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Home My WebLink About11-12405 � CITY OF ZEPHYRHILLS ✓° 5335 - 8111 STREET (sis) �so-oo20 12405 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 12405 Address: 5747 6TH ST 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: 11-26-21-0010-01100-0110 Improv. Cost: Date Issued: 10/05/2011 Name: BRIGHT BEGINNINGS TOO/SHEUMAN Total Fees: 25.00 Address: 5747 6TH ST Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 10/05/2011 Phone: Work Desc: FPM- FIRE ALARM ANNUAL- BRIGHT BEGINNING � �_ : r, v _,�� U ,�_ 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 OfFce - 813-780-0041 ai3-�so-oozo t;ity ot �epnyrnius rire rax Permit Application Date Received � � � � Phone Contact for Permit �� p - -_ _ -_ __ _ b.A Owner's Name /�6�G' G��/�� "� Owners Phone Number �� 22 � Owner's Address �� (� ?� rS� Fee Simple Titleholder Name Titleholder Phone Number �� Fee Simple Titleholder Address 6 _ y ."'r.�-.'s -'t��:�k.�"T�:';�x'i�:��:P' ..S'9;"a�:'*�z°? 3 �=.�^.' 3`: •?�'m - '- _ _ ' "'�^. Job Address Lot # � Sub Division Parcel # p , . �»7R � -^..,,, ,�. ,.x . _ � - - - - �a.�. . _ � � "�s��;�uoe:��—.s�?scre � -.,-��"-�e��s:�a?��w�,�ta. - - - -' �:�rs - x�•�,� , _ . . _� � Bio-Hazard Waste Storage -ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL � Controlled Burn � Hood installation � Emergency Generator < 30 kw � LP/Natural Gas-Installation � Emergency Generator > 30 kw Q LPlNatural Gas-ANNUAL Sale � Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL �y emi �n er Sprinkler � ❑ ❑ ❑ � Recreational Burn -�'�' l Z-�VS Fire Alarm � ❑ ❑ �" � � Sparklers Hood Cleaning � ❑ ❑ ❑� � Sprinkler System Installations Hood Suppression � ❑ ❑ ❑ � � Standpipes (Sprinkler Sys) � Fire Alarm Installation � Torch Roofing/Tar Kettle � Fire Pumps � Waste Tire Storage ANNUAL � Fire Works � Flammable Application- ANNUAL Valuation of Project � Fuel Tanks Q Other: � . ��.3:-h.��,..�; -��-=a:-��a;�<<,_.�;� _. ��-�:.,�,�,�,.�:�� .x�. Contractor ,,�/ � Company ifjN� GS Signature xG!/L� Registered Y/ N Fee Current Y/ N Address s b !� •,S tGl�l 1/ty s'% � J n License # ELECTRICIAN Company Signature Registered Y/ N Fee Current Y/ N Address License # PLUMBER Company Signature Registered Y/ N Fee CuRent Y/ N Address License # MECHANICAL Company Signature Registered Y/ N Fee Current Y/ N Address License # OTHER Company Signature Registered Y/ N Fee Current Y/ N Address License # � Directions: Fill out application completely Owner & Contractor sign back of appiication, notarized (Or, copy of signed contract with owner) If over $2500, a Notice of Commencement is required (Mechanical 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 (http://appraiser.pascogov.com) NOTICE OF DEED RESTRICTIONS. The undersigned understands that this permit may be subject to "deed" restri�tions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor 