HomeMy WebLinkAbout11-12496 CITY OF ZEPHYRHILLS ��
r ' S335 - 8TH STREET
(813) 780-0020 12496
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12496 Address: 5214 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: 11-26-21-0010-16600-0250
Improv. Cost:
Date Issued: 11/01/2011 Name: VICHRIS INC
Total Fees: 25.00 Address: 5214 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/01/2011 Phone: (813)782-9556
Work Desc: FPM- HOOD CLEAN QUARTERLY VILLAGE INN
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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 Appiication. 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 aaordance 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
FEB/20/2007/TUE 11:10 AM ZEPHYPHILLS BUILDIPdG FAX No,813 ,,���`
�a��-�so�oo2o City of.Zephyrhiils�ir� 'Fax-813-78UA021 • •�i �-;
• - PermitApplicafion �-•-• .. • ��;;�
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_Date Receivad � - �'PFione Contact�for pormtt -
� _ • ,,... � .
Owna�'s Nama� — • ` ' _ _ Owne�'s Phone Number ,� � � ��� � ..._
Qwner`s Addrsss � (o �% .J .U.S ` � � ^ .3�.2 Y �o
Fee S[mple7lUeholder Name Tltlaholder Phone Number ���
Fea S1mpla�7tloholderAddreea
Job Address / � 1� � Sd� - � 2 (� � Lot# �
Subb{vlsfon ' � Parcel #
� Bio-NazardVJasteStorage-�ATJNUAL � �umige6onTent " ' - .
� Comm Exhaust Kitchen Hoodlbucc ' � Hezardoua Materlal (i iar II or R4 �'acllity) ANNUAL
� Canurolted eum �� Hoad InHtallatlon
� Emergenoy Oenerator � 30 kw � LP/Naturaf Gas-Installatfon �
� ' �mergoncy Generatnr � �0 Kw � I-P/Natural Gas-ANNUAL 3afa , ^ � �
� Piro Protectioi, Malntenance - ANNUAL _ � Plaees of AssemblY-ANNUAL ���
� �&1� am� � e {
Sprinkler D p ❑ ❑ � � FZecreational6um,
�� Fre Alarm o ❑ ��� ,� Sparklers � I \
Hood Cleaning � o �� � Sprinkier System instsllaiians 2 (f (J
� JD
� Hood suppressfon Q d ❑� � Standpipea (Sprinkler Sys)
' � Firs Alarrn Inats�tatlon � � Torch ftooflngffar Kettle
Fira Pumpa ' � " � Waete'ilre StorageANNUAL
Fire WorScs ' ..
FlammableAppllcatlorr-ANNUAL ' ���� Va(ua�on of project �
� FuelTanks ' ,
� OtheC:
Gontractor C � Company Q, ' ��—
5i9nature � �/'�� Registered / N Fee Currant Y/ N
Address License #
�LECTRICIAN Company �
Signature • ReglsterBd Y{ N FBe Currert Y/ N
Address 1lc�nse # �
PLUMBER ' - Company
SEgnature Reglaterad Y/ N Fes Current Y/ N
Address � Llcense # •
MECHANiCAL Company
Slgnature Reglstered . Y/ N Fee Currsnt Y/ N
Addreae •Llcenee # -
O7}iER Company • � ��
SlgnatU2 Registerad � Y/ N �ae Cur2nt ' Y/ N
Addrass lJCenea #
b(recUona: �
FII out appllcaUan comptetely.
bwner & Contraclor e1Bn back of appllcaflan, notsr�ed (Or, copy of slqned contrao[ wfth owner) .
if over 52500, a IJotice of Commencement ls raqu�red.(Mechanlcal woric over 55000)
Suppfy two (2) aete of drawings w)th app[iceble documenta4on '
Allow 10-14 deys for rovlew after au6mlttal date. Parcel #� obtained irom Properfy Tax IVo6ca (httpJlappreiser.pascogov.corn)
FEB/20/2007/TUE 11:10 AM ZEPHYPHILLS BUILDING FAX No,813 P.003
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c��ian��,—,_ .. ^;;;:,�tivR�:� ?.__: - . .. .,�:�*_rn�:=�
=%'��t'fJTI;�E+�:F TI�ED :R�STRICTIONS: - T'he .underslgned . ma,y.�e�subject�to' ��
-�. :::= , ..
