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Home My WebLink About11-11396 CITY OF ZEPHYRHILLS 5335 - 8T1-1 STREET (813) 780 -0020 11396 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 11396 Address: 6719 GALL BLVD Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL. Class of Work: FIRE - PROTECTION MAINTENAN eE Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 03- 26 -21- 0010 - 03300 -0010 Improv. Cost: Date Issued: 1/12/2011 Name: SUN MEDICAL CORP Total Fees: 25.00 Address: 6719 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 1/12/2011 Phone: (813)783 -6189 Work Desc: FPM - SPRINKLER ANNUAL -SUN MEDIAL CENTER - „ - - - - y ,. 1, C V r ina 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." t! IOW fi 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 j13M 813- 7F] -O020 City ofZephyrhilisFine, Fax -313- 780 -0021 Permit 'Application . Received Date - _ ._.,__...�_., s__ � .... 4 � sue: ._.< r. s - — - Phone Contact for Permit ��. ~� . _ _� - Owner's Name STMPTIFXGRTNNELL Owners Phone Number 813 I 626 I 5482 Owner's Address 4701. Oak Fair Blvd TAMPA FL 33610 . Fee Simple ,Titleholder Name - ' Titleholder Phone Number Fee Simple Addr ss ( ="..rx ..Y J _,t- cam f .., � ��'�� —•-.� � .� _ ��.ve� w liT'^. ° - �'- tY+... I �1.f ., -.t �� .. -)...f ._...�,.n <..y sa�.LC� 1 .�.r c. •p � � _ .+t .�-.w x... ......_ Job Address 6 -1al I l `�, V4 - y ra As 1 - 335L11 f Sun I.Aea ice i C,l Let Sub Division Parcel # � ...?•' . •^. »=�' - °' atea.:-,. ..,p. ,;:.is.�a .." -' - 70.- ilgEZ:_`.� .- e ms` ter•- •r- � .•^_"'r �.v.a.., .. .... ,. ....,v .n ..s..- >..er� �`L•:'.. ..� „�.. •rGX.:.;k..... `'� .., ... � .. ......,.. K._ i- S.:.... � ..v::c€:� ».._- ..- v- .,..— s. ...L+ ,...- . - `Um,�. t,..........,.. F ....,. • 1 •J Bio- Hazard Waste Storage - ANNUAL 1 1 Fumigation Tent Comm Exhaust Kitchen Hood /Duct Hazardous Material (Tier If or RQ Facility) ANNUAL • (. I • Controlled Bum ( Hood Installation Emergency Generator < 30 kw ! ] LP /Natural Gas - Installation Emergency Generator > 30 kw I (, LP /Natural Gas - ANNUAL Sale • Fire Protection Maintenance _ ANNUAL ( 1 Places of Assembly ANNUAL -. C•trly1 !Semi' Mg =II Sprinkler, ❑ ❑ ,A . • 1 Recreational Burn Fire Alarm , ( ❑ ❑ ❑ [ I ( Sparklers . • • Hood Cleaning 0 ❑ ❑ • ( ( ( SprinklerSystem Installations • ___ . , . Hood Suppression. 1 q 0 _ ..O ( ,. _0 _ Standpipes (Sprinkler Sys) . - • 1 .-.: : : - _ Fire Alarm Installation l C Torch • Roofing/Tar Kettle _•... ... _ _ ...._ _ .. • [, ; 1 Fire Pumps Waste Tire Storage ANNUAL • I Fire Works . 1• Ftaminabfe Application- ANNUAL Valuation of Project . (` Fuef Tanks ( Other • iati . .. _.�,.� � ra...�°*.' w ' ng 6. _<._.. 7 r xi L' ,.. 3.'._ ,,. , ,11,,.,,M3 " •: .' P£"Y" •'�. `Se�..:M ` aV Mirc-<. �.._.'* " `i5• � /� �,£k&'".aeY.OY, ate.` . ."eke - gr — :' ` Mill • Contractor Company -• 'r' - (�- . tC Signature Registered Y / N • Fee Current ' Y / N , • Address l 1 . . . • License # • ELECTRICIAN Company •Signature R - Registered Y N r Fee C urrent 1 Y/ N • Address 1 • .. ( License # PLUMBER • ... Company Signature Registered Y / N ( Fee Current Y 1 Nr j • • • Address' ( License # , ' . . ( MECHANICAL Company Signature , Registered Y 1 N Fee Current Y / N J . Address 1.,,,-,,, . ( License # I • OTHER _ - - Company • - Signature Registered Y / N Fee Current Y / N J Address 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.(Mechenic.al 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 (htip:/ /appraiser.pascogov.com) 'NOTICE OFIDEED RESTRICTIONS: The . undersigned understands that this permit maybe• subject to "ded" :restrictions' which may be more restrictive than County regulations. i he.undersigned assumes responsibility for:uompliance with any 1 _applicable deed restrictions. UNLICENSED - CONTRACTORS AND •CONTRACTOR RESPONSIBILITIES: If the owner has - hired - :a -contractor or - - contractors to undertake work, they may be required 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 :a'misdemeanor violation under state law. If the owner or intended contractor are uncertain .as to what licensing may apply for the intended work, they are advised to contact the Pasco County Building inspection Division Licensing Section.at 727 - 847- 8009: Furthermbre, 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 will be responsible. If you, as owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitfed permitting privileges in Pasco County. CONSTRUCTION - LIEN LAW (Chapter7l3, Florida Statutes,_as.amended): If valuation of work is $2;500.00 or more, certify that 1, the applicant, have been provided with a copy of the "Florida Construction Len Law— Homeowner's Protection Guide" prepared by Florida Department of Agriculture and Consumer Affairs. if the applicant is someone other than the "owner", 1 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 accurate and that•all work will be done in compliance with all applicable taws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. . certify that no work or installation has commenced prior to issuance of a pen and all work will be performed to meet standards of all iaws' regulating construction, County and City codes, .zoning regulations, and land development regulations in the jurisdictioh. I also certify that I understand that the regulations of other • _ government agencies may applyto the intended work, and that it is my responsibility to identify what actions l must take to be in compliance. - _If 1 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 commenc[ng- coristructiorr:..: [ understand: that al 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 to be a license to proceed with' the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance 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 shalt. becorne 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 cif 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 TO OWNER; YOUR - FAILURE TO RECORD A NOTICE OF :COMMENCEMENT MAY: RESULT IN YOUR • PAYINGTWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBT N FINANCING, CONSULT WITH YOUR LENDER ORAN ATTO BEFORE RECORDING YOUR NOTICE ti ENCEMENT FLORIDA :PRAT (P .S1 117.0 • / . G T CONTRACTOR �� OWNER OR A ., Etd � Subscribed and sworn . (or . r ed) before me this Subscribed and om to or .''firmed) before me this 6y' , by Who is /are personally known to me dr has /have produced Who is /are personally known to me or has /have produced as identification. • as identification. Notary Public Notary Public Commission No. Commission No. - Narne of Notary typed; printed or stamped Name of Notary typed, printed of stamped • • • j.