HomeMy WebLinkAbout10-10675 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10675
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 10675 _ Address: 7348 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: 35- 25 -21- 0010 - 08800 -0000
Improv. Cost: 0 ;,.
Date Issued: 7/01/2010
Name: TOWNVIEW RETAIL LLC
Total Fees: 25.00 Address: 725 CONSHOHOCKEN STATE RD
Amount Paid: 25.00 BALA CYNWYD PA 190042102
Date Paid: 7/01/2010 Phone: (610)667 -5800
Work Desc: FPM- SPRINKLER ANNUAL- TOWNVIEW RETAIL
R DAN - - RIN L - IN . I - ' PR I F 25.00. -. .. .
C/
/V V.
F - E A EP AN 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."
�
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 - 780 -0020 City of.Zephyrhills Fire rax -o 1 o ou - uvc I .
Permit Application _______44-(00. . _.
Data, P,eceivr , i Phone Contact for Permit N 3 GZ/ /.3,1 7
�. d ., � ham _ • n . _. � : —•'- - , ..
Owner's Name 11404 ✓/t .) AcrrI )G. e_cd, Owner's Phone Number . I
Owners Address 11 dONS t1 te∎KCM m-rm; Ars /t.* CYAI# ) YO A/ 4 OO ✓L /
Fee Simple Titleholder Name Titleholder Phone Number
Fee Simple Titleholder Address I
Job Address 13 &AU- A. L[0°/- Y/:-// , LL S ) At,. Lot #
Sub Division Parcel # 30 Zs' Z.) • ewe • also() - O000
E Bio -Hazard Waste Storage - ANNUAL n Fumigation Tent
n Comm Exhaust Kitchen Hood /Duct = Hazardous Material (Tier II or RQ Facility) ANNUAL
n Controlled Bum n Hood Installation
EJ Emergency Generator < 30 kw n LP /Natural Gas - Installation
F l Emergency Generator> 30 kw n LP /Natural Gas - ANNUAL Sale
Fire Protection Maintenance - ANNUAL n Places of Assembly- ANNUAL
ry }S emi' ( tither
Sprinkler ❑ ❑ ❑ n Recreational Bum
Fire Alarm ❑ ❑ ❑ I 1 n Sparklers
Hood Cleaning 0 ❑ ❑ ❑ I ( n Sprinkler System Installations
Hood Suppression El ❑ ❑ ❑ ( I n Standpipes (Sprinkler Sys)
Fire Alarm installation = Torch Roofing/Tar Kettle
Fire Pumps n Waste Tire Storage ANNUAL
Fire Works
Flammable Application- ANNUAL Lit Z� p ( Valuation of Project
Fuel Tanks
Q Other: I I
Contractor Company I
Signature Registered Y / N I Fee Current 1 Y / N I
Address I License # I I
ELECTRICIAN Company
Signature Registered Y/ N I Fee Current f Y/ N I
Address I I License # I I
PLUMBER Company
Signature Registered Y/ N I Fee Current I Y/ N
Address I I License # I I
MECHANICAL Company
Signature Registered Y/ N 1 Fee Current I Y / N j
Address I I License # I I
OTHER
- Company , 42-.J / Git6r -, 4Z4I/ACe$7%S .stt.
Signature ei.,, Registered 69/ N 1 Fee Current I Y/ N I
Address - ., • O e ��� License# cf Z000/1/ 9
._��•. a.a_... - .r..•.,,� -,ter
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 (httpi /appraiser.pascogov.com)
NOTICE OF'DEED RESTRICTIONS: 'The undersigned The undersigned this permit may be
responsibility for�compl ante `withoar'�r
which may be more restrictive than County regulations.
.applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has - hired :a - contractor or
contractors so undertake waskregU ri ed b baw, g both d the ow contractor a may be c state and ited . for a misdemeanor violation
contractor is not licensed a q Y for the
under state work, law. If the owner d to intended
the Pasco County uncertain Divis o L censing at 27-847 -
intended work, they are advise
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 at he isaniot for
properly licensed will
a be d is t act enfitled�to you,
permitting the
privileges gn Pasco
contractor, that may be an indication
County.
CONSTRUCTION LIEN LAW (Chapter713, Florida Statutes, _as
of the amended):
If valuation
Construction r i $2;500.00 or o e , 1
certify that I, the applicant, have been provided with a copy
Protection Guide" prepared by the Florida Department of Agriculture above described document Affairs.
and promps d faith to
other than the "owner", I certify that I have obtained a copy of the
deliver it to the "owner" prior to commencement.
CONTRAS/OWNER'S
will be don e in compliance lance with all ppliable laws information egulating t zon zoning accurate
and land
that all work be done in
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 land
meet standard ul ations in all lawn the jurisdiction. on construction, also certify that understand that he regulations a of other
development regul J
government agencies may apply to the intended work, and that it is my responsibility to identify what actions
must take to be in compliance. ons
If I am the AGENT FORTHE OWNER, l construction. I in
understand that inform the
permit may be eq 9 red for conditi electr cal work,
forth in
this affidavit prior to commencing lication. A
be plumbing, signs, wells, pools, air conditioning, license to proceed r with the work and not as a ut authority included violated cancel, alter, or
permit - issued shall construed to ob
------ - - - - --
fter
set aside any provisions of the techrnca odes, "nor st'altissaance of a permit prevent b erm t issued s II be om inval'd
requiring a correction of errors in plans, construction or violations of any codes. Every p
unless the work suspended oor authorid
a b ndoh andone d f f o r ais period of six (6) within six months of
after the time the permit is commenced. An extension
the permit is suspended r bd or
may be requested, in writing, from the Building ceOfficial r ninety ( 0)rconsecutive exceed ninety days, the job isOcons de ed ab il andoned demonstrate
justifiable cause for the extension. If work ceases
WARNING TO OWNER: YOUR FAILURE TO
OUR PROPERTY. NOTICE
IF YOU COMMENCEMENT
TO OBTAIN F NANC FINANCING, CONSULT
PAYING TWICE FOR IMPROVEMENTS TO
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTIC COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03)
CONTRACTOR -,, me this
OWNER OR AGENT Su cn ed and swo . to o 'er`
Subscribed and swum to (or affirmed) before me this b . � _ kP by —.I y T ..,
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.
/ O ' _ ..# _.1.1 Notary Public
Notary Public i it / 1 . '..
'
Commission No. Commission No.
", CHERYL DUFFELL
Name of Notary typed, printed or sta ff: * -iii . =�, EXPIRES: November 12, 2011
Name of Notary typed, printed or stamped ,nq „ .: e .� Bonded Thin Budget Notary Services
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