HomeMy WebLinkAbout11-11840 CITY OF ZEPHYRHILLS �
• 5335 - 8TH STREET �:•
` (si3) �so-oozo 11840
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11840 Address: 7325 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: 34-25-21-0000-00300-0020
Improv. Cost:
Date Issued: 5/05/2011 Name: SWEETBAY SUPERMARKET
Total Fees: 25.00 Address: 3801 SUGAR PALM DR
Amount Paid: 25.00 TAMPA, FL 33619
Date Paid: 5/05/2011 Phone:
Work Desc: FPM-ANNUAL SPRINKLER - SWEETBAY
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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 pertormed 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."
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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
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VOTICc 0= D�=D PcSTrZIC � IONS Tne undersigned understands tha`, this p°rmit may be sub�e�; 'to "d�ed":restrictions'
rvnich may be mor° restrictive tnan Gounty rsgulat�ons �The undersigned assumes resporsibilicy ror compiiance tivith arn
a�plicabie deed restrictions , .
ui�lLii.ciJj^D GOid i Rr"1C i^vnS r"�NJ COiJT ��,C i J;: °�.S�'O�'.Sl�l�lT1,=S !i .� �2 �tivn�r ��s � �ir2d �i ccr,r�cto o:
�ortra .^.(0'S IO U^ �ertaKe vvorl< rFiey rr�a; b� required to be licensed in accordance with state and loca: r�gulations I� the
�or,tractor ;s no' licsnsed as req�aired by Ia�N, both the oLvn�r and cantractor may be cited for a miscfemeanor violati�r
.ander s'tate law Ir kne oviner or intended contractor are uncertain as to wha: licensing requir�ments may .apply for the
ntend�� work, they are advised to contact the Pasco County Building Inspection Divisior�—Licensing Section at 727-847-
g009 Furthermore, ii the owner has hired a contractor or contractors, he is adviseC to have the contractor(s) sign
�ortiors o` tne "cantractor Block" of this appli�ation for whi�h they wil! be responsible If you, as tn� o�vnsr sign as ±h�
�ontracior. tha± may be an i�dication tha: he is no: proper{y licensed and is not enti,lsd to permitting priviieges in Pasco
�ounty
CONS i RiJCTION L1=N LAVt! (Chapter 713, Flori�a Statutes, as amended) If valuation o` �vork is �2,500 00 or more, I
�ertity tha: I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
�roteciior Guide" prepared 'by the Florida Departmen' of Agriculture and Consumer Afiairs If the applican: is someone
�tner than the "ownern, I certir"y that I have obtaine� a copy o� the above described documsn± and promise in good faith 'to
�elive� it to the `'owner" prior to commencement.
CONTRACTOR'S10WN�R'S ArFIJAVIT I certiiy that ali the information in this a�plication is accurate a�d
that all work will be don� in compliance with ali applicable laws regulating construction, zoning anG land
deveiopmen;. Application is hereby made to o5tain a permi; to do work and installation as indicated I c�rtiTy
that no work or installation has commenced prior to issuance of a permit and that all work will be performed to
mee! standards o` ali laws regulating construction, County and City codes, zoning regulations and land
developmen± regulations in the jurisdiction I also certify tha! I understand that the regutations o` other
government agencies may apply to the intended work, and that i; is my resporsibility to identify wha`. actions I
must take to be in compliance
;; ; a,;, the A,r,Ep! i Fnf? THE �WNER, 1 promise in good Taith to inform the owner o` the permitting conditions se! forth in
this afri�avit prior to cammencing construction I understand tha± a separate p°rmit may be required for electrical work.
plumbing, signs, wells. pools, air conditioning, gas, or other instailations rot specifically included in the application A
permit issued sFall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions o� the t�chnical codes, nor shall issuance of a permit prevent ths Suilding Official rrom therearter
requiring a correction o` errors in plans, construction or violations o` any codes cvery permi; issued shall becom� invalic
uniess the work authorized by such permit is commenced within six months of permi't issuance, or if work authorized by
the permit is susp°nded 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 Onicial for a period not to exceed ninety (90) days and wiil demonstrate
justiTiable cause for the extension I� work ceases Tor ninety (90) consecutive days, the job is considered abandoned
WlaRNI�1G TO OWN�R: YOUR FAlLUR� TO R�COr'�D A NOTICE O� COMM�NC�McNT MAY RESULT IN YOUP,
PAYING TWICE FOR IMPROV�MCNTS TO YOUR PROPcRTY. Ir YOU INTcND TO OSTAIN rINANCING, CORSULT
WiTH YOUR LEND�R OR AN ATfORP1EY BCrrJR� R�CORDING YOUF. NOTIG� Or COMM�NCEM�NT.
�L�RI�AJU�,L,: {�.� ' i �3!
OVYN;R OR AG�NT CONTRACTOP.
Subscroe� and swom to �or affirmedt oeiore me this Subscr.bec and swcm to (or aftirmedi oeTOre me tn�s
by bv
`Piho is.ar� personall; knovm t� m° or h2s'ha�ie proau�e� V'rne is;are personaliy kno�vr te me or nas'have procucec
as identitiaiior,. as identificatior
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�y87•�- !7i jV:;�2• �,/^`=-' Dfl^?�..` �' ST�GIa°C: �v�filc G' iV�iB."y i/D�'."'. ' 7�ti�i�� ,✓' SI�(flp2�
� � Piper Fire Protection, Inc.
POST OFFICE BOX 9005, LARGO, FLORIDA 33771
PINELLAS PH. (727) 581-9339 Email: pfpmail@piperfire.com SARASOTA PH.(941) 365-2303
PINELLAS FX. (727) 581-8332 SARASOTA FX. (941) 365-0936
HILLSBOROUGH (813) 221-5101 STATE-WIDE 1-800-327-7604
January 26, 2011
I, Terrence R. Johnson, license holder do hereby authorize the following employees of Piper
Fire Protection, Inc., to act as my agent in all matters concerning securing permits and
registering of my license, 71286800011990. I understand I am responsible for any and all work
performed by my agent. I am also aware that I will be responsible for the renewal of this form
annually. These authorized agents are as follows:
Jennifer H. Plouffe - FDL H236-426-73-915-0
Tony A. Lopes - FDL L120-001-61-250-0
David A. Fox Jr. - FDL F200-161-83-055-0
Sheri Bergstrom - FDL B623-792-63-727-0
April Oberle FDL 0164-004-75-528-0
Kristen Yauch FDL Y200-512-84-834-0
Terrence R. Johnson, Vice President
Piper Fire Protection
71286800011990
State License
STATE OF• Florida
COUNTY OF: Pinellas
The foregoing instrument was acknowledged before me this 26 Dav of January 2011 by Terrence R. Johnson. He
is personally known to me. �
�,a �STEN HESSE
��� t CpMN[�SSION # EE1497
L� g�,q�oc 17, 2014
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Fire Sprinklers Extinguishers Fire Alarm