HomeMy WebLinkAbout12-13437 CITY OF ZEPHYRHILLS
` 5335-8TH STREET
(si3)�so-oozo 13437
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13437 Address: 5014 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: 11-26-21-0010-20700-OOAO
Improv. Cost:
Date Issued: 9/11/2012 Name: CHATTERBOX CAFE
Total Fees: 25.00 Address: 5014 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/11/2012 Phone:
Work Desc: FPM- SEMI SUPPRESSION -CHATTERBOX
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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 aforemendoned.
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$100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECO IN Y R NOTICE
OF COMMENCEMENT." '
PERMIT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION -8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
813-780-0020 (;Ih/OT LBphyrI1111S FIPA Fax-813-780-0021
Pertnit Applicatlon
nate Received � w,one corNact fo►Pem,k �� �� 7340
owne�'$Ne� Chatterbox Cafe Owners Phons Number 813 13 6777
Owners Addroas 5014 Gall Blvd
Fae Simple Titleholder Name Titleholder Phone Number C� � ��
Fse Simple Titleholder Address
Job Address 33542 �ot# C]
Sub Division pa�el#
� 610-Hazard Waete Storage-ANNUAL Q FumlgaUon T�t
� Comm E�chaust Kitchen Hood/Duct a Hazardous Meterial(7ier II or RQ Facility)ANNUAL
Q Controlled Bum � Hood lnstaltation
� Emergency Ganerator<30 kw a LP/Naiural Gas-Installa6on ( j�� �
Q Emergancy Generator>30 kw Q LPlNatural Gas-ANNUAL Sale � 1 ��
� Fire Pratecdon Maintenance-ANNUAL � Pla�s of Aasembiy-ANNUAL �
�� � ��
Sprinkier ❑ ❑ O � Recreational Bum
Fire Alartn � ❑ C] O � Sparklers
Hood Cleaning � ❑ p d � � Sprinkler System Installaeons
Hood 5uppresaion X ❑ E4 D Standpipes(Sprirtkler Sys)
QFire Aiartn InstallaBon a Torch RooflnglTar KetUe
Fre Pumps � Waste Tiro St�age ANNUAL
Fire Works
Flammable Appiicatlon-ANNUAL �--, Valuation of Project
Fuei Tanks
Q Other.
Conhactor ��y
Si9nature tzegbtered Y 1 N Fee Current Y/N
��esg License#
ELECTRICUW �p��y
Signaw►e ( Registered Y/N Fee Curtsnt Y/N
Address License#
PLUMBER �mpa�y
signahxe Regtstered Y/N Fee Current Y/N
Address License#
MECFIANICA ��y
slynature ttegisterod Y/N Fea current Y/N
Address License#
OTHER �ompany Securit Fire E i ment LLC
siynature Repist�ed Y/N Fse Cu�ent Y/N
Address 1 S 3 3 0 Lawrence Rd License#
Dlrectlons: " . .. ,. , , ,
FHI out application campletely.
Owner 8 Contractor sign back of applicatlon,notauized(Or.copy of signed contract with ovmer)
If over 52500,a Notice of Commencement is required(Mech�nical work over 55000)
Supply Mro(2)sets of drawings with appUcable documerrtation
Allow 10-14 days for revlew efter submittal date. Parcel#-obtained from Prope►ty Tax Notice(httpJ/appreiser.pascogov.com)
NOTICE OF DEED RESTRICTIONB: The underai�ned understands that thla permft may be subject to"deed'r�trlctions"
which may�Se more cest►fcthre thsn County regulations. 'The unders�pned asaumes reaponaibil(ty for compliance with eny
ap�kxble daed reahictions.
