HomeMy WebLinkAbout11-11673 CITY OF ZEPHYRHILLS
' 5335 - 8TH STREET `
(sis) �8o-oozo 11673
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11673 Address: 7631 GALL BLVD
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 34-25-21-0110-00000-0010
Improv. Cost:
Date Issued: 3/22/2011 Name: SUPER WAL-MART
Total Fees: 25.00 Address: 7631 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/22/2011 Phone: (479)204-1063
Work Desc: FPM- QUARTERLY HOOD CLEAN- WALMART DELI
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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 O�ce - 813-780-0041
FEB/20/2007/TUE 11:10 AM ZEPHYPHILLS BUIL�I('�dG FAX No,813 P.002
`813=780'D020 CityofZephyrhills��� Fax-813-780-A021 � •���;;<
• - Permit AppIication �-•-• ' • •-���;;�
��. •:��� . _._. - - � _ .�_
_Date Received . �Ptione Contact for pormlt �
� — ,...� . �
Owna�'s Name= — — • ` � _ Owne�'s Phona Number ,� � ,Z �p�, ' _.. _
— ,
pwner`S Address a2 � .�% .J ,U � � � � �� � y �
Fae Simple�'IUeholder Name Tftiaholder Pho�e Number ���
Fee Slmpfe�'IilohofdarAddrase
Job AddYass � � �(� ' /.�` ' / r Lot # �
Sub blvlslon ' ' Parcel #
� Bio-Nazard Waste Storaga-•ANNUAL � �umlga6onTent ' ,
� Comm �xhaust Kitchen Hood/buct ' � Hezarrloua Materlal (Tier II or RQ KadA�r) ANNUAL
� canlrolled Bum �� Naod Inatellaflon
� Emarger.cy �enerator c 30 ktv , � LPlNetural Gas-InstallaUon
�' Emargency Ganerator � 30 kw ��PJNatural Gas-ANNUAL Sale
� Plro Protectioi, Malntenanca - ANNUAL � Plaees of AssemblY-ANNUAL � ��
� �c 0m� � e � �
Sprinkler � p ❑ ❑ � � Recreational Bum, �
Fra Alarm ' � ❑ ❑ � � � SparlUBrs •
Heod Cleaning ��� ❑ O� � Sprinkier Syatem insia0ations
' Hood Suppresslon � Q ❑ C] � � standplpea (Sprinkier sys)
' a Fire Alart» Inatanauun � � Torch Rooflngltar Kettle .
Flre Pumpa ' ' � Waete'tlre Stora9eANNUAL
Fire Worfcs � •
Flammabla AppllcaUorr ANNIIAL ' Vafua�ioll of pfojeCl
� Fuef Tanks
� Other:
Goniractor , Company
5i9neture RegisterBd / N Fee Curtant Y/ N
Addrese License #
FL.ECTRICIAN Compsny ^��
signature • Registered Y/• N Fse Cumerrt Y/ N
Addresc ucense # '
PLUMBER . Company �
Signature RegieEered Y/ N Fea Curceni Y/ N
Address � Llcense # '
M�CHANICAL Company
Slgnatura Regl3t9led Y/ N Fea Current Y/ N
Addreae -Llcenee �t
PTHER Compsny �
Slgnature t2egiaterad Y/ N' �sa Current ' Y 1�!
Addrass Uce�se #
blrecUons: •
FII ouE appliCailon complet0ly.
Owner & CohVattor elgn hack of applicatlon, noterized (O�, Copy of slqned contraot wfth owner}
1f over �2500, a NaOce of Commancemant Is required.(Mechanfcal work ovar 55000) •
Suppiy two (2} seta of drawings wlth spplicable documentation '
Allow 10-i4 days ivr rovlew sftar eubmltta! data. Parcal #- obtained 1rom Property Tax No6ce (httpJ/appraiser,pascogov.corn)
FEB/20/2007/TUE 11:10 AM ZEPHYRHILLS BUILDIPdG FAX Na,813 P,003
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C�1,�0li;?i — , .ii , ...-=: - • • �:=�I�DFI
-� =��T�'D;TI:�E+D'F:D�ED:R�STRICTlONS: - T'he.underslgned. - und�.�n�is�tha# - fhis;permlt may.be�subjectrto�"de�d":r.estrictlP�t��ty�
. ::.._ . .. -
"z "^cwhi�h'�rnay'bemare than County're,gulatlons':`�fhe�und�r
' :appilcable�deed restrictlons. � aG:�iicaT-�� ::- =.. � -- r;r , �i;;;�:��:�
:�""'�1JN1;I��ENS�D _CONTRAGT.DRS �i4ND �CONTR�ICTOR'R�SRONS1Btlt1'LIE�S:-� has ',,,_L:_;y-'�.'
