HomeMy WebLinkAbout12-13432 . . CITY OF ZEPHYRHILLS
5335-8111 STREET
(sis)�so-oo20 1343
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13432 Address: 7631 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: 3425-21-0110-00000-0010
Improv. Cost:
Date Issued: 9/11/2012 Name: SUPER WAL-MART
Total Fees: 25.00 Address: 7631 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/11/2012 Phone: (479)204-1063
Work Desc: FPM- HOOD CLEAN QUARTERLY-WALMART
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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 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 finai
inspection shall be charged double permit fee per day of operation or a minimum of$100.00, whichever is greater. All
work shall be pertormed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECO IN Y R NOTICE
OF COMMENCEMENT." '
PERMIT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
FEB/20/2�07/T11E 11 : 10 AM ZEPHYPHILLS BUILt�II'JG FAX No, 813-780-0021 P. 002
�a��-�ao�oo2o City of.Zephyrhills��C��-o�?^_ Fax-813-760�0021 -• ��(�::.<
` - Permit Application�-�-• •• ��-;`
�.:.:;.���.--• - - .. _.,—,.�..._._
_Date Received .. --=Plione Contactfor Pormlt =
� ,,..._ _ �
�wns�'s Name= -- �' ' - _ Owne�'s Phona Number r��7 /
— ,L-(rL7J !v � .3laO�e' _,._
Qwnar'sAddress o2 � �% .J ,U,$ 7 ' ,3�.2'S/lo
�ee Slmple'�IUeholdar Name Tltleholder Phone Numbet � � �
Fee S1mp1e�7tlahotderAddreae �
JobAddress ' `' ��p3 . � IJ�U..� ���-1 i�-� i-Irj � Lot# �
Subb{vlslon �, 'Parcal#
� Hio-Hazard Waste Storage-�ANNUAL � �umlga6on Tent ' • ,
� Comm�xhausi Kitchen Hood/buct ' � Hezardoua Materlal(Ter II or RQ F'aclll�y)ANNUAL
� Controlled 2um � 1-lnod InRka11a0on
� Emergency Oenerator<30 kw . � LPlIVeWrat Gas-Installatlon -
� 'Emergency Ganeretnr�$0 Kw � LP/tJatural Gas-ANNUAL 8ale ,
� Ptra Protac6on Malntenance-ANNUAL � Plaees of/+ssemb�y-ANNUAL � -Y
� � �m� � � ej
Sprinkler � p ❑ ❑ B � aecrestional 6um, � /�
F�e A1acm ' � D ❑ � � _� SparWars -
Hood Cleaning �" o � O � � 5prinkler Syatem InstallaG❑ns
' Hood Suppresslon CJ L] [7 � � Standplpea(Sprinklar Sys)
' � Fire Alarm Inetanatlon ' � Toroh Rooflng/Tar Kattle .
Fire Pumpe ' � � Waete'11re StorageANNUAL
Fire warks � -
Flammabla Appllcatiorr ANNUAL ' ���� Vafua6oll of prof eGt
Fuel Tanks '
� ther:
Con !� Company �yVVV`Q Q,�.
Sie�� L�,�, Registered /N Fea Currant Y/N
Addre9a License# �
�LECTRICIAN Compeny �
Si9nature - Registered Y E N Fee Cumert Y/N
Addrass Ucense# �
PLUMBER - Company
Slgnature � ttegisfereo �Y/ir Fae Curreni � �'�i�
Address � � License# -
M�CHANICAL Company ��
Slgnature Regfstered � Y/N Fee Currsnt Y/N
Addreee •Licenne�t
OTHER Company • �
Slgnature Ragisfsrad Y/N Kae Currpnt Y/N
Addrass • Llcanee#
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DlrecUons; •
FII auf appllcaUon complet�ly.