UNUCEN8ED CONiRACTORS AND CONTRACTOR RESPONSIBIU71E8: H the owner has hired a cantractor or
contra�iors�undertake work,they mey be required to be Ifcensed in accordance with state and bcal reputatlons. If the
c�rrttracEor is not iioensed as required by law, botlt the vwner and oontrac:tor may be c�ted for a misdemeanw violadon
under state law. If the owner or intended conh�acbr�e u�in as to what licena�g requlromema may apply for the
iMended work,they are sdvised b contad the Paa�County BuAdkg Inspedbn DNbfon�—Licenaing Sedfon at�2?'-847-
8009. Furthemrore, N the ownar hae hlrod a cor�trector w conhHCtora, he is advised to have the cotMrac�or(s) sfgn
porilons of tha•contractor Blodc'of tl�is applkxHon for which they will be rosponsible. H you,as the owner sipn es the
contreaor, d�at may be an Indicatiai that he is not properly licensed and is not errtitled to perrnifdn8 privieges tn Paaco
Cou►nY•
TRANSPORTATION IMPACTMILITIES WIPACT AND RESOUltCE RECOVERY FEE8: The undersipned urxieratands
that Transportetbn Impad Fees and Recourse Recovety Faes may apply to the construction of new buAdinps,c�enDe of
use in exisHng bulldings,or expanslon of exbdng bupdinps,as spedfled In Paaoo Courrty prdinance number 89-07 end
90-07,as emended. The uncierelgnad afao undentands.thet such feea�aa may be due,wNl be identNied et the tlme of
P��9. It is furiher understood that TransPo�Uon hnPed Fees and Resouroe Recovery Fees must be paid prior to
receivkig e'cert�Cate of oxupency'or ftnal powar►ebese. N the ptojsct does not involve a oertiflcate oi oxupancy or
flnel power rolease�the fees mt�st be paid P�'�m P�ft lasu�oe. Furthernbre,If Pesco Cotmty Wate�/Sewer Impact
fees are due.theY must be paid prior to permtt lasuance in aocadanoe with applicabie Paew CouMy ordh�encea.
CONSTRUC710N LIEN LAW(t��pter 713,Florida S��as amerd�d): H valuatlon of work is 52�500.00�more.I
oMiry thet 1, the e�lk:ent, have besn provided w�th a copy of the •FloNde Constr�ucHon Lian Law—Homeowner's
Protec�ion Guide'prepared by the Flotida Departrnent oF Aerfoulhme end Consumer Alfalrs. IF tha appiicant is aome�e
other than the'owner^,I certify that!herre obtalned a capy of the above desatbed dxumant and prombe in good failh to
delNer R to the`owner'pdor to commenoemeM.
CON7RACT'OR'8/OWNER'8 AFFIDAVIT: 1 c�erHfy that all the Ir+formaUon in thfs epplketion is axurate and that all work
wiA be done in c�mplianoe wRh a11 applf�abie la►�vs�apnp co�tructbn,zoning and land develvpmeM. Appiicetion is
hereby mede to obtain a permft to do work and k�teqatlon ss indicated. I oertify thst no wcrlc or instellatlon has
canmenoed p�lor to issuance af a permR and thet efl work wpl be pe�tormed to meet standa►ds of all laws repuladng
construtxion, County�d Cky codea, zanln8 regWaUons, and land developmet�t ropulatlons in tbe Juriadiction. I slso
oertify that I underatand that the►�egWaUor�of oti�govemmerd a0er�es maY apply b the intended work.and that ft�s
my responstbqfty to IdaMtlfy what adions I must iake to be in complienoe. Such agencies i�dude but are not Iim�ed to:
- Department of Emfronmen�protec�ion.Cypress gayheads, Wedand qreas and Envhonmernelly SensHive
Lands,WeterNV��awater Trea6nent
- Southwest Florida Weter Manegemerrt District-Welis, Cypreas Bayheads� Wetiand Areas, Altering
Waterc�urses.
- �Y�aPs�Engk�eera�eawaBs,Docks,Navigeble Waterways.
- De�tmerrt of Health 8 Rehabi�taHve Servicee/Envkonrtier� Heakh Unit-WeNs, Wastewater Tr�tmer�t,
Septic Terdcs.
- US Enviro�rnentel Protet�ion Apency-Asbestos abatemer�t.
- Federal Av�Hon Aulhority-Runways.
1 understand that the foqowinp r�esUicdo�apply to the use of 181:
- Use of fHl�not dlowed)n Flood Zone'V'unless express�Y Pe��1.
- If the flN materlal is to be uaed In Flood Zone 'A'� R is underatood thet e drairrege plan eddressin8 e
`compensating valurt�e'wpl be subrnitted at tlme of permittlng v�is prepared by a prafessbnal engineer
Ncenaed by the Stete of Florida.
- If th�flq ma�rlal is to be u�d in Flood Zone'A" in oonnectlon wRh a permitted buil�ng using stem wall
consMx.ilon.I oartl(y that flll wIN be ueed oniy to fil the�+ea wiM�in the stem wall.
