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Home My WebLink About11-11455 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 11455 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 11455 Address: 7838 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 - 00700 -0000 Improv. Cost: Date Issued: 1/31/2011 Name: PRIMERICA GROUP ONE Total Fees: 25.00 Address: 3629 MADACA LN Amount Paid: 25.00 TAMPA FL 33618 Date Paid: 1/31/2011 Phone: (813)933 -0629 Work Desc: FPM - QUARTERLY FIRE SPRINKLER FOR PUBLIX FOR 1/31/2011 (6=‘`' 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 $100.00, whichever is greater. All work shall be performed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." P � IT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813- 780 -0041 MAR /28/2007/WED 07:20 AM ZEPHYRHILLS BUILDING FAX No.813 780-0021 P.001 813 -780 -0(120 City ofZephyrhlllsFider Fax- 813-780-0021 l Permit Application . -. Date Received •Phonie r Permit "%Mill [P,R i111 PAW" - 201 Owner's Name 1 t ti x u i1 ' t(J( to ,� tt 1. Owner's Phone Number J 9t3 j �� mils Owneea Address . [�3$ i EL\ 1C . 7 Vii. i ll12.> ' rt.: 3 1 • . • Fee Simple T)Uaholder Name - Titleholder Phone Number L L Fee Simple TltleholderAddress I . - • • • Job Address \ d - - A b ` — FL •• lio Sub Division Panel # n Bi o Hazard Waste Storage – ANN Fumigation .. ED Comm Exhaust Kitchen Hood /Duct : H azardous Material g tion Tent • • D. (Tier H or RQ Faculty) AN ■ AL ✓ ‘.5...„. , 1 / ,.. [ ] C ontrolled Bum n H ood installation • Q E mergency Generator < 30 kw E1 L PiNe.tursl Gas-Installation • / Emergency Generator> 30 kw LP/Natura) Gas - ANNUAL Sets • • I Fire Protection Maintenance : ANNUAL . 'LIZ 1 a P laces of Assembly- ANNUAL t • MI 'tenet Sprinlder �( O ❑ ReoreaUonal Bu ` - eau 1 (� Fi re Alarm . CI C]' ❑ - I 1 n $ �c. - X 1 d - t}�l�� Hood Cleaning [ ❑ • ❑ ❑ • 1 1 Sprinklor'System Installations • 131 • Hood Suppression p It ❑ I . • I . Standpip tandpip (SprilrSys) 11 - ri Fire Alamt lristallation . Ej Torch Roofing/Tar Kettle .• • Fire Pumps • - • • Weste Tire Storage ANNUAL • ' Fire Works • • Flammable Application- ANNUAL • •) • Valuation of Project • Fuel Tanks . • • ' . I Other: 1 _ . . ^- ..- • • I Contractor e / Company ' f I l �'1( 1r j ,. ,y – signature t � /41 �. 11 4 � I err g � � Registered to Fee C ement G Address � 1r:ir ..ss�� i-icense# III, �ifllrPyl��lili ELECTRICIA IA! ' �� Compa 1 Signature . • . • Registered YIN • I Fee Current.. 1 Y / N 1 Address L 1 License # I • • • 1 • PLUMBER o Cny • • Signature Registered Y/ N I Fee Current I Y/ N 1 Address r License # • , • • MECHANICAL Company I Signature • J Registered Y/ N 1 Fee Current 1 Y/ N 1 Address I I • License # . 1 . OTHER Company C • • signature Registered • Y/ N 1 Fee Current I Y/ N 1 Address License # . • Directions: Fill out application completely. Owner & Contractor aign baok of application, notarized (Or, copy of signed contract with miner) . . If over $2500. a Notice of Commencement is required.(Mechenical work over $6000) Supply two (2) eats of drawings with applicable documentation • Allow 10-14 days for revioW after submittal date. Parcel # - obtained from Property Tax Notice (http / /appraieer.pasoogov com) • • • MAR /28/2007/WED 07:20 AM ZEPHYRHILLS BUILDING FAX No. 813 P.002 • 'NOTICE OF :DEED' RESTRICTIONS: The.underslgned understands-that this permit may•be•subjectttedeed "frestrictions "" which may be more restrictive than County The :undersigned .assumes responsibility for:compliarace+with any . • . .applicable deed restrlotlons. . 