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HomeMy WebLinkAbout10-10561 CITY OF ZEPHYRHILLS 5335 - 8T1-1 STREET (813) 780 -0020 10561 ANNUAL FIRE PROTECTION "MAINTENANCE a . °.; : ate. $ 7:7 ffi ' °T ,. ?. .a =� �' V:x.. rA « . £ I # ^ ., e, :. = E . 110.4 v Permit Number: 10561 Address: 5610 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: 11- 26 -21- 0010 - 05700 -0255 Improv. Cost: 411(Q. 0a... 7,7 7777 �` 01 3 * Date Issued: 6/08/2010 Name: BURGER KING Total Fees: 25.00 Address: 5610 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/08/2010 Phone: Work Desc: FPM- SUPPRESSION SEMI - BURGER KING HERNA • _.1- & SA EsUI-M P RMIT E 25.00 n ( 40 6" FI - EA P AN 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." _ _ _ —gm � 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 • • 813- 7804020 City Of Zephyfigls.FMbcx»f, Fsx- 813780-0021 Permit Application - • -77 Date tieofaiwd ' for P. L- 11 Li„ LJ O wners None .. .. sc , e - :�� A111111111— Owner's Phone Number ) 11 .11 _ I .' Owner's Address tO ., - . L f r Fee Sklrpls Titleholder alms _ Titleholder Phone Number MIN I I Fee SknpirMMelolderAddress Job Address gifP Lot d Sub Division 1 Parcel * 1 El Bfo-Hmrd Waste Storage - ANNUAL 0 Fumigation Tent • a Comm Exhaust K itdnn Hood/Duct Q Hmrdous Material (tier 11 or RO Fad ty) ANNUAL D Controlled Bum o Hood kuter.4on Emergency Generator < 30 kw LPQd:wral ciac- kutaoetlon Emergency Generator > 30 kw L P�Naturat Ges�l�tgitlAi. Side Protection Maintenance - ANNUAL Plows of Aseembly,ANNUAL ���� Sprkdder U 0 0 0 M Recreational Bum Rre Alum 0 0 0 Sparklers Hoed Chinning 0 0 0 Sprinkler SystemIrishildems . Head Suppression 0 0 Stsndpipss (Sprinkler Sys) , R. AMnn kn Jot on _ _ Torch tioo4ng Tar Kahle , - Fim Pumps - �~ Waste Tire Storage ANNUAL fire Works ■ . tienrtobls Applatlon- ANNUAL 1 • ' Valuadon of Project • Rai Tanks . • Sl A / /►� Rggi ed 'tom ,..- �tg ELE - wry 3Mnatu. Registered Y / N Fee Current I Y / N Address 1 r PLUMBER Company I Signabire Registered l Y/ N I Fes *Hunt I Y/ N I Address 1 w Unse d 1 ) meatim Canp.ny Sigrskxe Registered I Y/ N I Fee Current I Y/ N Address I ! Umpires * I ' OTHER Signelum I Registered I Y / N• I Fs t:wont I Y/ N MOP. .. I - L License . I : • • flY w • dt cia* er ,. tM Ofv, "+cf algned,aonhact with owner) W over $28004a Ncdcs 1 ' , ' work ow 18000) SLINAY- wa (�.as0s z • Mow 10-14 days efte r e is ' , 4° Parch # • obtained from Property Tax Nonce (http./lappreleer peeoogov. om) • 'NOTICE OF:DEED RESTRICTIO ' `understands.that this permit may be:sut d& :hest ictions" which may be more.restrictivethani0ountinregulations. The.undersignerd.assumes responsibilityjnopmpliame any . applicable deed restrictions • , UNLICIDNIED iCOPMACTORSANDICONTRACTOR :RESPONSIBILITIES: • if - the owner - hast *. d ontnactor 'or' • • contractors to undertake work, they may be required lo be licensed In a000rdance with state and •Iocal•regulatbns. If the contractor Is not licensed as required by law, both the owner and contractor may be cited - for a •misdemeanor violation understate law. .if •the owner or intended 'contractor are uncertain 48 10 what licensing *requirements may apply for the intended Work, they are advised to contact the Pasco County Buildup Ian Division-- LIoenssing Section.at 727 -847- 8009 Furthermore, if the owner ties hired :a contractor or . con , he is advised to .have the .contractor(s) sign portions .of *for Block" of - this application tor which they responsible. 'if you .as -the owner'sign as the contactor, that may be an indication that • he is not property =licensed and is not .entltled•to permittinp privileges Irs Pasco County. CONSTRUCTION LIEN LAW'(Chapter713,Florida Statutas,asamended): 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 lei; someone other than the °owner", I certify that i have obtained a copy of the above described document and promise in good`fakh 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- that all work will be performed to meet standards of all laws regulating construction, County and Clty codes, .zoning regulations, and land development regulations in the jurisdiction.. I also certify that I understand that the regulations of other . goverment agencies may apply•to the intended work, and that It is my responsibility to identify what actions I must take be in compliance. If I am the AGENT FORTHE OWNER, i promise In good faith to Inform the owner of the permitting conditions set forth in this affidavit prix •to commencing construction. I understand that $ se permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installation$ not specifically Induded In heapplication. A permit Issued shall be construed to be a Hoene* to proceed with the work and not as authority to vieiato, cancel; alter, or set aside any