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 as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009 Furthermore, 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 for which they will be responsible. If you, as the 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 713, Florida 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", 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 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 that 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 to be in compliance. If I 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 commencing construction. I 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 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 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. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT CONTRACTOR Subscribed and sworn to (or affirtned) before me this Subscribed and swom to (or affirmed) before me this by by Who is/are personally known to me or 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. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped Oct, 5, 2011 8:18AM Stanley Security Solutio�s No,2095 P. 4 ' � � i f I 1 � +i I I , � � . . . � • I _ � C� !.� ��) [,; �i .� i f,;� STATE OF FL�RIDA r p�PARTM�F��CTR�CAL�TG'N0�'RA�ORSRY+��5YNG�BOA S�Q# L10052000699 !� IC�N �i • � � . , . . „ � 05 20 2010�098163694 �F2000049�a. ' � . , . The ALAR�' SYSTE1d� CONm�ACTOR I . ' ' ' , ' � ' Named beXow,, Xs •,CERTS�'I�n • ' : • � " • Undex th'e' pxoviaions '•o� Chapt'er' �k89 I�S: � - , • , �xpiration date: AUG 31, 2012�. ,' ' . ,.,. PARADOA, JULYO r � • s�ANL�'St' CONV�RaENT. S�CURITY��,SOLU`�TONS x1�JC�� 3 8 B 2 N CO�RC� PARKV�AX , • � MIRAMAR ' �'Y, 33025 ' . CHARL�� CRIST CHARLX� LT�M '�OV�RNOR � TNT�RIM'sECR�TARX pISPIAY AS REQUIRED 6Y LAW . � ' ' � I ' ' ' � � . I . I Oct. 5. 2011 8:17AM Stanley Security Solutio�s No.2095 P, 2 , .. AiC°�` GE�RTi�[CATE OF LIABILITY INSURANCE o�`�,"�"""" THIS CEirnFICA7£ 16 IS$UHD qS A IYU►7TER pF INFORMA710N ONLY ANb CON��ItS NO aIGH7S UpON YH� CEa71FICATE NOLDER. THi3 CERTIFICATE DOES NOT AFFIRIMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAOE AFFORDED BY TN� POLICIES ��I.OW. THIS C�RTfFICAT� OF INSl1RANCE ppES NOT CONSTITuTE A CONTRACY BET41fEEN THE ISBUING IN$URER�S), AUYHORIZED REPRBSENTATIVE OR PRODUCER, AND TME CERTIFICATE HOLDER. IMPORTANT; IF the certifkato holder Is an ADDITIONAL (NSURED, fhe policy(iee) must bo ehdor��d� If S11gR00ATI0N IS WAIVEb, subJoct to tha terma a�►d condltlons of tho pofley, eertaln pollclaa msy hqalre an endorsement. A statemant on thts certllicale does not confer rlghte to the cert[Ilcate holder In Ileu of auch endomemen s. 'R � M�ARSH USI� ING. �� 99 MIGH STR@ET BOSTON, MA DZ110 Nfn: elnlryhlackonddodar.arlrequesl�nerch.00m u� o� wucs 72800 -SCSS�GAYYUd 1�1x NM SCSS LM CONT p� a � : HaAfad PIPe Irowanas Co 1969x wsur,�o .