HomeMy WebLinkAbout12-13346 CITY OF ZEPHYRHILLS ,��
- 5335-8TH STREET
-. � (si3)�so-oo20 346
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13346 Address: 7838 GALL BLVD
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 35-25-21-0010-00700-0000
Improv. Cost:
Date Issued: 8/16/2012 Name: PRIMERICA GROUP ONE
Total Fees: 50.00 Address: 3629 MADACA LN
Amount Paid: 50.00 TAMPA FL 33618
Date Paid: 8/16/2012 Phone: 813 933-0629
Work Desc: FPM-ANNUAL FIRE SPRINKLER& SEMI HOOD SUPPRESSION FOR PUBLIX
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Chapter 633, Florida Statutes,authorizes the City to charge and aollect user fees to pay for the costs of fire
prevention and protection related acdvities 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$100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECO IN Y R NOTICE
OF COMMENCEMENT." '
PERMIT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION -8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
� MAR�2$/?007/WED 07;20 AM ZEPHYRHILLS BUILDING FAX No. 813-780-0021 P. 001
a�a-78o-onzo City ofZephyrhllis'Ride= Fa�-s��-�eo-oo21 '�;
permft Applicetion ---
Date Recelvad ��' •Ptwne Con'�ta �ct tor Permit
Ownera Name • Owner's Phone Number � �
t � .
Ownera Addresa
Fee Simple Tifleholder Name ' lltlehaldsr Phvne Numbar � � �
Kee�mpleTltleholdtrAddre,s ' �
JobAddreas � ' Lot# �
5ub Divislon Paroel#
� Blo-Hazard Waete StoraBe-ANNUAL � � Fumigatlon 7ent _
� Comm Exhaust Kitchen HoodlDUa • �• Hamrdous PAatertai(fier 11 or RQ FeclAty)ANNUAL .
� Conirolfed Bum � Naod InslalleUon
� �margency G�nerator<30 kw � � LP1NaturHl6as-Inetallatlon '
� '�mergency Generator>30 kw � �MaturRl Gas-ANNUAL Sela ,
� Ftre Protec6on Maintanance=ANNuAL. p Places vf Assembly-ANNUAL •
�y ' em� �L_.�J �
Sp►Inkier p O �., Reoreatbnsl Bum
' Fre Alarm . ❑ C]' O � � 3pa�e�s .
Hood C19aning � O� ❑ (] � Sprinklef'3y5tam Instaflalions
Hood Suppresslo� � p t� ❑ �� Slendplpes(Sprinkler Sys)
� '-�•-• � .
Fira Narm Instellstion Torci'1 Rooflng(fai'Kslde
��p�Ps • � Weste Tlro Stocage ANNUAL
Firo Wotka '
Flemmable Applica0on-ArrPtunL • •� Valuetion of P[oject
Fuef Tanks
Q • Other: ' '
Contraclor . � • . Company (�
Signawro ' Ragistered Y Fee Curtent N •
Address � �4icense# —
�I.ECTRiC1AN � Comparry
Signature Regislerec!• Y/N Fee Curterd. ,Y/N
Addreee License ii
PLUMBER CA�hY � �
Slgnalure Rae�stered Y/'N Fee Current Y/N
Addross ' Llce�a# �
MECHANICAI_ Campany
signature Registered Y/N Fae Gurent Y/N
Addre9s Licanse� �— �
OTHER Compeny '
s�enature Reeietered Y!N Fae Current Y/N
Addreee � Ltcenes iF
�irecfiona. .
Flil out aDV���tion complaialy.