Owner&Cohtrattor atgn 6ack of appllcatlon,notsr�ed(Or,copy of siqned contraot wlth owner)
lE ovu�2500,a Notice ot Commencemenf Is requirsd.(Mechanfcal woric over 55000) •
Supply two(2)seta of drawings with applicable docume�tation '
Allow 10-14 dsys for rovlew aftar eubmitta!date. Parcel#-obtained irnm ProperEy Tax No6ce(httpJ/appcaiser,pascagov.com)
FEB/20/2�07/T►lE 11 : 10 AM ZEPHYPHILLS BUILDIhJG FAX No, $13-780-0021 P. 003
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�_�=,`it�'DTI;�E;C3:F;L]�EDR�STRICTIONS: ?he.undersigned�.-und��n�is�thaf�#hls;per.mlt may.he�subject;to�°de�d°:�.ostr.lctlo _�5��tti
�:a��whiCh'�rnay'be•more-restrictivs'than County'regulat(ons:`The�ur,nd�r.signed,assumes:re�ponsiblllryfor�omp�iarr.�s�wlth��,�����;�
.applicable�deed restrict1ons. - -" ���G;Gii��I_�.::- - � - -'�;�;,�i:��:^�
--�""'1:1N1;1�•ENS�D �CONTR7ACT.ORS�AND=CONTR�4CTOR'�RESRpNSIBI�t'LtE•S:�= �If�the �owner has-hired'a�contractor.� �,_,:_;;.-�Fc
:con#ractors-to undertake work,�they may�be requlred:to be Ilcensed�in accordance wifh state and Iocal�regulations, hF�#he..=-::-�• I
contractnr is not licahsed �s requlred'.by law, •both-the owner;and.contractvr•may•.be cited•for:a-misdem�anor�violatiori. -:• �
�.under-state�law. If�the owner or intended�cantractor.are uncerfaln:as�fo what Ilcensing�requirements may:apply�far�the•�-:��- >
infended wark,'the,y are�advised�to contacf the�Pasco CountyiBuilding;lnspection.Dlvision—Licensing Secflon:at727=847-
-.80p9. �Furthermore, if the owner has hired-a contractor or contractors,�he is advised �to•have-the contractor(s)slgn
portions of tfie "contrac#or Black" of thls applicationfor which•ihey will be respbnsibls. If you, as�the owner�.s(an:as.the
�� � =contractor,'that�may_bean indication:that�he is�not�pr.operiy iicensed�and is not entltled�fo�permitffng.privileges in�'Pasao :� ��.n
-County.
=CONSTRUCTtON.LIEN.LAW�(Chapter7�13,'�lnric�a`5tafutes,as:amended): lf vafuatlon�of w�rk is�$2;5o0.D0.or�more,:i '� �
aertlfy that f, '-the appifcanf, have been provided-with a copy�.of�the °Fforida Construction Llen Law—Homeowner's
�Pratection Guide" prepared by'the �lorida Department of Agricukture:and Consumer Af�alrs. If the app{Icant is•someone .
other�than the'"owner", 1 certify that l have obtained.a cony of.the-above described document and promise in good falth�to
deliver lt to tha"owner"prior�to commsncement.
- CONTRACTOFi'SIOWN�R'S-AFFlDAVIT: ( certify that all the informatlon in this applicafion Is accurate and
fhat all work will .be done in compliance with all appltcable laws regulating constructlon, zoning and land �
development. Application is hereby made to obfa[n a permit to do work and Installatlon as Indicafed. I certl#y
thaE no work ar installation ha5 commenced prlor to IsSUance of a permlt�and�that ail work wlll be performed to
meef standards� of all laws regulating consfruction, Counfy and Gify codes,.,zaning regulations, and land
development�ragulations in�the jurisdic#lon. 1 .afso ce�lfy�that ! uhderstand that the regulafions of other
_ gavernment agencaes may apply'to ths lntended work, and that It is my responsibillty to identify what actions (
must taice'to lie in Compli�nce. �
If l am�tha:AG�NT Fo12'TH�OWNER, I pr'omise iri good faith to inform the owner of�the permltting cottditions setforth in
this affidavit prlor�t��commencing construction. �1 understand that a separate permit may.be required for efec�rical work,
plumbing, slgns, wells, poals, air conditioning, gas, or other installaGons nof specl�Ically fncluded fn tha applicatlon. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, atter, or
set aside any provislons of the�technical ond�s, nor shall issuance of a permit prevent the $ullding Oificia!from thereafter
requiring a correctlon of errors In plans, construction or violations of any codes. Every permfY Issued shall become invalid
unless the work aut}iorized'by such permlt is commenced within six months of perrnit issuance, or if work aufhorfzsd by
fhe permit is suspended or abandoned for a period of six(6)m�nths after fhe 6me the work is commenced. Ara extension
may be requested, in wrtting,from the Bullding Official for a period not to excesd nlnety (90) days and wlli dernonstrate
Justifiable cause for the extenSion: !f work ceases for ninety(90)consecufive days,the job is consideretf abandon�d.
'WARNlNG T4'c�WN�R: 'YOiJR"�AILURE TO'�R�CORD A'NOTICE'OF^GdMM�NCEM�NT Mi4Y-RESt1LT=IN�YOU{2 .� = -•
PAYINCy TWICE 4R IMPROV�MENTS TO YpUR PRDPERTY (NT�ND TO OBTAIN FIIVANClNG, CONSU�T
WITFi Y U NQ OR. N ATT BEFOR�RECOR NC YOU�NOTICE F NCE NT.
FLORIPA JU T(F.S.117. ) � � � '
OWN�R GR EN7 � T�COPlTRA 0
Subs.^.r9bed and �6f 3�.7ffY10Lj�bOFOre. e fs Subscrlbad m to(or afflrmed)bef Is •
by by
Who is/are persohalty known[o ma or has/h' e pr uced Who Is/ana personally knOwn to me or ha ve roduGed
as identifica� . . 'as rification.
Noiary Public Notary Publ�c
Gommiesion No. Commission No,
Name of Notsry typed;prfnted or stamped ' Name of Notary typed,printed or s�mped