- :contractorsto undertake work,�they may�be requlred-to be licensed in��accordance with state and local If the_:-: -�•
contractor is not licensed as requlred �•by law, 'laotr •the owner ;and .contractor 'may .be oited'for :a - misdemeanor �violatiori. - �
�.under law. If�the owner or intended�cantractor.are uncertaln:as�fo what Ilcensing�requirements may:apply�for ,�
infended work,'the,y are advlsed�to contacf the �Pasco County:Buildingalnspection .Dlvlsion—Licensing Sectlon:at 727=84•7-
-.80D9. =F.urthermore, .if the owner has hired -a cantractor or contractors, :he fs advised �to •have - tha contractor(s) sfgn
portlons of the "contractor Slack" of thls appllcation�for which be respbnsibie. If you, as•the own�r�.slan:as.the
w �contractor,'that may bean indication:that�he is�not lieensed and is nof entltled�to:permitEing.privileges in�:P.asaa ���.�
-Gounty. � '
=CONSTRUCTEON_l.IEN-LAW (Chapter7�l3,'�lortc�a`Statutes,�s=amended): If�valuatlonofworkis •
aertify that I, `the appllcenf, have been provlded 'with a copy .of � fhe °Florida Construction Llen Law Homeownar`s
pratection Guide" prepared by�the �lorida Department of Agriculture Consumer Affalrs. 1f the appilcant is •someone
other than the"`owner", I certify that I have obtained.a copy of.the�above desaribed document and promise in goodfalth�to
deliver It to tha "owner" prior�ta cammencement. I
- CONTRACTOF2'.S/dWN�R'S �AFFIDAVIT: I certify that alt the informatlon in this application Is accurate and .
�that alf work wifl .be done in compliance with all applicable laws regulating constrvctlon, zoning and land
development. Application ls hereby made to obfaln fl permit to do work and Installatlon as lndicafed. 1 certf#y
that no work or instalEation has commenced prlor to Issuance of a permlt and�that �ail work will be perFormed to
meet standards of all laws regulating construction, County and City codes, ..zoning regulations, and land
devel�pment �regulations in �the jurisdicflon. I.also ce�lfy �that l uhderstand thaf the regulations of other
_ govemment agancies may apply�to the lntended work, and that It is my responsibillty to identify what actions I
must take'io kie in compflance. "
{f I am�thaAG�NT�FOl2'TH� �WNER, I pi'omise iri good faith t� inforri� the awner ofi'the permltting cond'ttions setforth fn
thls affidavit prlor�to�commencing construotion. �1 understand that a separate permit may.be required for efectrica! work,
pfumbing, slgns, wells, poals, air conditioning, gas, or other installations not specliically lncluded fn the applicatlon. A
permit issued shall be construed to be a license to proaeed with the work and nof as authority to vialate, cancel, after, or
set aside any provislons of the�technical cnd�s, nor shall issuance of a permif prevent the �ullding OfFiciat from thereafter
requiring a correction of errors In plans, construction or violations of any codes. Every permff.lssued shall become lnvalid
unless the work auiiiorEzed �by such pe►mlt is commenced within six months of permi� issuance, or if work aufhorized by
fhe permit is suspended or abandoned for a period of six (6) months after fhe fime the work is commenced. An extension
may be requested, in wrlting, irom the Building Offi'rcial for a p�riod not to exceed nlnety (90) days and wfll demonstrate
justifiable cause for fhe extension: !f work ceases for ninety (90) consecutive days, the job is considered abandon�d.
' WARNING 70'OWN�R: 'YOUR"�,41LURETO'RECORD A'NGTICE"DF^GbMM�NCEM�NT MAY=�RESULT=IN YOUR '-�
PAYINCy TW1GE �OR IMPR�V�MENTS TO YpUR PROPERTY YOU INT�NDTD �BT N FINANCING, CONSULT
WITH Y UR L ND�R OR. N A`fTORN Y B�FOR� RECOR ING UR NOTICE OF M NCE NT. �
FLORIPA JURAT (F.S. 117.D3) � , � � " (
CON7RA � " J
01NN�R GR AGEN7 .
Subscrlbod and swom to (or affirmed) before me thls Subscrlbed m io (or sH11'med) be re thls
by bY
Who is/are personally known to ma or basThave prxluced Who Islare personally Known to me or ha hav produced
as identiiication_ . ' a ' a�ttficstion.
Notary Public , Notary Publlc
Gommiesion No. Commissian No.
Name of Not�ry typed; printed or stamped ' Name of No�ry �ped,,printed ar s�mped