Loading...
HomeMy WebLinkAbout10-10674 CITY OF ZEPHYRHILLS . 5335 - 8TH STREET (813) 780 -0020 10674 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 10674 Address: 7833 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: Improv. Cost: Date Issued: 7/01/2010 Name: BEEF 0 BRADY'S Total Fees: 25.00 Address: 7833 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 7/01/2010 Phone: Work Desc: FPM- SPRINKLER QUARTERLY- BEEF 0 BRADY ,;, ., `�� „ . , ,: 7: % . 1 and.; '��. g = s .`' , z' 7 ;4u4, R� DAN FIRE = , INC. FIRE P - MI FEES 25.00 V e E J y E M = '� s _ �.. O , . ` M:r 3 0 l ; < A EP E Final 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." _ ar �i P ;T IT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - E HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813 - 780 -0041 813 - 780 -0020 City of.Zephyrhiils Fire- / Max - a 1 J otJ-I,UZ. 3 . • Perm Application O 7 - Date Received Phone Contact for Permit , / G __ 1 /5s7 Owner's Name (b(arF 0 PSQ.p-pY S Owner's Phone Number 1 1 I I Owners Address 1603 & A # . L4 R•I4 us ) GC- 33.14:- . Fee Simple Titleholder Name Titleholder Phone Number f Fee Simple Titleholder Address 1 z Job Address - (9(44(- 2'b Zean 1ktu.% , Ft-- Lot# Sub Division Parcel # El Bio -Hazard Waste Storage - ANNUAL n Fumigation Tent n Comm Exhaust Kitchen Hood /Duct n Hazardous Material (Tier II or RQ Facility) ANNUAL El Controlled Bum n Hood Installation E Emergency Generator < 30 kw n LP /Natural Gas - Installation ED Emergency Generator> 30 kw n LP /Natural Gas - ANNUAL Sale n Fire Protection Maintenance - ANNUAL n Places of Assembly- ANNUAL r y ems jr Uther Sprinkler ❑ ❑ ❑ n Recreational Bum Fire Alarm ❑ ❑ ❑ 1 I n Sparklers Hood Cleaning n 0 ❑ ❑ 1 I n Sprinkler System Installations Hood Suppression D ❑ ❑ ❑ 1 1 n Standpipes (Sprinkler Sys) El Fire Alarm Installation n Torch Roofing/Tar Kettle Fire Pumps n Waste Tire Storage ANNUAL Fire Works Flammable Application- ANNUAL • pp Valuation of Project Fuel Tanks 0 Other: I I Contractor Company Signature Registered Y/ N I Fee Current I Y/ N I Address I I License # I ELECTRICIAN Company Signature Registered Y/ N I Fee Current 1 Y/ N J Address I I License # I PLUMBER Company Signature Registered Y/ N I Fee Current I Y/ N Address I I License # I MECHANICAL Company Signature Registered Y / N I Fee Current I Y/ N Address I I License # I OTHER ci f l • Company �ZQ /t i /C//t(= 44 Ave-Laki /4,14 • Signature �'�_ jr� i�— Registered 3? N I Fee Current I Y/ N J Address z2"/ ,t/• 7O 1 ST. / 3-:. 53/f License # B 0 r..I0aJJ9 '" 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 OFDEED RESTRICTIONS: 'The undersigned The undersigned this permit resp osib fbty for compliance twith any which may be more restrictive than County regulations. _applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has - hired - a - contrac or or contractors to undertake work, they may be,required to be licensed in accordance witty 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 under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for intended work, they are advised to contact the Pasco County Building Inspection Division— Licensing Section -at 7.27 -847- 8009. Furthermore, if the owner has hired .a contractor or contractors, he 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 sign as the contractor, that may be an indication that he is not properly licensed and is not entitled permitting privileges in Pasco County. CONS that I, Oe LIE ic L a AW have (Chapter een 713, provided wh Statutes, copy of the "Florida l Construction Lien L o aw— Homeowner's certify Protection that I, the app Protection Guide" prepared , by the Florida Department of Agriculture above described document and prompse fath to other than the "owner", I certify that I have obtained a copy of the 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 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. forth in If I am the AGENT FOR THE OWNER, l!s in good faith to understand that a permit may be equiired for c work, rm the owner of the permitting this affidavit prior to commencing constr uction plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be to hn b cardodasenor - shall - issuance i of a permitprevent prevent-!Of vial -from thereafter requiring set aside any provisions �c unless t a correcti he work au thorized h of error s in p permiitisrC violations of any codes. Every permit of permit issuance, uordif shall become invalid work authorized by unless tt abandoned such pe m a permit is es ed, in d or g, from the Build Building Official for a period not the time the work is commenced. An extension ninety days and will demonstrate may be requested, in writing, from the 9 justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO YOUR PROPERTY. A NOTICE OF YOU COMMENCEMENT MAY OBTAIN FINANCING, CONSULT PAYING TWICE FOR IMPROVEMENTS WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOT , 0 COMMENCEMENT. ` FLORIDA JURAT (F.S. 117.03) GENT CONTRACTOR worn to o s OWNER OR A Su sc ed and swom and sworn to (or affirmed) before me this . /o by V . by Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced as identification. as identification. / L d lilt e/ _ Notary Public Notary Public _441 ; r/ jig Commission No. Commission No. , ' 1`:(2P06q CHERYL A. DUFFELL -; r * MY COMMICCION # 00 730056 Name of Notary typed, printed or sta Name of Notary typed, printed or stamped q EXPIRES: November 12, 2011 � ?9 jfoF F�����` Bonded Thru Budget Notary Services • Jacqueline Boges To: Kerry Barnett Subject: RE: permit WILL PLACE CREDIT IN THEIR CONTRACTOR FILE. THANK YOU KERRY From: Kerry Barnett Wednesday, August 18, 2010 3:52 PM To: Jacqueline Boges Subject: permit Jackie, Permit # 10674 was never completed and pulled by accident by the contractor. The contractor was Rodan. Can you make sure they receive a credit. Thanks Kerry Barnett Fire Marshal City of Zephyrhills 6907 Dairy Rd. Zephyrhills, FL. 33542 (813) 780 -0041 Cell: (813) 714 -6326 1