-.:,��whiCh'erria.y��e•mol'e•restrictive'than County�re,gulatlotls:"The.uur,rd�r.s�nedaassumes:re�ponsiblilty�foT�omp�iar,rne�.with�u�„��ar�i�
' applicable�deed restrictions. � aG.�i�c�T-- �:- =•� � t;r:�•i;;;����
: �C�NTRlAGT.PRS �AND =CdNTRACTOR 'owner has ',�,_�, .W'�:
:contractors:to undertake work,�they may�be required:to be llcensed in�a�cordance with state.and local If.the_ - :�;:
contractor is not licensed as requlred �.by law, 'hoth �the owner ;and �cvntractor 'may .be cited'for :a - misdem�anor , viofatiori. - �
�.under �state �law. If�the owner or intended �cantractor.are uncerfafn:as •to what Ilcensing •requirements may:apply�for -
infended work,'the,y are�advised�to contact the•Pasco CountyiBuilding;Inspection.Dlvision—Licenstng Secflon:at727=847-
-.$OD6. =Furthermore, :if the owner has hired a contractor or contractors, :ha ►s advised �to •have �the contractor(s) sfgn
portlons ofi tfie °contractor Block" of thls appllcafionfor which•#hey.will be respbnsibie. lf you, as�the owner�.slan:as.the
-•�� =contractor,'that�may�bean indlcation�that he is no# licensed,and is not entftled�to�perm�tting.privileges in-:P.asca =��.�
-County. � '
>CONSTRUCTtON.LI�lJ-L'AW�(Chapter7�l3,�Fiorit�a`Statutes,:as:amended): lf•vaivatlon�ofworkis'$2;500.00.or�morE,:l •
aertlfy that l, ' applfcant, have been provided - with a copy �.of �the °Fforida Construction Lfen Law—Homeowner`s
`Pratection Guide" prepared by�the Florida Department af Agriculture:and Consumer Af�alrs. 1f the applicant is �someone .
other�than the'"owner", I certify that t have obtained.a copy of.the-above described document and promise in goqd faith�to
deliver lt to fha °ownar" prior�ta commencement. I
- GONTRACTOFt'•Sl0►MN�R'S -AFFlDAVIT: I certify that al! the informaflon in this application Is accurate and ,
thai alf work wiil .be done in compfiance wiih all applicable (aws regulating construcifon, zon{ng and land
development. Application Is hereby made to obfaln a permit to do work and Installatlon as tndicafed. I certlfy
that no Work or installation ha5 commenced prlor to Issuance of a permlt and`that �all work wlll be perFormed Yo
meet standards� of alt laws regulating cansfruction, County and City codes, .zoning regulations, and land
development �ragulations in �the jurisdictlon. I.afso ce�lfy �that I uhderstand that the regulations of other
_ govemment agencaes may apply'to the lntended work, and that !t is my responsibil)ty to idenfify what actions I
must take'to fie in compfiance. '
If I am�thaAG�NT'F012'TH� OWNER, I pi'omi5e in good faith to inforrim the owner of�the permltting conditions setforth in
thls affidavit prlor�to•commancing construc#ion. �1 understand that a separate permit may.be required for eiec�rical work,
plumbing, slgns, wells, poals, air conditioning, gas, or other installa#ions not speclflcally Included in #he applicatlon. A
permit issued shall be construed to be a license to proceed with the work and not as authorii.y to violafe, cancel, alter, or
sei aside any provislons of the�technical codas, nor shall fssuance of a permif prevent the Pullding O�cial from therBafter
requiring a correctfon of errors In plans, constructton or violations of any codes. �very permE� (ssued shaU become Invalid
unless #he work autNflrfzed'by such permft is commenced within six monfhs of perrnit issuance or if work authorized by
the permit is suspended or abandoned for a period of spc (e) months after fhe fime the work is commenced. Ac� extension
may be rBquested, in wrlting, from fhe Bullding 0'(fiaiat for a period not to exceed nlnety (90) days and wlll dernonstrate
)ustifiable cause for the extension. If work ceases for ninety (90) consecufive days, the job is considered abandon�d.
''WARNING T�'OWN�R: �YOi7R'�AILURE TO"RECORD A'NOTICE'OF^COMM�NCEM�NT MAY='R�SEJLT=IN YOUR �•�•�
PAYINCy TW�CE �OR IMPROIl�MENTS TO YpUR PROPERTY. 1F 1CQ NTEND TO QSTAIN F1IVANCiNG, CONSU�T
WITH Y �i2 OR.AN A'fT RN Y BEFOR� RECORDINC� YOUR TIGE OF OM hlCE NT.
FLORIDA JURAT {F.S. 17.03) �
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OWN�R GR A�N l CON7RAC7
Subscrlbod and swom Co (or affirmed) before e fs Subscrlbed and (or afflrmed) before me fs
b bY� .
Who is/afe persohdlly knoWll I� ma of h$ . Produced Who Islare personaliy known to me or has/h ve oduced
as identificetlon_ . ' as i cation_
IVotsry Public Noiary Publ�c
Gommiesion No. Commission No.
Name ot Notriry typed; grinted or stamped Name of No�ry typed, printed or s�mped .