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Home My WebLink About10-10676 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 10676 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 10676 Address: 7340 GALL BLVD Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL. Class of Work: FIRE - PROTECTION MAINTENANCE Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 35- 25 -21- 0010 - 0880 -0000 Improv. Cost: r. ti a. , ; ; '';'_€ Date Issued: 7/01/2010 Name: TOWNVIEW RETAIL LLC Total Fees: 25.00 Address: 725 CONSHOHOCKEN SR Amount Paid: 25.00 BALA CYNWYD PA 19004 Date Paid: 7/01/2010 Phone: Work Desc: FPM- SPRINKLER ANNUAL- TOWNVIEW RETAIL RADA - ' - INKL R , IN . FIRE P - MI FEES 5 25.00 ( D 0/44 be 'a �1�� '� a• La .. rs aa« g ,gym i�`' ZS�_ "�� 4a;�' ,� a x� d ', I'EAC - ANCE 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." irrAPP Ai P '�• IT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR t4OTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813- 780 -0041 rax - o -r au r • 813 787 - 0020 City ofZephyrhilis Fire • Permit Application Date Received Phone Con ct or Permit Mill lii/ Owner's Name Aj j/ /1.) /4C?117L 444 Owner's Phone Number 1 Owner's Address ?La" al1ds.ph,' 044 o,► — 1.4- AA 492,4 CYv+'/'9, A4 • /'9000 Z./ oz. Fee Simple Titleholder Name Titleholder Phone Number Fee Simple Titleholder Address Job Address 13 6414.. Re>• Z4- "mss, I#C • Lot # Sub Division Parcel # 3• rs • Z/ • Dem • cegre30 • 40 00 n Bio-Hazard Waste Storage - ANNUAL n Fumigation Tent a Comm Exhaust Kitchen Hood/Duct r Hazardous Material (Tier II or RQ Facility) ANNUAL n Controlled Bum I Hood Installation 0 Emergency Generator < 30 kw pi LP /Natural Gas - Installation 0 Emergency Generator> 30 kw n LP/Natural Gas - ANNUAL Sale El Fire Protection Maintenance - ANNUAL n Places of Assembly - ANNUAL 7171 emi WA utner Sprinkler ❑ ❑ ❑ 7 Recreational Bum Fire Alarm LJ ❑ ❑ ❑ 1 1 n Sparklers Hood Cleaning Ei ❑ ❑ ❑ 1 I n Sprinkler System Installations Hood Suppression E=I ❑ ❑ ❑ I I n Standpipes (Sprinkler Sys) 0 Fire Alarm Installation FT Torch Roofing/Tar Kettle Fire Pumps n Waste Tire Storage ANNUAL Fire Works Flammable Application- ANNUAL r; , - Op Valuation of Project Fuel Tanks El Other: I I Contractor Company I Signature Registered Y/ N Fee Current I Y / N Address I I License # I ELECTRICIAN Company Signature Registered Y/ N 1 Fee Current I Y/ N Address I I License # l I PLUMBER Company Signature Registered Y/ N I Fee Current 1, Y/ N Address I I License # I MECHANICAL Company Signature Registered Y / N I Fee Current I Y/ N Address I _ - • I License # I OTHE'l jI �� Company ,{0 Abu, 0,40,4 l S ,K • Signaturb alb Registered Y N I Fee Current I Y/ N 1 Address Sf./ O 5T• ', ,,,. '— License # r •t IrZ000 / i "gg 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 understands that this permit may subjecftedeed'Tc stW `io " which may be more restrictive than County regulations. - The .undersigned assumes responsitzlity for'comp any .applicable deed restrictions. UNLICENSED CONTRACTORS AND, CONTRACTOR RESPONSIBILITIES: If the owner has - hired :a - ccntractor or contractors to undertake work, they may be,required to be licensed in accordance with state and local 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 the 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 an indication that he is not properly licensed and is not entitled - to permitting privileges in Pasco County. 