HomeMy WebLinkAbout12-13355 CITY OF ZEPHYRHILLS
• - 5335-8T'H SIREET
�sis��so-oo20 13355
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13355 Address: 7306 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: 35-25-21-0010-08800-0000
Improv. Cost:
Date Issued: 8/20/2012 Name: TOWNVIEW RETAIL LLC
Total Fees: 25.00 Address: 725 CONSHOHOCKEN STATE RD
Amount Paid: 25.00 BALA CYNWYD, PA 190042102
Date Paid: 8/20/2012 Phone:
Work Desc: FPM-QUARTERLY FIRE SPRINKLER
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Chapter 633, Florida Statutes,authorizes the City to charge and collect user fees to pay for the costs of flre
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 activiry 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
• � 813-780-0020 C�cy or ZePhy�n�ns F��e Fa.-813 780-0021
' � Pe�m��Appiicacion
�a�a Ro�e,�e, " P�o�a co��a�.,o�Pa�m�� 813 621 1357
ow�e�,Nam� TOWNVIEW RETAIL LLC ow�a�=Pno�o N�mea� C� � ��
ow�A�s Add�E>> 725 CONSHOHOCKEN STATE ROAD, BALA CYNWYD, PA 19004-2102
F��s�m��o T���ono�ad�Namo T���o�o�da�P�o�a N�mee� � � �
Faa S�m��T���dho�do.And.as,
�Oe Adn , 7306 GALL BLVD, ZEPHYRHILLS, FL �o,# �
s�h o��„�o� CITY OF ZEPHYRHILLS P9fCe,# 35-25-21-0010-0880-0000
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� Eme�9�l„� G�n,a�.,�o�< 30 kw � LP/NaI�„�aaGe�^I„��e��a��o� �/ � ��
� Ema�9e��v G��d��«�>30 kw � LP/Na�„���Gas-ANNUALS e � J `� �
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oTHER compe�Y RODAN FIRE SPRINKLERS, INC.
5 a � JEFFERY D. BURNHAM Re Y/N FaE c.«e�� Y/N
giacerea
Addfe,= 2 01 N. 70TH T. TAMPA FL 361 ��=a�=n� 831 100012 06
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Uwncr c4.'�.oncra`'tor sign bnck o/.application, notnrizetl�Qr copy of.ipnutl con[rnct witn ownor�
6 o„e.$2500, a N����e o,Com mo.,�Pmo.,.�s.eq„�.ad(Ma�na.,��e�wo�.o�a�$5000)
Supply two�L� sets of draw�ngs wi�M1 appl�cabie documentat�on
A��o,,,10 14 nav �o��e„�E,.,,a.�e�,,.hm,aa�da�e Pa����#-oe�a�.,an�.om P.00���v T�.No���a(n«,//ePP a�y_ �,��o90„�om)
NOTICE OF DEED RESTRICTIONS. The undersigned understands that this permit may be subject to"deed" restrictions"
which may be more resirictive ihan County regulatlons The untlersigned assumes responsibility For compliance with any
applicable deed restrlct�on5
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ow�e� ha= h��ed a �o�t�a�to� o�
con[ractors to undertake work, they may be required Co be licensed in accordance with state and local regula[ions �f[he
c o n[r a c i o r i s n o t I i c e n s e d a s r e q u i r e d b y I a w, b o i h t h e o w n e r a n d c o n t r a c i o r m a y b e c i t e d f o r a m i s d e m e a n o r v i o I a t i o n
under state law �f the owner or incendetl contractor a e uncertain as io whac licensing requirements may apply for che
iniended work, they are advised to contact che Pasco l.oun[y Uuilding �nspection �ivis�on-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 "eontractor Block° of this applieation for which they w,�� be responsible If yo,,, as the owner sign as the
concrac[or, chat may be an indicacion chat he �s not properly licensetl and is noc envtled to permitting privileges m Pasco
Co n�y
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended) I. „a��at,o„ of wo�« �s $2,500 00 0� mo�e, 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 a P p���a�t ,_ =o m e o�e
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"owner" prior to commencement.
- CONTRACTOR'S/OWNER'S AFFIDAVIT. I �e�L�f„ LhaL a�� the informat�o� �„ th�s applicauon �s accurate antl
chat all work will be done in compliance wi[h all applicable laws regula[ing construc[ion, zoning and land
developmen2, Applicauon is hereby made to obtain a permitto do work antl installauon as mdicated I cercify
tha[ no work or insiallation has commenced priorto issuance of a permit and chat all work will be performed to
mee[ standards of all laws regulating cons[ruction, County and City codes, zoning regulations, and land
development regulations in the �urisdiccion � also ceriify that � understand that the regula[ions of other
g o v e r n m e n t a g e n c i e s m a y a p p I y c o c h e i n c e n tl e d w o r k, a n d t h a c i t i s m y r e s p o n s i b i I i t y �-o i d e n t i f y w h a t a c t i o n s �
sttake to be �n compliance
�f � am the AGENT FOR THE OWNER, � promise in gootl faith [o mform che owner of the permitung condivons sec forth in
ch�s aff�davit prior to commencing construction I understantl that a separate permit may be requlred for electrlcal work,
plumbmg, sign , weils, pools, air condiboning, gas, or other installauons not specifically included m che applicauon /'1
p e r m I t i s s u e d s h a I I b e C o n S i�u e d [o b e a I I C e n 5 e C o p r o C e e d w i t h t h e W o�k a n d n o t a s a u t h o r i t y t o V i o I a i e, C a n C e I� a I t e f� o r
se[ aside any provisions of the Techtnical codes� no� Shall issuance of a peI'mIS prevent tY�e Ouildin�3 OfflClal from ChP.�eaftef
requiring a correc[ion of errors in plans, construction or violations of any codes Every permit issued shall become invalitl
u n I e s s t h e w o r k a u[h o r i z e d b y s u c h p e r m i t i s c o m m e n c e d w i t h i n s i x m o n t h 5 o f p e r m i t i s s u a n c e, o r i f w o r k a u t h o r i z e d b y
t h e p e r m i t i s s u s p e n d e d o r a b a n d o n e tl f o r a p e�i o d o f s i x �6) m o n t h s a f t e r L h e [i m e 2 h e w o r k �s c o m m e n c e d A n e x t e n s i o n
may be requested, in writing, from the Uuilding �fficial for a period not io exceed n�nety �.70) days antl will demonstrate
�u s t i f i a b 1 e c a u s e f o r t h e e x t e n s i o n �f w o r k c e a s e s f o r n i n e t y �9�) c o n s e c u t i v e d a y s, t h e�o b i s c o n s i tl e r e tl a b a n d o n e d
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 � -�`� ''��
Subscribetl Tnd sworn t (or f3ffirmetl� before me(his ubscrib tl ntl sw (o f/i�metl� be e me[h� '�q t��
eY � �_L�._eY�r�: 1J�an ��a.rn� J
Who is�ar personaily known(o me or I�as�hav protluced Who is�a personally known to o� has�hav protluced
� �de.,��f�����o� � �de„�.,�:a�,�.,
No� �Y P„e��� No� .Y P,.e���
Comm����a., Na Comm����o„ No ' '
,►�''°� Notary PuWic State of Flonda
Name of Noc ry[yped, princecf or stamped Name of Not ry typed, princetl or st pAtl e•] U BI�
�. •,c�� My Commission EE140324
'?oF n�1' Expiros t 1l12/2�15