� P►oany Md c.wry i� co i�o zoe�s sru��rcoNVeac�r ssa,wrv . T«� c�„�re ��oe co SOLUTIOH&, INC. iN S ERVI(�S, IN�,M EIECTRONIC PR07ECTION �N aFa o ii�rYard IM�d�n�niYra In�unna Compmny �0101 • 66 SHUi�IM161V0., SINiE 900 �N a. Hartlord Inwronoe Ca Of The MWweal 37418 ��f�� fl, � INBU R F 7�Ofd Cii6Ui�b NS Ci0 TA CQVERq(3ES CERTIFICATE NUiII�ER: NYGOO5e97720-09 REVISION NUMBER:4 THIS IS TO CER7IFY THAT THE POlICIES OF IkSURAIiCE LlSTED BELOW HAVE BEEN 1SSUED TO TNE INSURED NAMEb ABOVE FOIt THE POLICY PER100 INDICATED, ti074VITMSTANDING ANY REQUIR�NIENT, TERM OR COMDITfON OF ANY CONTR1ICT OFt OTMER DOCUM1RNt VNTH R�.4PECT 70 WHiCH THIS C�RTIpIC+17� MAY AL ISSUkD pR I�MY P�R7NN, 7ME IN6URAMC6 AFRQRDEO BY 7HE POLICIES DESCRI9ED HER�IN IS SUBJEC7 TO ALL THE TERMS, FJ(CLUSION$ AND CONDlT1pN$ OF SUCH PpLIC1E3. LIAdIT3 SHOYUIJ MAY HAVE BEEN REDUCED BY PAtD CLANAB. TYPLOFIkBURANCE , N SER 41MIT8 A OtN�ML W�IU7Y 02 CSE J17005 07A1Jl011 WA111012 � pp�q�� S 2,000,000 x co�w�c��,�nn�w�en.rrr • s �,000�000 cwMS.wuoe x❑ oca,R �,Epr,,� a ,,, = io,000 aeRSONUS,�av�wursr s 2,000�000 �,��or►r� a 2.000,000 OENLA(i0RE0A7E LIMIYAPPUES PEft . �pYppp�(,�`, s SEE BEIOW x s A �urowooi�w�eiuYr 02CSEJ77063(US} 071G112011 OW112pt2 ��R �ppp A X�y,�,p 21CSEJ7700B�PF� 07ID1f1011 WAtl1012 ppqLYIN,IURY�arpMwn) S D "�� ° ��°� 02 CS� a 7►016 {nq O7A1t2011 OU01/dDt2 gpq�r p�,luRy aP.rooade,q s MREOAUr06 � NON O -0 s""' !E0 s s B x UYBRELIALNB X p� p.b831169 0�101 11 ObD1/2012 ��&� s S,ppp,Opp EICGE85 uAB CINMS�IAAGE AGXSREGJI7E i 5.�.�00 OED RGT 5 S � 1MORK6Ni COIIPQIISATION . 7 A• OT11• Ak0 QYPLOYiRB' LIABILIIY F A►+,� or►�,►�r►��cam� Y �" o��n�oozl�r.or�" o�p�no�� O�AV2012 �.��,,,aaoErrr : � aF� ❑N H►a E'M,na�� 02WM J]7000 (AOS�� 07A112011 01IOt12012 - � a 2.oDD,aoo norrs �ow CONTBJUED ON PAGE 2 e�. as� . vaicr uMrr S 2,oa0,000 A PAODUC7S LIA81�1rY1 02.IS� .I77014 �PWMARI� D7btrl011 01101/2012 �AC110(xURRENCE i600,000 A COMPLETED OPERATIONS 02 JSE J77015 (E)(CESSJ 07Ip111011 O/A112p12 EA OCClAGG $2AY�2M ��ON OF P��7�ON6� LpC�'Y�p1+8 i VEMICL.E$ (Altaoh �COI1D 70f, Ad0lpo�al RemaA�c Sahedulq M mere space Iz rsqulrea� EVIDENCE OF COYERAGE CERTIFICATE HOLDER CANCELLATION STANIkY COIJV�RGENT SECURITY SNOULO ANY O� TH� ABOY� bESCRIBEO POUCIE$ BE CANClLI�b BEPORE ��s� �N� 7HE �XP1RATfON bAT�. 7HEIIEOF, NOYICE NfILL BE DELNER�O IH (fORMERLY HSM �C1'RONIC PIiOTECTION ACCORDAHCE WITH THE POLICY PROVISIONB. SERVlCES, INC,) 5610 W. SLIGH AVE, SUITE 104 �umoNZED �esEniATlve TAMPA, FL 3363�t o( March USA Ina Hllary 2eller �yG��+ � 1988•201a ACORD CORPOIiA710N. All righta resened. ACOI�G 2b (201010b) 7he ACOI�G name and logo are re�lstered marks of ACORD Oct. 5. 