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Home My WebLink About10-11066 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 11066 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 11 066 Address: 7325 GALL BLVD Permit Type: FIRE PROTECTION MAINTENANC 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: 34- 25 -21- 0000 - 00300 -0020 Improv. Cost: :' . Date Issued: 10/20/2010 Name: SWEETBAY SU PERMARKET Total Fees: 25.00 Address: 3801 SUGAR PALM DR Amount Paid: 25.00 TAMPA, FL 33619 Date Paid: 10/20/2010 Phone: Work Desc: FPM-QUARTERLY FIRE SPRINKLER FOR SWEETBAY SUPERMARKET -I- - - • • _ - - 25.00 J (1D 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." WIP Ji 114, 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 Fax -813- 780 -0021 Permit Application Date Received I �) Phone Contact for Permit ,�. .. _ .�_ .�.__ .. �� S pa y� Owner's Name A'1 e .Q C L4 3-U -\ Y' 1,--,r. r k_e-I Owner's Phone Number Owners Address (\ `,r.)V-- Y 1 1 ---- C Fee Simple Titleholder Name Titleholder Phone Number Fee Simple Titleholder Address I Job Address 35 r. \ \ \ iCk Lot# Sub Division Parcel 3 405- DI-0OO6- —G(P0 ....., ...✓ .,?..,.,..::-�c,,,,,„.. z# ,.... ,_ „ :„ , „.=,..: , x.,+✓...�"�,„,,, 3i5, .,, .gxk F „,, .,..n `” ,,,.., ..,,.w:`.:'Cs-.r,:a, .s'�” ,�.,.,. ,,,. ,'9 z.4 .�,,. F x..Co -ri , „,.9,.aY.., �,,,, 'dt?',;e ,—,,,1 Bio- Hazard Waste Storage - ANNUAL I I Fumigation Tent n Comm Exhaust Kitchen Hood /Duct I I Hazardous Material (Tier 11 or RQ Facility) ANNUAL I Controlled Bum I I Hood Installation I Emergency Generator < 30 kw I LP /Natural Gas - Installation 1 I Emergency Generator > 30 kw • I I LP /Natural Gas - ANNUAL Sale I I Fire Protection Maintenance - ANNUAL I I Places of Assembly- ANNUAL IUtrl ( Fit11 Utner Sprinkler n ❑ ❑ , , I Recreational Bum Fire Alarm I] ❑ ❑ ❑ I I Sparklers ' ' Hood Cleaning �I ❑ t_-:' ❑ I I Sprinkler System Installatiof l� o Hood Suppression I ❑ ❑ ❑ I I I Standpipes (Sprinkler Sy- 4 i Ti Fire Alarm Installation I 1 Torch Roofing/Tar Kettle H Fire Pumps I I Waste Tire Storage ANNU • . Fire Works 7 Flammable Application- ANNUAL ( Valuation of Project I Fuel Tanks E 1 Other: Contractor ` -�° a .- s�,. �;.��_a.,-, _ . m :.�.,.�� _..��.�. . .a. ..__ .. F�� >.;.UA_. , �_ Company Signature Registered Y / N j Fee Current I Y/ N _I Address I I License # I ELECTRICIAN Company Signature Registered Y/ N Fee Current 1 Y / N I Address I I License # PLUMBER Company Signature Registered Y / N I Fee Current I Y / N 1 Address I I License # MECHANICAL Company Signature Registered Y/ N I Fee Current 1 Y / N I Address 1 License # I r ff Company OTHER S-1 i' . (' `( I t,` N d i Signature Registere Fee Current I Y / N1 Address I `. • , (7 G►1f1)'` W r C (i 3311 U License # c,, , 1 � a DLO CrL , . II (1 U 1 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: /iappraiser.pascogov.com) NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed ":restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any 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 apply 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 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 to permitting privileges in Pasco County. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, 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 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 w regulating construction, st indicated. z zoning an ld land development. Application is hereby made to obtain a per that no work or installation has commenced prior to issuance County of ad ermit t and t all zoning work regulations, wilbe p erformed to d meet standards of all laws regulating construction, tY 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. tf i his a ff ida AGENT FOR -THE vit prior to commencing OWNER, tr construction. I in understand that inform the owner of the permit may be required for conditions electr cal work, t aida plumbing, d shall wells, onst ued be a license e gas, or other to proceed with the work and not as authority to d violate, cancel, application. lter, or permit issued an ro i s io con st set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter unless t a correcti he work au t h of errorhorized by s u such p ermit isrcommencedlwithin six months of permit permit issuance, ordif shall become work authorized by unless tty sc may pbe request is es ed, p eriod fi ned or g, from the Bui di gOffiic al for G a period not to exceed t n ninety days and e will demonstrate may ab le cause au e se for , t he eaten justifiable the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. WARNING IC OWNER: YOUR E FOR IMPROVEM ENTS TO YOUR PROPERTY. T IF YOU INT TO OBTAIN n FIINANC FINANCING, CONSULT PAYING TWIC WITH YOUR LE . R OR AN ' TTORNEY B- FORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F. . 1 `.03) CONTRACTOR OWNER OR AGENT ' . Subscribed and sworn to (or affirmed) before me this Sus. 'zed and swo to (o firmed) • ore b • at A 0' .1 � W ho is Wally known to me or has/have produced o i a ; •ersonally o • me identi i s a pro - as identification. - - as identification. -- - -- r Notary Public /1. , I I / ��, (y Q Public J'. AI Commis. No. . ^J U ". In . _ Commission No. ii k , - ' -� , �" typed, printed or stamped Name of Nota • •ed, printed or sta ._ N ame of Notary typ P se.aea•a•• ^ +u••ae••mu ,w f`/ A . Io ?c GAFFAG AW , DD070 s t .4 , p .1 13012011 Assa.