HomeMy WebLinkAbout11-12308 CITY OF ZEPHYRHILLS
5335 - 811i STREET "�
� (si3) �so-oo20 12308
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12308 Address: 7422 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: 35-25-21-0010-07200-0011
Improv. Cost:
Date Issued: 8/30/2011 Name: K-MART
Total Fees: 25.00 Address: 7422 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/30/2011 Phone:
Work Desc: FPM- HOOD CLEAN QUARTERLY- KMART
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Chapter 633, Fiorida 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
wsts 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
FEB/20/2007/TUE 11:10 AM ZEPHYAHILLS BUILDING FAX No,813 P.002
� �a�s�ao'oo2o City of.2ephyrhills�it��e_^ �aX-ei�-7aaooz� - - •��1:;�;
. ._. Permit Application �-�-- "' ���;�
^^'�"�=`� ', - -- — 'Phorie Con�tsct for Parmlt -
_Date Received -
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„F- : � _ . � ' — _ Ownc�s Phone Number ,� v� �iCJls � , _
Owne�'s Name�
Owner's Address � • a� b� .�% ..� .0 � ) -` ^ ��.2 yCv
Fse Sfmple�iiUeholder Narne Tftleholder Phvne Number �] ���
Fee SlmpleTltlaholderAddreae
,# � Lot # �
Job Addrass ,
Sub�IalSTon Parcel #
� Bio-Mazard Waste StorHge-•ANxUAL � �umigationTent ' �
� Comm �xhauat Kitchen Hoodlbuet � Hezardoua Materlsl (Tsr 11 or R4 KacIA�) ANNUAI.
� Controlled gum � Nood Inatallaflon
� Emargeney Oenerator � 30 kw � LP1Netural Gas-Installation
�� Emergency Generator �$0 kw � LPMatural Gas-ANNUAL Sale
a Plre Protection Malrrtenance � ANNUAL � Places of �ssemblY-ANNUAL
. ❑ � � � B ❑ ' p
Sprinkier p ❑ ❑ RecresEional Sum, T (,�
Fra Alartn '� D ❑ D� � SPa�ers . �. j� 3vU
'Yi1 ��'
Hood Cleening ��' ❑ O� � 5prinkler Syatem instsilaiions f'( �
• Hood Suppresslon � Q L7 A� � S�P�A�a (Sprinkler 5ys)
• � Fire Alarm Inatana�on ' � 7orch Rooflng/Tar Kettle
F�ro P�mpa , � Waste 71re Storage ANNUAL.
Fire Warics
Flammable Appilcatlon-ANNUAL ' Vafuafioll of projeGl �
� Fuei Tanks
� Other:
Gohtracror . Company
$igne Registered / N Fes Currant Y/ N
nddre9s _ �icenge #
ELECTRICIAN Compeny
Signature Reglstered Y� N F� cumern Y/ N
Addrees u � n � #
PLUMBER Company
Slgnature Reglsfered Y/ N Fee Cunenl Y/ N
���,.p�, ' ' Ltcense # _
M�CtiANICAL Company ,
Slgnature Reglsteted Y 1 N Fee Gurrent Y�/ N
Addreee -L�ensa#
pTHER Gompeny •
Slgnature Regiatered Y/ N KBe Current Y/ N
Addrass L.fcenBe #
bfrections:
FII out appllcailon completmly.
Owner & CohVatior a18n hack of appllcativn, noterized (Or, Gopy of slqned �ntrdC[ Wlth owner)
lt over S25o0, a NoUce of Commencement Is required.(Meehfnlcal worlc ovar S5D�o) • ,
Supply two (2) aete of drawings wlth appticable documentatron
Al]ow 10-14 dHys for revlew aRar eubmittal date. Par�el �� obtained irom Properiy Tax fVo6ce (httpJlappraisar.pascagov.com)
FEB/20/2007/TUE 11:10 AM ZEPHYRHILLS BUILDING FAX No,813 P,003
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c�,flata . ,
:<'3j��p;Tj;C,,E;DF;D�ED:R�STRICTIONS: "1'he.underslgned=und��,r;�s�k�at-.thfs�per.mltma,y.be�subject�to'°de�eNiace�with�n�tri
� :r,- � ••� d r.si wted _ _' ,�?;�a.�+�
-.;;r '�iiai�htmay�gmore•restrictive than County°re,gulations:`7he.i ,9 . ___ ,
� �PP��cable•deed restrictlons. ' ^' •� `'�`�`�
- z�G;�ii.raT:.�.:s- _.