2Q11 8;18AM Sta�ley Security Solutio�s No.2095 P. 3 AbpITfQNAL MN�OI�IVIATION �� "'�'M""°"""' �� „ � us� urc. es n�n srr+�r BOSTON, W102i10 Alfn: alanleyblsdundded�er.arlraquecl�march.wm 72900SfSSGAYYU-11-12 N!A &CSS � �� INSURHRS AFFG1i�INC's CQVERAGE MAfC� iKSUr�� INSURERG: STANLEY CONVERGENTSECURIiY NrSURL"•R FC S+DLUi10N8, IHC. {FORMEALY HSM ELECTROMIC PROTECTION INSURER k � • �•. ... —..•. _�• . . .. �.,,. . . SERVICES, WGJ ar s►�u�vu+ etw.. suire aoo u�sua� ,r. FIAPERUILIE, IL 80663 TEJ(T ' Uedw Pafcp Na 02 WN J77�D00 M dedOnNdwd6ng oonpenywria 6y slNe w fokwa: F�o�4 MaureHOC Compeny d►�e hYdnES1-N(, AfL DC� DE, ID� Il. W, XS, IA MA, MD� ME. MI. NFI, HJ, NM,lIY, W, SC. S0. TH. nC UT� Vf Ka�Or4 GeavMb M�Mx�Oe CampsAy • AL� IA�1, NG, VA 1Mtn Cib �'wE M1Sw7oxu OomO'M � AZ, OK, PA, WI Ntfl�a0 Aoddenlend NMEmdy CanpaM'- CA CT, KY, N0. A15. MT, OR YW nsxord �xei�wmx com�ny•co, F�, c�p � no. �. Nv, ra. wa rrr {8TOP GIIP EMPLOYER i.U1BILITY COVEflA�E ONLY FON N0, PR �nd Wy Halfad UnderwYers Nsun�o CamPfnY - HI •• Excesa Warkere Compensa6on oovengt N HY 0�4 OM 6u�oCt lo S2 m�qn S�t br varquS enl�0i aPP�� S 9�4 seR YaWetls G�RTIFICAT� H01.(7ER STAkLEYCON4ERf3ENTSECUH[lY -- - . _. . . SOLUi10NS.ING (FOWdE1iLYH$M ELECTRONIC PtipTECTI(1N SEiRVICE3, INCJ 5610 w, SUGM AV�, 3UITE 104 7A1APA,F4 33631 NEMBBEMA7IYE OI1NiRh V9A Ii1C. �n Ze�e► � � Pag � Oct. 5. 2011 8:18AM Stanley Security Solutions No.2095 P, 5 � � ;�� ,� �� i� P�' j; k a� .�.s� ,�� Zm �z ,.� � � � � � � Q < � '° o r� � � i � � o � !V Z^s� $ c7 T r' � � � �oy �� m C�i9 a�� °� �� C�� r O i � � a�+ p � T � �° C 0 y �y S y,, p z r G r � � - !�� n � D �' ..m.a f• .� ✓. m � � ,,�� m . , ^ '��.�;;lJ) T r' � f�' Yii��r �. � � � � N z m � � :.fi.,'m —c C � � —Gi `�,.,.;.�.:.:,x,.,t�n - �a � . � c'' m ';�::e..,_ m Q " � S� D � � �� OV 4�Y� �1�1�f.� � \// � �1/ �^R^ �t X'ti..:�'..;'/� � t •� ��' � �j r � � 3' 't:.�T i!"Sy �✓y.F- /A � ::%+:�• .�,� J :;fl� v,� � '� '� a Q y � ° z � F �c � � �n >:.. � r,3 z :,i��,�, '`-. t' � :<�; � �'� ,.r� .. rn � ;,':; � �''Fr I� N � � � rn n ,� ; �:_"�:`` ;�:G�ti° � � � ,��-��;�-$ � � � 'ti� A ° � � a ��:�� _;� � ��,yr; :i'.a � 7. "� <,:�\� �? �� A a 4 . h , ,.,M � � � � 1 "'� � � � � � ' V re�t � � d m V7 . � � � � � � � �� c r �o z � � .,., �� q � � � m � � t��'3 � T � � �J17 � �d � Q o � Oct. 5, 2011 8;17AM Stanley Security Solutio�s No.2095 P, 1 t � $�CUt"ity ��Ut10�S Tampa D�ce 5890 W, Slfgh Avenue, Suite 904 Tampa, FL 33G34 Ph. (873) 241-3500 Fax 888-83�-3812 �,AX ///,,, T �w J ��I " _ - V ��A �a �l � / �� I L/�T �� Company: �� , From: t�ate: ( p � � I� Subject: � � # Pag�s (Inc�uding �overshaet) Pri�vileged/Conffdential Information may be cantained in this facsimile and Is intended only for the use of the addressee. IF you are not the addressee or person responsible for delivering It to the person addressed, you may not copy or deliver this to anyone else. If you receive this facsimiie in error, please notify us immediately by lelephone. 7hank you. Message