HomeMy WebLinkAbout12-13218 � CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 2�$
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13218 Address: 6816 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: Seation:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0010-02400-0020
Improv. Cost:
Date Issued: 7/03/2012 Name: PIN CHASERS BOWLING
Total Fees: 25.00 Address: 6816 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 7/03/2012 Phone: (813)782-5511
Work Desc: FPM- HOOD CLEAN SEMI- PIN CHASER
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Chapter 633, Fiorida Statutes,authorizes the City to charge and collect user fees to pay for the oosts of fire
prevention and protection related activities such as inspections, plan review,administrative fees,and other
costs re�ated 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$100.00, whichever is greater. All
work shall be pertormed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECO IN Y R NOTICE
OF COMMENCEMENT." '
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION �FFICER
CALL FOR INSPECTION -8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
_FEB/2p/2007/TUE 11 : 10 AM ZEPHYPHILLS BUIL�IPJG FAX No, 813-780-0021
P. 002
•a�3-�ao=oo2o City of.Zephyrhills�ic�����:�
�Fax-813-780-0021 .:;�;;.;
., r� � Permif Application�-�-. .. '
�-•:�.3�.�=�. _ �d�i:
.Date Receivad . _ —`�PFiorie Con�tactfor Pormtt _
Owne�'s Nama � -' ' — _ Ownc�'s Phona Number ,�� � � 3�Q�.
.� .� � - � C�� ...
Owner`sAddress �`% .J ,(,$ � ) .3�2��
Fee SlmpleTiUeholdar Name Titleholder Phone Number C� �� �
Fsa Slmple"i7iloholderAddrese •
Job Address . �' �l �
Lot#
5ubb{vlsEon ' 'Parcel# �
� Hio-HazardWasteStorage-�ANNLIAL � �umigationTent ' '
DComm�xhauet Kitchen Haod/buet ' � Hezardoua Matertal('rer II or R4�aclll�)ANNUAL
� Controiled eum � Nood Instellatlon
� Emergency Osnerator c 30 kw - � LP/Nsturaf Csas-Installatlon
� '�mergency Generawr�$0 Kw � LP1nlatural Gas-ANNUAL 9ale
� PIro Protec6oi,Malrttenance-ANNUAL � Places of Assemb�y�ANNUAL
em� n �
�� ��� � , /]
Sprinkler p ❑ ❑ FZecreational6um . �S
Fire Alarm D ❑ O � � Sparklers 7 ✓
Hood ClesNng �' ❑ p �� � 5prinklar 5yatem Installations ��
` Hood Suppress)on � p � p �j � Standpipaa(SpdnklerSys) �� �
. � � � ' � �Z� �� �
Fre Alartn Inetallatlon � 7orch Rooflng(fAr I(ettle . �
Fira Pumpe ' ' �� Waete'flre StorageANNUAL
Fira Works . .
Flammable Appllca0orr ANNUAL •
� VafuaSan of proJect �
Fuel Tanks
Other:
Contract r Company
Signsture Re istered�
9 I Fse Curtant Y/N
Addre9a -
- License#
ELECTRICIAN Compsny
signaWre •
� Reglstared Y�N Fse Curreirt Y!N
Address
ucanse# � �
PLUMBER '
Slgnature COmpa"Y
Reglatered Y/N Fee Curretit Y/�f
P.adresa � . . �
License#
MECHANfCAL
Slgnat�re Company
Reglstered .Y/�V Fee Current Y/N
Addreea
•Llcense�F � �
OTHER
Slgnaturz , �mpany •
RBp;etsrad Y/N �ae Current Y/N
Addrass
DfrecUons; LJcenee# ' �
FIf out appllqUon c.ompletaly. �
Owner&Cont,�clor elgn hack of application,notarized{Or,cnpy af slqned contraat wfth owner)
if over$2g00,a NoUce ot Commencemenf Is required.(Meehanlcal work ovar S50o0j
Suppiy two(2)seta of drawings whh appticsble documeniation
A11ow 10-14 deys for rovlew aftar au6mittal data. Parcel�t..obtainad irom Properfy Tax No6ce(httpJ/appraiser.pa:cagov_com)
FEB/20/2007/TUE 11 : 10 AM ZEPHYPHILLS BUILDIPJG FAX No, 813-780-0021
,—�:;:�t-��. �-���—��; P. 003
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'"<'�t�'QTI�E;c7�F:D�ED:R�STRICTIONS: -f'he undersi ned.-und s�that-fhls; ermlf ma. .bersub'ect;fio�"de�d":r.�str.ictlp�.�tr�
���'�= - g ��?;�,_. .A Y J
;�i��wiaiCh'Rnay�emore•restrictive than County're.gulatlons:'7he„und�r:s�ned�assumes:re�ponsibllityrtor�omp�iarr�e�.wlth�n,�y�ar�;�i
.appllcable�deed restrictions. -'� "���;������._�:'_ • - -_ _
�liNLl�ENS�D�CONTRACT.DRS�AND=CONTR%4CTOR"�i��SROiJS1Btl:l'LIES:- :lf-the 'owner has-F�ired-rawcontractor�{ `w���,�=:gs'
:contractors to undertake work,�they may�be requlred'to be Ilcensed in��accordance with state and local-regulations, ff.#he..:-.:��� I
contractor is not licensed as requlred�.by law, �bot��the owner;and contractor•may.be cited�for:a�milsdem�anor�violati�n_ _
�.under-state law. If�the owner or intended�cantractor.are uncerfain:as�fo what Ifcensing�requirements may:apply�far�the-=:.:�•. . I
infended•work,'they are�advised�to contacf the•Pasco County:Building:insp8ction.DlVision—Licensing Sectfon:at727=847
-.80DA. =F.urthermore, if the owner has hired.a contractor or contractors,:he Is advised �to•have�the contractor(s) sfgn
porElons of tlie "contractor Block" of thls appllcation�for which�#hey.will be respbnsible, If you, as�the owner��sian.as.the
�� �contractor,`that�may bean indlcation:that�he isnot�pr.operly licensed•and is not entltled�to�perm�ttlnc�.privileges in�:Rasao =� �,.,
-Gounty.
