HomeMy WebLinkAbout12-13635 CITY OF ZEPHYRHILLS
5335-8TH STREET '""
�sis)�so-oo20 13635
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13635 Address: 7348 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: 11/20/2012 Name: TOWNVIEW RETAIL LLC
Total Fees: 25.00 Address: 725 CONSHOHOCKEN STATE RD
Amount Paid: 25.00 BALA CYNWYD PA 190042102
Date Paid: 11/20/2012 Phone: 610 667-5800
Work Desc: FPM- FIRE SPRINKLER QUARTLERY-TOWNVIEW
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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 Aaompany 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
81;5-?80-0020 C�cy of Ze Pny�n�iis F��e Fd.-813-780-0021
Pe�m,�ApplicaUOn
p�te RCCe1yA, Pno�e co��a«fo�Pe�m�� 813 621 1357
ow�e�=NamP TOWNVIEW RETAIL LLC ow�e�=P„o�e N�mee� 610 667 5800
ow�e�,Aad,�,s 725 CONSHOHOCKEN STATE ROAD, BALA CYNWYD, PA 19004-2102
FeE S�mP�P T���eho�a...Nam� L.�eno�de�Pno�e N,.mee� � � �
F��S,mp�e T���,h��de�Add���,
�on Add " 7348 GALL BLVD, ZEPHYRHILLS, FL �o�� �
s�e o��_��� CITY OF ZEPHYRHILLS Pa��e,#
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� EmP 9 „�Y G�.,e.a��. 30 kw � LPM����a�Ga, I„��a��a���„ � � �(, �J
� Em�.�P��y G����a��.>30 kw a LP/Na�,.�a�Ga.-ANNUAL Sale �
� F,.� P�o««o�Ma,��e�a.,�e-ANNUAL � P�a�es ��A„eme�Y-ANNUAL
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Concrr�.�r Comp�ny
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ELECTRICIAN Compa�y
s,g�a���� Reg,=�e�ed Y/N Fee C���e�< Y/N
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PLUMBER Compa�y
s���a��.A R�g� .e��d Y/N Fee c�.���. Y/N
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MECHANICAL Compa�Y
s�9�a.�.� RP9, �e.ed Y/N Fee C��.P�� Y/N
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oTHER c�m�a�y RODAN FIRE SPRINKLERS, INC.
S JEFFERY D BURNHAM R� Y/N Fee c�����. Y/N
�na�ure g�sterea
Ahh•��= 2501 N. 70TH ST. TAMPA FL 33619 �1Ce��e# 83153100012 06
D�.�«��,,.
Fill ou�application completeiy
�wne�&Con�raccor siqn back ot pp catio.+ �ornrizr �Qr, opy of �gnea con�rac�wi�h own r�
�t over yzJ�� a Nof�ce of Commenccmen��.re�u�ren��Mechan�cal work over yJ����
Supply�w �Z� e�s oP drawin��wi�h a�plicable tlocumencation
Aiio�,.10 14 d r ro���..���..a..��,�e�.,�«ai n,.A Pa��ei#-oe�a�„ed r�o�„ P.oae��Y Ta.No��� (haa//aco.�� e.�,as����..��,.,)
NOTICE OF DEED RESTRICTIONS� The undersigned understands that this permit may be subject to"deed" restrictions"
which may be more restrictive than County regulations I he undersigned assumes responsibiliiy for compliance with any
applicable tleed restrictions
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor o�
contractors to undertake work, they may be required to be licensed in accortlance wlth state and local regula[ions �f the
contractor is not licensed as required by law, both the owner and coniractor may be ciied for a misdemeanor violation
untler state Iaw �f che owner or intended con2ractor are uncertain as to wha[ licensing requiremen2s may apply for the
intendetl work, they are advised to contact the Pasco County Uuilding �nspection D���=�o�—Licensing Section at 72/-U47-
8009 Furthermor , if the ner ha hired cont�ac[or or contractors, he is ativised to have the contractor�s) sign
portions of the °contractor Block" of this application for whieh they w��� be �e=po�=�b�e If yo�, a= the ow�e� =�g� a= =he
c o n t r a c t o r, t h a 2 m a y b e a n i n d i c a 2�o n t h a i h e i s n o i p r o p e r I y I i c e n s e d a n d i s n o i e n t i t I e tl i o p e r m i t[i n g p r i v i l e g e s i n P a s c o
Cou nty
CONSTRUCTION LIEN LAW(Chapter713, Florida Statutes, as amended) If �a��at,o� of wo�k �s $2,500 00 0� mo�e, I
certify that I, the app�icant, 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 plic a�� �_ =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���fy that a�� the mformat�o„ �� th�= applicaUOn �s accurate a„d
t h a t a I I w o r k w i I I b e d o n e i n c o m p I i a n c e w i t h a I I a p p I i c a b l e I a w s r e g u I a t i n g c o n s t r u c t i o n, z o n i n g a n tl I a n d
developmenC. Application is hereby made to obtain a permi[to do work and installation as intlicaied � certify
that no work or installation has com menced prior 2o is uance of a permii and that all work will be performetl io
meet s2andards of all laws regulating construc2ion, County and City codes, zoning regulations, and lantl
d e v e I o p m e n t r e g u I a 2 i o n s �n t h e �u r i s d i c t�o n � a I s o c e r i i f y t h a t � u n d e r s t a n d i h a t t h e r e g u I a t i o n s o f o t h e r
g o v e r n m e n[ a g e n c i e s m a y a p p I y t o i h e i n t e n d e tl w o r k, a n d t h a t i[ i s m y r e s p o n s i b i I i i y 2 o i d e n t i f y w h a 2 a c t i o n s �
sttake to be i mpliance
If I am ihe AGENTFORTHEOWNER, I P�om�=e ,� good fa�th to ��fo�m the ow�e� of=he permittmg condiUOns =etfo�th ��
this affidavit prior to commenc�ng construction � undersiand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or o2her installa2ions not specifically �ncluded in the applica2ion A
permit issued shall be construed to be a Ilcense to proceed with the work and not as authority io viola[e, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permii preventthe Uuilding �fficial from thereafter
requiring a correction of errors in plans, construcT�on or v�olations of any codes Every permii issued shall become invalid
unless the work au2horized by such permit is commenced within six months of permi2 issuance, or if work authorized by
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 tl o n e d f o r a p e r i o d o f s i x �6) m o n i h s a ft e r t h e t i m e t h e w o r k i 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 to exceed nineiy �9�) days and w�ll demonstrate
�u s 2�f i a b l e c a u s e f o r t h e e x[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 i i v e d a y s, t h e�o b i s c o n s i d e r e d 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 � °�L—" �—
s�h=���e�d a�n =�„o.��o eo� a..�.med� eAfo.� m����= sj'.=«�f��o.�����eefo� %Y► �1Gth�
pY by \ � �
WM1O is�ar per�onnlly known to me o�hrs�have protluced WM1O is�are p¢rsonally kn n Ln—me or has�have protlucetl
s iA[�niifica[ion r^_ s itlentification
No� .Y P�e��� Noz �Y P„e���
Comm�ss�o„ N� Comm��s�o„ No �Ci� I�
C�Y�i�`�� � 1� i.c--��l I'
NamP ofNoi ry cypetl printF��1 or stampetl Name of Not ry ty , printetl or stamped
o�►M1•�oi� Notary Pubhc State of Florida
_ , Gheryl A Duffell
�. ,�•a My rommisaion EE140324
''�'o���tl' Exp�res 11/12/2015