'UNLICENSED CONTRACTORS . A CONTRACTOR..RESP.QNSIBILITIES: If owner has tired contractor - or. • - contractors lo undertake work, they may be required - to be licensed In accordance with state and local If the contraotor 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 sea to what licensing - requirements may apply for the intended work, they are advised contact the-Pasco County Bullding Inspection Division — Licensing Section.at 727 -847- 8009. Furthermore, ff 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, at 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 7't3, Statutes,.as.amended): If valuation of work Is '$2;500.00 or more, I 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•AFEIDAVIT:. 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 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 I must take be In compliance. • - • If I am the AGENT'FORTHE OWNER, I promise in good faith to Inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. -1 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 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 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 slx•(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 th"e extension. If work ceases for ninety (90) consecutive days, the Job is considered abandoned. • 'WARNING TO OWNER: 'YOUR FAILURE TO - RECORD A 'OF :COMMENCEMENT MA RESULT IN 'YOUR . PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YQUR LENDER ORAN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03 OWNER OR AGENT CONTRACTOR � ' and swo affj d r0 a . .S and swo ( nned) befo me thus —p t't'G 1 d by L. o lslare known to me or hasfhave produced o Is/ ggpe,�ppstlly known to me or dslttave produced N • 1 as Identification. '41 %A _ • as identification. V y 4. . • G�✓�� Notary Public LJ�` Notary Public • Commission No. . D c)I.JOD _ Commission No. 15 1 S 020 1� z i Vl�1C� 1hi \inf ti f . Nanle of Notary typed, printed or stamped Name'of Notary typed, printed or stamped . • / et / • . ' . : "l1' MITZI VANCE : s • A„'1 MITZI VANCE < '► CM/MUM t�o913oeo ( COMMISSION 0 00913000.. : P OCT 09 20 ; EXPIRES OCT 09 2 013 aptpED MOAN + - D� Itu aowswN II MURANO COMP MY • • TRANSMISSION VERIFICATION REPORT TIME : 01/28/2011 10:55 NAME : FAX . TEL . SER.# : BR0L5J387761 DATE, TIME 01/28 10:53 FAX NO. /NAME 7800021 DURATION 00:01:21 PAGE(S) 03 RESULT OK MODE STANDARD ECM FA)( �./�,� W ig ii i Fire Systiems 5 912 -D Breckenridge Pkwy - Tampa • FL • 33610 Phone: (813) 623 - 2333 • Fax: (813) 620 - 0333 To: City of Zephyrhills From: Mitzi Vance Attn: Building Dept Re: Permit Application for Publix #1245 Fax: (813) 780 -0021 Pages: 3 Date: 1/28/2011 Urgent C) Please Reply C For Review [X] i its: Please see the following permit application for Publix #1245. The inspection is scheduled for Monday, 1/31/2011. I will have our technician bring the check to the building department on Monday morning and pick up the permit. Thank You, Mitzi Phone: (813) 623 -2333 ext 201 Fax; (813) 620 -0333 Email: mlv @wiginton, net who Wi FAX Fire Systems 5 912 -D Breckenridge Pkwy • Tampa . FL • 33610 Phone: (813) 623 -2333. Fax: (813) 620 -0333 To: City of Zephyrhills From: Mitzi Vance Attn: Building Dept Re: Permit Application for Publix #1245 Fax: (813) 780 -0021 Pages: 3 Date: 1/28/2011 Urgent [] Please Reply [] For Review [X] �e L ��a�?�Mxs�rl , . y,.�a - ��, 3�., a�i�; ,, z, ➢" k_ " `.i.,: r k o . L..t. Please see the following permit application for Publix #1245. The inspection is scheduled for Monday, 1/31/2011. I will have our technician bring the check to the building department on Monday morning and pick up the permit. Thank You, Mitzi Phone: (813) 623 -2333 ext 201 Fax: (813) 620-0333 Email: mlv @wiginton.net