Owner 8 Conuactot eign baok of appiication,notarized(Or,copy of eigned contrect wlth owner)
N over 52500.a Notice of Commencemant ie reqWred.(Mechsnical work over a6000)
supply Nro(2)eets of drawinoa Nd1h appllcable documentaUon
Allow 1�-14 da}re for ravleW aher eubmitlal daie. Percel#-oblalned fram Property Tax IJoUce(http!/eppreiaer.pascogov_com)
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MAR, �%2Q07/WED 07:20 AM ZEPHYRHILLS BUILDING FAX No, 813-780-0021 P. 002
, �NOTfCE dF:DE�D�RESTFZICTIONS:'fhe.underslgned und"erstands•thatthis permit may•be•subJect:to�"de�d".�restrlctlens"�
which may be moro restrict'sve than County�regulations. "The�.undersigned.assumes responsibility:for�ompllarz�e�uvith any• •
.epplicable deed restrtotions. -
•UNLiCENSED�CONTRACTORS �AND�CONTRACTOR..R�SPONSI�IL1TlES: If fhe owner has•hired•:a�contractor�or �
contraators tc undertake work,they may be reqwired�to be licensad In accordance with state and local�regulations. (f the
contraotor is not licensed as required by law, both the owrier and�contractor may be cited`fvt.a'misdemeanor vIo►ation
.under st�te law. If�the owner or Intended�contractor are uncertain�as to what licensing'requirements may�pply for the
intended work,1heY are advlsed�to contact the•Pasco County Bullding Inspection Dlvisivn—l.iQensing 5ection.at 727-8A7-
8009. Furthermore, ff the owner has hired.a conb-actor or conh'actors, he ts advised�to•have�the contractor(s) sign
portions of the"contractor Block" of this appllcation-for which-they wlli be responstble. tf you, a's•the owner•stgn�as the
cor�tractor, that may be an indication�that he is'not properly licensed and Is not entitled•to�permitting.privileges in Pasco
County. •
CONSTRU C'i'ION•L.I�N.LAW(Chapte r 713,�Ff orida St�utes,•as.am�nded): lf valuation of work Is�$2;500.00 or more, I
certify'that I, 'the appiicant, have .been provided wlth a copy of'the °Florida Construction.Lien. Law—Homeowner's
Protection Gulde"prepared by�tl�e Florida Qepa[tment of Agriculture and Consumer Affairs. !f the appiicant is�someone
other than the°owner°, I certif�r that!have obtained a copy of the above descrlbed document and promise in good faith to
dellver it to the"awnef prior to commencement. ' licatlon qs•acc�rate and
QONTRAGTOR'SIO�NNER'•S•AF�IUAVIT: I certffy that a{I the information!n thls app
' that all work will be d6ne in compilance wlth all applicable faws regulating oonstruction, zoning and land
devefopment. App�9cation is hereby made to�obtain a permlt to do work and installation as Indicat�d. 1 certify
that no work or installatlon has commenced pTior to Essuance of a per•mit and-that all worlc wlq be performed to
meet standards of all laws regul�ting oonstruction, Cpunty and Clty codes,•zonfng regulations, and land
development reeulations in the jurisdiction. l also aert[ty that I understand that the regulations of other
.government agencies Inay apply to the intended work,and that it is my responsibtlity to idenfify what actlons(
must#ake�to be fn compllance.
If l am the AGEN'C'FORTHE OWiJER, I prbmise In good faith to Infarm the owner of the pemn►tting conditions set forth in
thts affidavlt priar to commencing construction. �I understand that a separate permit may be required for electrical work,
plumbinc�, signs, wells, pools, air aonditioning, gas,�or other lnstailatlons not speafic�liy incfuded in the application. A
permlt issued shall be construed to be a Ilcense to proceed with the work and not as authotity to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shalf issuance of a permit prevent the mf i�sgue�f�all become inval d
requiring a correckion of errors in plans,construction or violatlons of any codes. Every p
unless the work authorized by such permit is commenced within slx months of permit Issuanre, or If work authorfzed by
the permft Is suspended or abandoned for a period af six(6)months aiter the tlme the work Is commenced, An extension
may be requested, in writing,from the Bullding Offlcia) for a period not to exceed ninety(90)days and will demonsVetB
)ustifiable cause for the extenslon. lf work ceases fior niriety(s0)consecutfve days,the)ob is consldered abandoned.
�WARNING TO OWNER: YOUR �A{L'URE T� RECORD A'NCrTICE'OF;COMM�NCEM�NT Mi�l(�R�SULT IN'YOUR '
PAYtNG TWIC�FOR IMPROVEMEN3'5�T0 YOUR PROP�RTY. IF YOU INTEND TO OBTAIN�tNANCING,CONSULT
WITH UR LE ER O N Al"T' RNEY EFORE RECQ ING OUR NO ICE OF CpMMENCEMENT.
FLOR{DA JURAT(F.S.117.03) � � � .
CON7Rl►C7pR �''
OWN�R OR AGENT s bed and by orV�i� Itle th�
3 bed and W � r . -
y y�p� e�o k�taw�to me or hdslt�ave produc�d
o fslare p�`suna krwwn►o me or hasThave produced � as identltlCadon.
as Identification. •
/a,/� Notary Public _NoOary PubGc
Commleslon D Commisslon No. I✓ �
. �
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Name of otary q�ped;printed of spmped Nama'of Notary p+ped,printed or stampe
MIT21 VANCE �or�v
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