBER • Company
Signature Registered Y/ N 1 Fee Current 1 Y/ N J •
Address I ( License # I • I
MECHANICAL Company • 1
Signature . Registered . Y / N - I Fee Currant 1 Y N I
Addreee L . 1 -License # . 1 . • - 1
OTHER . • Company •
Signature Registered Y / N- 1 Fee Current 1 Y/ N
Addraas License # 1
WK
Directions: •
Ell 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.(Mechanlcal work over $5000) •
Supply two (2) seta of drawings with applicable documentation . •
Allow 10 -14 days for review after submittal date, Parcel #- obtained from Property Tax Notice (http:0appraiser.pascogov -com)
•
FEB /20 /2007 /TUE 11:10 AM ZEPHYAHILLS BUILDING FAX 1Vo.813 780 -0021 P. 003 •
, ^E _ =• ' `a •`,r.r . - - -- - -- =- v, '.v'
r:-.,.,.1.-N-0-44. CIF DEED:RI=STRICTIONS: The. undersigned -und naslhat-thls�permlt may . beysubjectlto "deed":restrictl0n trj
-
" ..v " :.— :swhidh - Yipe more restrictive than County regufations "the under �ned>assumes:responsibllltyfior tompiiarree .wlfh n !{ i �r� I • .applicable -deed restrictions. a GSr,ii� T_P- , = + .i:_i �
'""'UN1;I'vENSED r_CONTRACTORS JAND CONTRA CTOR - f ,'CONTRACTOR - owner has - hired'rawcontractortat "W' '�
.;contractorsto undertake work,'they maybe required:to be ilcensed.inaccordance with state.and local If-the.. -7! I
contractor is not licensed as required by law, 'both owner :and .contractor may .be cited for :a misdemeanor violation_ -:, ..
.under - state law. If 'the owner or intended 'contractor :are uncertain :as 'to what licensing requirements may .apply for :the- =.-s
intended .work,'they are advised:to contact the .Pasco County:Building;lnspection .Division — Licensing Sectlon_at 727=847-
= .8009. .:F.urthermore, if the owner has hired :a contractor or ;contractors, she Is advised to .have - the contractor(s) sign
.portions of the "contractor Block" of this application for which•they.will be responsible. If you, as'the owner-slgn.as.the
•e contractor,'that'may. be indication that - he is'not:properlly licensed •and is not, entitled - to :permitting .privileges in'Rasco
- County.
CONSTRUCTION - LIEN - LAW. (Chapter7.13, 'Florlda`StatUtes, ma :amended): If•veluation ofwork is .or - more,:l .
certify that 1, ' applicant, have been provided - with a copy ..of "Florida Construction Llen Law -- Homeowner's I
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 falth•to
deliver it to tha "owner" prior :to commencement.
GONTRACTOR'.SiOWNER'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 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 be in compliance.
If 1 am ;AGENT FOR'TNE OWNER, .1 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 .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 codes, nor shall issuance of a permit prevent the issued shall from
become Invalid
requiring a correction of errors in plans, construction or violations of any codes. Every p er
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"FAILURETO'RECORD A "NOTICE'OPCOMMENCEMENT MAY "RESULT- IN'YOUR .
PAYING TWICE FOR IMPR• EMENT 0 YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR L ND1=' i • • N • I pLaEFORE,R YOUR NO TiGE OF O NCEM0NT.
FLORIDA JURAT (F.S. 11 t
OWNER OR AGENT
CONTRACTOR' -
Subscribed and - • to (o ;" irmed) before : this Subscribed and Swum to (or affirmed) before me this
by by
Who is/are personally known to me or has/have produced Who Is/are personally known to me or haslhave produced
. • as identification- ' as identification_
Notary Public
Notary Public
Commission No. , - • Commission No,
Name 0f Notary typed; printed or stamped Name of Notary typed, printed or stamped .
•