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Home My WebLink About10-10694 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 10694 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 10694 Address: 6719 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: 03 26 - 0010 - 03300 - 0010 Improv. Cost: , , ®x � Date Issued: 7/08/2010 Yr Name: SUN MEDICAL CORP if Total Fees: 25.000r � ' i Address: 6719 GALL BLVD Amount Paid: 25.00/ ZEPHYRHILLS, FL. 33542 Date Paid: 7/08/2010 Phone: (813)783 1 Work Desc: FPM-FIRE ALARM ANNUAL- SUN MEDICAL CENTE' P ! ' 0 7 59S IM - L X - IN L L LP - p - M T E 25.00 r >, S /I Mt g IR A TAN Final , ,:`' i. .;> :L; W17 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." Il /1 P �- IT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION 8 HOUR NOME REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813- 780 -0041 \ �-e uS USA 50, CDO � vlootA \\0 813-780-0020 & 014 City of Zephyrhills -Fire. tr, / Fax- 813 -780 -0021 Permit Application Date Received J P hone Contact for Permit IllI Owner's Name 4 a Owner's Phone Number - 81 3 62 6 15 4 8 2 Owner's Address 4701. Oak Fair Blvd TAMPA FL 33610 Fee Simple Titleholder Name I • - I Titleholder Phone Number 1 Fee S imple Titleholder Address 1 . Job Address G7 i 1 C g \` Ztvl‘ 2tp l (N t ∎15 c'L 3 t-di. Lot # I Sub Division Parcel 4 t Bio-Hazard Waste Storage - ANNUAL l I Fumigation Tent Comm Exhaust Kitchen Hood /Duct n Hazardous Material (Tier If or RQ Facility) ANNUAL Controlled Burn I I Hood installation I 1 EmergencyGenerator < 30 kw I ! LP /Natural Gas - Installation Emergency Generator > 30 kw 1 (_ LP /Natural Gas - ANNUAL Sale 1• - I Are Protection Maintenance - ANNUAL • I I Places ofAssembly-ANNUAL . I Utrlyl 'Semi I IAn! I =am , Sprinkler, I I ❑ " ❑ ❑. • ( ( Recreational Burn ' Fire Alarm , �❑ ❑ '.. 1. . s" • 1 1 1 Sparklers Hood Cleaning I I O' ❑ ❑ 1 1 1 1 Sprinkler System Installation1 Hood Suppression _ a 1 ❑ ❑ ❑ 1 1 I I Standpipes (Sprink Sys) tandpip le r I I• Fire Alarm installation 1 I Torch Roofing/f ar Kettle IT Fire Pumps ' ( . Waste Tire Storage ANNUAL f -, L' Fire Works • , , • 1 Flammable Application- ANNUAL - ' / ' I I Valuation of Project Fuel Tanks 1' .. 1 . Other: I • R1 L.r, -,-.---...L,, ,, ,,6Ys 9_Fb b' ,,,,. n .,,,, c v`,.... ..g., ,, . CM'y -:: '1 .x_ _ . _,,, -. - t m , _.. -rte[ :A» _ ... Contractor Company 3 4-1-7 -' a.* . S, (- Signature Registered Y / N ' Fee Current ' Y / N • •. Address 1 ` a •: License # ELECTRICIAN ,. ,: Signature , , � • : , - M Company Registered Y / N I ..Fee. Current 1,-. ; Y / N.; I i Address I , I License # PLUMBER - Company Signature Registered Y[ N I Fee Current' I Y/ N • Address I 1 License # • ` _ j MECHANICAL I Company I Signature I Registered Y/ N j Fee Current I Y/ N - Address 1, :;: , • 1 License # • OTHER Company Signature Registered Y/ N J Fee Current I Y/ N j Address License # Directions_w • - 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 (httpf /appraiser.pascogov -com) • 'NOTICE OF:DEED - RESTRICTIONS: - The .undersigned i permit responsib responsibility for {compliance w th any which may be more restrictive than County regulation The undersigned assumes _applicable deed restrictions. UNLICENSED `CONTRACTORS AND -CONTRACTOR RESPONSIBILITIES: If - the owner has - hired :a -contractor or - contractors to undertake work, they may be required - to be licensed in accordance with 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 a p l for the intended work, they are advised to contact the-Pasco County Building inspection Division— Licensing Section -at 727 -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 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. CONSTRUCTION -LIEN LAW (Chapter71 Florida Statutes,_as_ amended): If valuation of work is $2;500.00 or more, I certify that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law — Homeowner's Protection Guide" prepared by 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 " owwner" prior to commencement. • - CONTRACTOR'S /OWNER'S- AFFIDAVIT I certify that all the information in the application' is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land ion as indicated.. I certify . development. Application is hereby made to obtain is P ance of a per t and that all will be performed to that no work or installation has commenced prior codes, .zoning regulations, and land meet standards of all laws regulating construction, County and City • development regulations in the jurisdiction. 1 also certify that I understand that the regulations of other _ government agencies may apply the intended work, and that it is my responsibility to identify what actions 1 . must take to be in compliance. If 1;am the AGENT FOR THE OWNER, I promise- in good faith to inform he owner o pe e req. it i u conditions o cal hr set forth in :. _ ge _._. fd this affidavit prior m to comencing construction ._. -.0 undersfactd_ that P _ P ma y plumbing, signs, wells, pools, air conditioning,. gas, or other installations not specifically included in the application. A permit as i e any provision ion cos of t the be-nrued technical s a lic , nor proceed hall issuance of a permit prevent the set Building Official from thereafter aside any p'rosionf he o shalt beconfe invalid . requiring a correction r i inch permit s {r co f mmen ed six of perm Pssuance, work authorized by Unless the work authorized ed b such p 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 orninety (90) o e days, fhejob i9 considered abalndoned justifiable cause for the extension. if work c eases ...'WARNING TO OWNER YOUR FAILURE TO RECORD A'NOTICE 'OE COMMENCEMENT MAY RESULT IN YOUR • - PAYINGTWICE FOR 1MPROVEMENTS TO YOUR PROPERTY. IF YOU END OBT ' ENCEMENT.' CONSULT WITH YOUR LENDER OR AN ATTO - - BEF ORE RECORDING YOUR FLORIDAJURAT(FS 117.1- / _./ • . CONTRACTOR � OWNER OR AGENT • before me this Subscribed and s om to or umed) before me this Subscribed and s4vom • (or ed) by by Who is /are personally known to me or has /have produced Who is/are personally known to Me or has( dentifi identification. produced as identification. as icati Notary Public Notary Public Commission No. Commission Na ' Name of Notary typed; printed or stamped Name of Notary typed; printed or stamped - •