-'""YLIN!';{��ENS�D .C�NTRi4CT.QRS �AND =CONTR�CT�R RESFIC►NS1BI1:1'TIE�S:'';If�he - owner has ,�._�:_W'�'
;contractors to undertake work, �they may� be �required :to be llcensed in �accordance with state and local If _the : •
contra c tor is no t lice n s ed as re qulred '.b y law, �botr •the owner :and .cont�actor 'may .be cited'for :a - misdemeannr �violation. - �
�.under�state law. If�the owner or intended�cantractor:are uncertaln:as�fo what ilcensing�requirements may:app ly� far t he-=:-:�� •
infended �work,'the,y are advised�to cantact the •Pasco County:Building;Inspection Dlvision—Licensing Sectlon.at 727=847
.,gppg, =F.urfhermore, if the owner has hired -a contractor or contractors, :he fs advised �to •have - tha contractor(s) sign
portlons of the "contractor Slock" of th!s appllcation #or which �hey will be respbnsible If you, as �the owner �.slgn ;as .the
-• �contractor,'that�may be an indication:that�he is not�pr.operly licensed and is not entltied�to:per{nitting.privileges in�,�Pasaa -� �� �'
.
•Gounty. �
-CONSTRUCTlON.LI�N-LAW�(ChaAter713,'Fiorit�a`Stattttes,�s� mended): lf�vafuatlon�ofwo�kis'$2;
aertify �that I, �the appilcant, have been provided �with . a copy . the °Fforida Construction Lien Law---Fiomeowner's
pratection Guide" prepared by'th� �lorida Department of Agriculture:and Consumar Affa(rs. 1f the applicant is �someone
other�than the'�owner", I cerf"ify that l have obtained.a copy of.the-above desaribed d4cument and promise in goQd falth�to I
deliver it to fhe °owner" prior:to commencement.
CONTRACTQR'.S/�WN�R'S-AFFlDAVIT: I certify that all the informatlon in this appiication Is accurate and ,
� 'that ail werk wi11 .be done in compliariee with all applicable (aws regu�ating constr�ctlon, zoning and land
development. ,4ppiication Is hereby m�de to obtaiil � permit io do wark and lnstallatfon as lndic2ted. 1 cert!fy
that no work or installation has commenced prlor to Issuance of a permlt� and�that all work wlll be performed Yo
meet standards• of all laws regufaUng consfruction, County and City codes, .zaning regufations, and fand
de�elapment �ragulations in �the jurisdictlan. I.also ce�tl(y �that l understand that the regulations of other
. govemment agencaes may apply�to the lntended work, and that lt is my responsibillty to identify what actions (
must talce'to Eie in compllanca.
If 1 am�tha:AG�NT FORTH� OWNER, I p�omise in good faith to infdrrrm the pwner af'the permltting conditions setforth in
th1s affidavit prior�to�commenaing construotion. 1 und�rstand�that a separate permit may.be raquired far elecfrical work,
plumbing, slgns, wells, poals, air conditioning, gas, or other installations not specPFlcalfy Included fn the applicatlon. A
permit issued shal! be construed to be a license to proaeed with the work and nof as authoril.y to violate, cancel, atter, or
set aside any provislons of the cod�s, nor shall tssuance of a parmit prevent the �ullding Officiai from thereafter
requiring a correction of errors In plans, constructton or violations of any codes. �very permt�.lssued shaU become fnvalid
unless the wark autHortzed'by such perm)t is commenced within six months of permit issuance, or if work aufhorfzed by
the permit is suspended or abandoned for a period of six (6) months after the fime the work is commenced. Ar� extension
may be requested, in wrlting, from the Bullding Offiaial for a period not to exceed nlnety (90) days and wlli demon�trata
Justifiable cause for the exten�ion. If work ceases for ninety (90) consecutive days, the job is considered abandon�d.
' WARNWG TO �OWN�R: YOUR�'�rA1LURE T4'REC�RD A"NOTICE'OF�GbMM�WCEM�NT Mi4Y"�RESULT-IN �YOUiZ ���
PAYINC TW1 �OR IMPRON� NT5 TO YOUR PRQPERTY,�-IF ND T� �ST INANCING, CONSUE.T
WITH Y R L N R OR. O Y'BEFORE RECORDINC YOUR !J TICE O d NCE NT.
FLORID JUF2AT(F.S.1 7.03) � " �� ,. ��`�
- � � � - � ,�
OWNF-ft O G "
SubscYlbed an fo or affirmed) befo Is Subs .c�rf�bed QR Y SA (o sHlrmed) ore 9 thls �
b Y Wt,p �5�� a��y known to me or ha e roduced
VyMo islare personally known to ma Dr has. 'v produced � ' as id6i►tffic�tion.
as identific, on_ �
Nots,ry Public �
Notary Publ�c
Gommiesi0n No. Commission No.
Name afi NotBry typed; printed or stamped
Name of Na�ry b�ped� pnnted ar stsmpsd