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HomeMy WebLinkAbout12-12785 CITY OF ZEPHYRHILLS ' ' , � _ 5335-8TH STREET ``'� (si3)�so-oozo 12785 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 12785 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: 2/10/2012 Name: SWEETBAY SUPERMARKET Total Fees: 25.00 Address: 3801 SUGAR PALM DR Amount Paid: 25.00 TAMPA, FL 33619 Date Paid: 2/10/2012 Phone: Work Desc: FPM-ANNUAL FIRE ALARM- SWEETBAY �t �� _ � /��� � � 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 aosts 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 81378D-OD20 City of.Zephyrhills�Fir:e• FaX-s���eo-oozi � , � _ Permit Applicafion Date Received � ' Phone Contact for Pertnit ��� Owner's Name # J Owners Phone Number -� �,�� Owner'sAddress ��Ja � Fee Simple Titleholder Name TiUeholder Phone Number � � � Fee SimpleTitleholderAddress Job Address ]�j� �� � ` , Lot# � Sub Division Paroel# � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent � Comm Exhaust Kltchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL � Controlled Bum Q Hood Installatlon � Emergency Generator<30 kw � LPMatural Gas-instellation � Emergency Generator>30 kw � LPlNatural Gas-ANNUAL Sale � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL � ami � er 5prinkler � O � ❑ � Recreational Bum �(� Fire Alarm � ❑ O `� � � Sparklers 'T' 1 �� (J Hood Cleaning � ❑ ❑ ❑ �� � Sprinkler System Instaltations Hood Suppression � O ❑ O � � Standpipes(Sprinkler Sys) � Fire Alarm Installation � Toroh RoofinglTar Kettle Fire Pumps � Waste Tire Storage ANNUAL Fire Works Flammable Application-ANNUAL , Valuation of Project Fuel Tanks Q Othe • ConVactor Company a ! Signature Ragistered Y/N Fee Current / 23rJLl r � J Add�ess License# ELECTRICIAN Company Signature " Registered Y/N Fee Current Y/N Address License# �- PLUMBER Company Signature Registered Y/M Fea Current Y/Id Address License# MECHANICAL Company Signature Registered Y/N Fc:e Current Y/N Add2ss License# OTHER Company Signature Registered Y/N Fee Current Y/N Address License# Directions: FII out application completely Owner 8 Contractor sign back of application,notarized(Or,copy of signed conUact with ovmer) if over$2500,a Notice of Commencemerrt is required.(Mechanical woric over$5000) Supply two(2)sets of drawings with applicable documentation Ailow 10-14 days for reviaw after submittal date. Parcel#-obtained from Property Tax Notice(http://appreiser.pascogov.com} �NOTICE OF:DEEDRESTRICTIONS: �The undersigned understands.that this permit ma.y_be�subject:to-"deed°�estrictions" which may be more restrictive than Counfy�regulations. The.undersigned.assumes responsibility.for:�ompliarice�with any _appiicabfe deed restrictions. UNLICENSED CONTRACT�RS AND�CONTRACTOR RESPONSIBILITIES: If the owner has 'hired-:a°contractor or - contractors to undertake work, they may be required to be Iicensed 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 (icensed and is not entitled�to permitting privileges in Pasco County. CONSTRUCTION.LIEN•LAW(Chapter713, Florida Statutes,-as:amended): tf valuation of work is$2;500.00 or more, I certify that l, �the applicant, have been provided with a copy of the °Florida Construction Lien Lav�—Homeowner's Protection Guide" prepared by�the Florida•Department of Agriculture and Consumer Affairs. If the applicant is someone other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owne�' 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 construcfion, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. f 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 Ciry codes,.zoning regulations, and land devefopment regulations in the jurisdiction. 1 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 FORTHE 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 author'�ty t� violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Bui{ding 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 just�able cause for the extension. If work ceases for ninery(90)consecutive days, the job is considered abandoned. WARNING TO OWPIER: 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 W[TH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N ICE OF C�MMENCEMENT. FLORlDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTU Subscribed and swom to(or affirmed)before me this Subscribed an m to(or a rm )before me this by Who islare personally known to me or has/have produced Who is/are pe nalry known e 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