=C�NSTRUGTION.LI�N�LAW�(Chapter7�13,'�lorlc�a`Statutes,�s:am,ended): If�vafuatlon.of work is'$2;500.d0.ar�more,:l ' �
aertlfy �that I, �the appllcanf, have been provided�with a copy .of�the °Fforida Construction Llen Law---Homeowner's
�pratection Guide" prepared by�the �lorida Dep�rtmenf af Agriculture;and Consumsr Affalrs. If the appflcant is�someone
ather�than the'"owner", 1 cerfify that I have obtained.a copy of.the-above desaribed dacument and promise in good falth�to
deliver lt to the"owner"prior:ta commencement. �
- CONTRACTOF2'.S/dWN�R'S�AFFIDAVIT: I certify that all the informatlon in this applicafion ls accurate and
that all work will .be done in compfiance with �11 applicable (aws regulatfng constructlan, zoning and land �
development. Appfication Is hereby made to obfain a permit to do work and instaUatlan as fndicafed, t certify
thaf no work or instaltation has commenced prlor to Issuance of a permlt and�that ail work wlp be performed to
meet standards of all laws regulafing consfruction, County and City codes,.zaning regulations, and land
development �ragulations in �the jurisdictlon. I .also certlfy�that I uhderstand that the �egulafions of other
. govemment agencaes may apply�to the lntended work, and that It is my responsibiltty to idenfify what acfions I
must take'to(�e in CompfEance. '
If I am'tha.AG�NT'FOR'TH�OWNER, I pr'omise iri good faith to inform the owner of�the permltting conditions setforth In
thls affidavit prlor�to�commencing construction. 1 understand that a separate permit may.be raquireci for elB�trica! work,
plumbing, slgns, wells, poals, air conditioning, gas, or other installafions nof speclflcally Included In the applicatlon. A
permit issued shall be construed to be a license to proaeed wi#h the work and not as authority to violafe, cancel, alter, or
set aside any provislons of the�technical oodas, nor shall issuance of a permit prevent the�ullding OfFicial from thereafter
requiring a correctlon of errors In plans, constructlon ar v'iolations of any codes. �very permit Issued shall become lnvalid
unless the work auttiorized�by such permlt is cammenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(S) manths after the 6me the work is commanced. Ac�extension
may be requested, in wrtting, from the Bullding Official for a period not to exceed nlnety (90) days a�d wili demonstrate
Justifiable cause for tY►e extanSion: lf work ceases for ninety(90)consecutive days,the job is considerE�d abandon�d.
''WARiVING 70'OWN�R: 'YOUR"�AILURE TQ RECORD A'NC�TICE'OF-GOMM�NCENt�NT Mi4Y=RESCILT=IN YOUf2 = '
�AYIN��rwfc��oR iMPROV�MENTs ro YpUR PROP�RTir. 1F YoU iN�Na To oSTAIN FiNaNC��vG, coNSU�r
W�TH . N ORN Y'BEFOR� RECORD OTIGE OF NCEA�I�NT.
FLORI A JURAT(F.S.117.03) '
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OWNFR G CON C'F4S� ����, .
SubscAbod ari m r a rmed) e re me thls Subscriba s to(or a rmed be re thls
by py
1Nho is/are oersonally knowrt to me o has/ �ve produced Whp Islare persollaliy knpWn to me or a ve produced '
as entifi tion_ , denuficaHan.
No�ry Public _Notary Publlc
COmmission No. _ Commission No.
Name of Not�ry typed;printed or stamped � Name of No�ry typed,pnnted or s�mped