1 CONSTRUCTION LIEN LAW (Chapter713, Florida Statutes, ,a ofine amended): If Construction of r i 5 La,5 0 Homeowner0.00 or more, 's certify that I, 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 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 1 must take to be in compliance. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I 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 0 h& clinical cocTes, "no ltissaance 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 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 TWICE FOR IMPRO OWNER: YO EMENTS TO YOUR PROPERTY. 'NOTICE IF YOU INT TO OBTAIN MAY ANCING, CONSULT PAYING TWIC WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDAJURAT (F.S. 117.03) OWNER OR AGENT CONTRACTOR ■Is- Sub ed and swom to or,r"!= •, - e is Subscribed and swom to (or affirmed) before me this /o by "*" 7r 7 by '7' Who is/are personally known to me or has/have produced Who is/are personally known to me identification. produced P as identification. as ification. 1 � . — Notary Public Notary Public �L •- J ate/ Commission No. Commission N ", 9 CHERYL A. DUFFELL typed, printed or stamped �_ }" MY COMM13310N # DD 730959 Name of Notary typ d Name of Notary typed, printed or stamp= P EXPIRES: November 12, 2011 `� ^9 F`�_, Bonded Thru Budget Notary Services Jul. 1. 2010 1:56PM No. 2538 P. 1 Receipt # 2 1 Control No. 058655 • JULY 1ST, .2009 2010 For Period Commencing and ending September 30, Total: $328.33 I � 07/06/2009 Application No. This Mosinee Tax Receipt does not permfl the holder to operate In violation of any City Law or Ordinance Indudng, but not tinted to, Zoning eM_a1ec Iced • yggaggligdos. If in doubt, the holder should verify that he or she has the appropriate zoning by calfing the Office of Land Development Coortilnat on at 2748405. This Business Tax Receipt must be conspicuously posted In place of business. • Classification Description Amount 38241 FIRE PROTECTION CONT I 31 8.3? 2010 993000 ADMIN HANDLING FEE 10 CII'YOFTAIVIPA <n t lrL� 01.. . } t of@ ,r j i r' C1 t 25 2.279e . i B 7/2009 I0: 33 13 At, 'filar Iu eJv Crs.dL s �.��'1 " ti f . D.i ✓! S '�.ti�i� LI :EI:J- ON r..r,L �.'J 1..t By: LM • Business Name and Address Business Name and Location RODAN FIRE SPRINKLERS INC JERRY T BARROW 2501 N 70TH ST 2501 N 70TH ST TAMPA FL 33619 -2933 TAMPA FL 33619 -2933 e °31-714. • • • • I — _ 1 • i i 1 .de soO • o my 1, 2010 CITY OF ZEPHYRHILLS BUILDING DEPARTMENT 5335 8TH STREET ZEPHYRHILLS, FL 33540 RE: PERMITS Gentlemen: The following persons are authorized to secure permits for RoDan Fire Sprinklers, Inc.: ROBERT A. HOLCOMBE JR. H425- 761 -56 -211 -0 DUANE LECORNU L265- 064 -60 -430 -0 TRACY LEE MAYNARD M563- 812 -67 -161 -0 Enclosed is a copy of State Certificate for Jerry T. Barrow and Certificate of Insurance. Sincerely yours, RoDan Fire Sprinklers, Inc. (D& Jerry T. Barrow 1 ' ' Vice President of Sal s JTBfjc STATE OF FLORIDA COUNTY OF HILLSBOROUGH THE FOREGOING INSTRUMENT WAS ACKNOWLEDGED BEFORE ME THIS 1ST DAY OF JULY, 2010 WHO IS P • ALLY KNOWN TO ME. MY r OM S S O � -� , ar P Tal • , CHE 1 `' �A • i ELL COM MISSIO N k DD r' y np; EXPIRES: November 12, 2011 Home Office r9r`�fF`oe\O BondedThruBud 12„ 2011 2501 N. 70th Street My Commission Expires (DD730956) Branch Office Tampa, Florida 33619 6650 E. Rogers Circle (813) 621 -1357 Boca Raton, Florida 33487 (813) 628 -0143 Fax (561) 241 -9411 FED ID # 59-1716869 Sales • Design Fax (561) 241 -2972 E -mail: rodanfire @aol.com Installation • Repairs • Service E -mail: rodanfireboca @aol.com