- If flll materiel Is to be used fn arry er�. I cerfify timt uee of euch flll w1N not adv�sely affect adjaoe�t
ProPe�ties. N use of f11 is fout�to edv�erseN affect ed�ac�t ProPeriies.the owner may be"c#ad tar vldaUng
1ha condiUor�s of the buqding perrnit iesued under�e atlached psrmft applk�tion�for bts lesa Uren one(1)
acxe wh�h are elevaied by tAl�an erpir�sd drain�0e Plsn is roquked•
H I am the AGENT FOR THE OYYNER,I promise in good faNh to infcrm the owner of tl�e pertnitUng condido�set forth in
this aHidavR prior ro commerxinp conatrucUon. I�mderstend that a sep�ate PermH may be required for ebctricai work,
Pw��B. sipns�wells, P�,air oond(do�irg, gas, or otl�er irrotalatlons not apsaiF�ally induded in the applk�tlon. A
permR issued at�il be cronst►ued to be a�cense to praxsd wBh the wnrk and not e�autho�lt�r to.vidate,canoel.alter�or
set aeide arry provisions of the technk;al codes,nor shdl Issuanae�a permN prevent the 6uAdirip Olfkisi from thereefFer
requk�y s conecUon ai ertors in P�ens,construr�(on or vidadons of arry oodes. Every perm�lesusd shall beoortie Rnralid
unleas the vwrlc auU�orized by suoh psrmlt is oomn+erxed�sbc mordha of pemdt iesuanoe.or N woric authodzed by
the ParmR Is suspe�ded or abandoned fa a period d sbc(8)monfhs af�r the Ume U►e work is commenced. An extenslon
may be requasted.In w�ting,irom the 8u�ding OfRci�d for s perfod not to exoeed ninatY(90)deys and will dert�onatrate
Juatlfleble cause for fhe e�densbn. If work ceeees for nh�ety(90)�r�sea�thre days.N�Job is oor�sidered at�ndoned.
WARN�NG TO OYYNER: YOUR FAILURE TO RECORD A NOTICE OF COAAMENCEMENT MAY RESULT IN YOUR
PAYING TYYICE FOR iMPROVEMENTB TO YOUR PROPERTY. IF YOU NTEND TO OBTAIN FINANCING,CONSULT
rYiTH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COM�CENENT.
FI.ORIDA JURAT(F:S.117.09J
OWNBt OR AO�1T CCNiRACTOR
SublCfb�d uid�worn to(or dlknMd)be(ore ms tlis Slbs���d Nd rwom 1D(w NAlrtisd)beFMS Ilro tlli6
bY bY
Who kl�t+Psrwn�MY ivwwn b m�a halMrve produad YVho hlare pxsornry Ivnwn to ms or IwRmve Producsd
as idaMMleatlon. as IWntllf�atlon.
Not�ry Pubic Notary PW9c
Cammiplon No. Com�niabn No.
Wme of Nobry yp�d.Or►nmd or ahmpsd Name ot Nolary bPOd.DMMd a stmmPed
Jacqueline Boges
From: Jacqueline Boges
Sent: Monday, August 27, 2012 3:25 PM
To: 'Jay'
Subject: RE:
$30.00 separate check
Just going off your list not including the ones I asked you about;
14@ $25= $350. Plus los chico 3 x's @ $25 =$75.00....total due$425.00
Only been 3 week huh.....
We will take up a can food drive for you. What type of can food do you prefer?
From: ]ay [mailto:secfire.jay aol com]
Sent: Monday, August 27, 2012 1:44 PM
To: )acqueline Boges
Subject: Re:
I would like to come in to see you two..
I will make out a check for the Occ license renewal
and a separate one for the permits if you will give
me a total... Please keep in mind I haven't been able
to afford food for 3 weeks.
Thanks
Jay
Security Fire Equipment, Inc.
18330 Lawrence Rd
Dade City, FI. 33523
352-424-0906
-----Original Message-----
From:Jacqueline Boges<jboqesCa�ci.zephvrhills.fl us>
To: Jay<secfire.iavCa�aol.com>
Sent: Mon, Aug 27, 2012 1:41 pm
Subject: RE:
Okay got it.Are you coming into our office to pay or mailing check to us?
From: Jay�mailto:secfire.iavCa�aol.coml
Sent: Monday, August 27, 2012 1:21 PM
To: Jacqueline Boges
Subject:
1
And here is the Chatterbox permit app.
I will have my insurance company send you
the Liability Insurance info to your email Jackie..
Thanks,
Jay
Security Fire Equipment, Inc.
18330 Lawrence Rd
Dade City, FI. 33523
352-424-0906
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