provisions of the technical codes, nor shag is$uanoe 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 pelrrnk ba Commenced within six months of permit issuance, or if work authorized by . the permit is suspended or abandoned for a period of ski (8) months after the time the work Is commenced. An extension cory be roiled, in writing, from the Building Offbia for a period not to exceed ninety (90) days and will demonstrate oat sslor the°'extenslon. V worlcceares for ninety:(t ) consesetivet days, the job is considered abandoned. WARNING TO OWNER ` ICE TO R A 'N OTI CE : ' ' MAY RESULT I YOUR TO YO P . iHl s TO F ..4 BIG, CONSULT PPAY* • d� < yy �; , • 1 r�J H " 1a1,°1 fe3' t'� L , v a _ l i.J. �.R — ! .d� J9.'6f ....1. LL.. R . A P.. �; a;< 1 ° as klintifkatlon. as I iI1M!F1• • . ... ,; yceert, - ate' ..�..; � °��► „s�,� Notary Public Commission No, 1' i f Name, or wiltritsi- or- ssrn+pd Or itaMPIld c'' N eseu ° .:411 • HERNANDO FIRE & SAFETY EQUIPMENT CO., INC. 1109 PONCE DE LEON BLVD. BROOKSVILLE, FL 34601 Phone: 352- 796 -4433 1- 800 - 330 -6230 Fax: 352- 796 -5679 City Of Zephyrhills Permit Dept. June 07, 2010 05335 8th Street Zephyrhills, FL. 33542 Attn: Permit Dept. / Fire Inspector Good Morning: I am mailing these permit applications to you so that we can service these customer in a timely manner. Please inform the fire inspector that we will have these accounts completed by the end of the month, and please have him call our office before going out to check that this account has been completed so he won't waste his time. If anyone has any questions about these permit applications or about any of our customers in your area, feel free to call our office Monday - Friday 8 am - 4:30 pm and we will be glad to answer your questions. Sincerel /� 4 / 41 Frank Sperla / Service Mana. -r Celebrating over 25 Years of Fire Protection Services in the State of Florida And 18 years as an Authorized Ansul Fire Equipment Distributor AC RO � CERTIFICATE OF LIAB ,,,IT( INSURANCE DATE(MM/DD/YYYY) THIS CERTIFICATE 1$ ISSUED AS A MATTER .' ;INFORMA "o. F . FERB N O RIGHTS CERTIFICATE HOLDER. ER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR :NEGATIVELY AM 4 • . 0R ALTER THE , COVERAGE THE CERTIFICATE BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN ISSUING AFF ( S ) , CONTRACT AU : RZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, ETVYEEN THE 3SUlNG t AUTHORIZED IMPORTANT: K the certificate holder is an A •INSURED, ` the OR : conditions is the o certain policies ma re er cy(les it. A e c pa y(ly) must a t endorond• s If i cUBRO Ti Io WANED, subject to certificate holder in lieu of such endorsemen . s ; statement on this certificate does es not confer rights to the Plchard Insurance Agency • 216 Office Plaza Drive PH ONE 850.877.8029 Fax .850.877.8103 Pichardin - mast net Tallahassee FL 32301 ' � _ INSURED Hernando Fire & Safety Equipment Company, Inc. 1109 Ponce De Leon Boulevard - Brooksville FL 34601 COVERAGES CERTIFICATE NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTW(THSTAt>iQINCagNY REl2(,lIREMENi; TERM OR REVISION NUMBER: D I C TED NOT BE IS AND R NY QUIRE THE TERM, T ION CF CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS ' EXCLUSIONS AND CONDITIONS OF SUCH POUCI S; . iMI'rs SH©Wp, MAY HAVE BEEN THE POLICIES DESCRIBED LIM EREIN IS SUBJECT TO ALL THE TERMS, Mg PI a- 7- TYPE of INSURANCE l� REDUCED BY PAID CLAIMS. rf !t+`7 it ktt GENERAL "LIABILITY ' ' • ..h POLICY EXP ®® © oMMERCULL OEN LIABattY GL3292587 •, • 1000 000 05/1112010 05111120116 Tr) RENTED 50 000 CLAIMS -MgpE OCCUR mai 1 000 PE - -• &ADVI RY 1 000 000 ® EN 'L AGGRE TE -LIMIT APPLIES PER. • •��- M P • P G 2 000 000 ® PO ICY PRO- Ill • C PR • D O • P G 1 000 OOO AUTOMOBILE LIABILITY $ ® ANY AUTO SINGLE LIMIT f ■ I ALL OWNED AUTOS BODILY INJURY (Per person $ II III III (Ea accident) SCHEDULED AUTOS ) III BODILY INJURY (Per accident) $ HIRED AUTOS PROPERTY DAMAGE NON.OWNED AUTOS (Per accident) $ $ ■ UMBRELLA UAB 1.1 OCCUR —� E ■ I EXCESS LIAB ■ CLA(, S -MAD • a - ■ DEDUCTIBLE • . ■:q1 .11•x II WORKERS COAAPENSATION AND EMPLOYERS' LIABILITY ®■ ANY PROPRIETOR/PARTNEWEXECUTrVB -1 OFFICER/MEMBER EXCLUDED? U (Mandatory In NH) • $ It .describe under II : a • , • • • :: / • E.L. DISEASE - EA PLOYEE .. E.L. DISEAS - PO ICY LIMIT �. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks - Schedule, it more space Is required) FAX: 813- 780.0021 CERTIFICATE HOLDER CANCEL TION City of Zephyr Hills SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 5335 8th St THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Zephyr Hills, FL 33542 Phone: AUTHORIZED REPRESENTATIVE ifr <C1NVIl> • Fax: RT�A. ✓�...._... ACORD 25 (2009109) ®1988.2009 ACQRD CORPORATION. All rights reserved. The ACORD name and logo alwi regisfer+sd marks of ACORD