HomeMy WebLinkAbout13-13882 .
CITY OF ZEPHYRHILLS
5335-8TH STREET
(sis��so-oo20 13�
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13882 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: 2/15/2013 Name: PRIMERICA GROUP ONE
Total Fees: 50.00 Address: 3629 MADACA LN
Amount Paid: 50.00 TAMPA FL 33618
Date Paid: 2/15/2013 Phone: (813)933-0629
Work Desc: FPM- SPRINKLER SEMI SUPPRESSION SEMI- PUBLIX
� � . I 5 .
r � �'-
� -
� ��°
� �
'Z
�
�
,
inal
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 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
` MAI��`28/2l�'07/WED 07:20 AM ZEPHYRHILLS BUILDING FAX No. 8(3-780-0021
� P. 001
a�a-�so-oazo City ofZephyrhllls'Ftde� •• . Fax-a��-�eo.0021 �t;
permlt Appllcetion
Data Ftecalved . . a- •Phone Co'nfacf�(or Permlt ' •
Ownec's Name • Owner6 Phone Number . pt3� � �
Ownere Addresa �t �' . .
Fea simple TlUeholder iJame ' ' ' • ' '�tleholder Phone Num6ar �'�] ��
Kee�mpleTltlehaldcrAddrs� • • . • • .
Job Addreas ' • t . . ' , � ..LoE# • �
5Ub Div(SIo� Paroel#
' � Blo-HazaM Weate StoraBe—ANNUAL • � " FumlgaUon 7ent '
� Comm Exhaust Kit�hen HoOdlDUCI: .' �• Hamrdou.Mele►1a1(fler 11 or RQ Facllity)ANNUAL
� Controlfed Bum � Hood(nslalledon
Q �margency Generator<30 kw . a LP1Natural 6as-Inetailadon � •
••� ���mergency Generalor>30 kw ° � LPJhfatur�l Gas-ANNUAL Sala
� Fire Ptotac6on IuFaltdanance=ANNUAL. � Places vf Assemb{y-AIVNUAL .j�,^_�•„�
�r,fy7' emi �I�! � ' . . . 3,�.J����
Sprinkler � p ��' p ReoreaUonal eum • �(n ��
���. �
Fre Alartn . ❑ I]' ❑ '� � � SPwWers •
Hood Claening � d� ❑ p � ❑ 3prinkler'Systam Installadons • , �I � � �-�-/ I3
Hood 5uppresslon p 1�, ❑ �� � $�endpfpea(Spdnklersys) �
' � Fra Narm IrietqlleGan . . , � ToncF1 Raafing/Ta�KeWe• , '
Flre Puf^P� , ' � ' � � Was�e Tira Storage ANNUAL � ' ' '
Flre Wolke • . . , , •
. Flammable ApplicaUon-ANNUAL • • • ValuetioTl of P[ojeCt
Fuel Tanks ' � • . • '
[� •• Other: • •
cantraclor ' • . •
• Compsny 1 �' •
Signawro � ' Regist,ared Fee Curren[ N •
Address
� License�t
�t.ECTRICIAN � . ' ' Comperry.. ' '—"—"'1
Siynatur� • Regfsfarail• Y/N • Fae Cunent. _Y/N ' �
Addreae License# • •
PLUMBER • , Company ""—"`I
Slgnature � ' ' itaglstered Y/N Fee Curtent Y/'NT+
Addross •
Licanea# • •
MECHANICAL Company
SlBnalUl'C �
Regis�ered Y/N Fae c�rrent Y/N
address
�Liceqae#,
OTNER • • �
, . • Compeny • -�
stenature ' Reaietered • Y/N Fee Current Y/N
Addreaa ' . .
' LtcanBe#
Oirec,�tiona:
. FlII out aDVlicafion eomplataly. .
Owner&CvntrpC(p�eign baok of applicatioh,nolafized(Or,copy oFeigned contracEwlth owner) .
If over E2500,a Notice of Cammencemant ia requlred.(Mechenicai work wer$6000) •
Supply Nvp(2)ee�of drawinBe xnlh appllceble documentat►on .
Allow 7D-14 daye for ravlaw aft9r eubmiltal dale. Percai#-obtalnad irom Ptoperty Ta7t NoUce(hltpJ/eppreiaer.pasCOgov.cotn) �
. .: -
MAR/28/2007/WED 07:20 AM ZEPHYRHILLS BUILDING FAX No. 813-780-0021 P. 002
. 'AIOTIC�OF:DE�D'RESTf�1CTlONS: 'fhe.underslgned und'erstands•that fhis permit may•be•sub)ecflfo'"deed°Restr(ctlons""�
which may be more restrictive than Gounty•reguiations. The:undersigned.assumes responsibility for:oompliaraee�aroith any.� .
.appliaabla deed restrlotlons. • •
�UNLiCENSED�CaNTRACrORS•AND��CONTRACTfJR�RESPqNSI�iL1T[ES: (f�fhe ovmer has�hired�:a°contracfor�or•��• •
contraofors�to uRdertake work,they may be required�to be licenssd In accordance wifh sEste and loaal-regulations. lf the
conG'aCtor ls not licensed as required by law, both the owner�nd•contracfor may be cited`for.a'misdemean�r vlolation
.under st�te law. If�the owner or intended�cantractor are uncertein�as to whaE licensing�requirefiellts may app(y for the
intended work,they are advlsed�to contact the•Pasao Caunty Bullding Inspection Divtsion—l.ioenstng 5ection.at 727-847-
8009. Fur�hermore, ff the owner has hired•a cantracfor or'co�tractors, he Is advised'to•haVe'the �or�ttactor(s) sign
portions of the"contractor Block" of this appllCatlon•for which'they wlll be respohslbfe. tF you, a's•the ownet•slgn'as the
cor�tractor, that may be an indication�that he is�not properly liaan.sed and Is not enfiileB•to�permifting.privlleges in Pasco
Gounty. . • � '
CONSTRUC710N•L.IEN.lAW(Chapter713,•Florida 5tatufes,.as.am�nded): If valuation of Wo�k Is'$2;600.00 or mors, I
certify'that (, �the applicant, have .been provided wlth a copy af'the °Florida Consfruaflon.Lisn. Lav�Homeowner's
Protection Gulde°prepared by•tl�e Fiorida Qepa[tme�t of Agriculture and Consumer Affairs. If the applicant is�someone
other than the�°owner", I certity thaE!have obtained a copy of the above described document and ppomise in good falth to
deliver it to the"awner"prior to comrnencement. • • '
-� CONTRACTQR'S/OWN�R'•S•AF�IDAVIT:.I certify that all the information !n�thls appllcaEfon is•accurate and
th�t all work will�be�done in compllance wlth al) appliaable laws regulaf[ng construction,•zontng and land
devefopment. Application Is hereby made to�obtain a permtt to do w�rk and installation as Indicafed. 1 cetfify
� that ho work or installation has commenced prior Co issuance of a permit and•that all work wIA be performed to
meet standards of alI laws regulattng oonstruction, Cpunty and Clty codes,•zoning regulatlons, and land
development regulations in the jurisdicfion. l also certffjr that I understand that the regulations of other
.govemment agencies tnay apply to the intended wotk,and that it is my'responslblllfy to identify what actlons I
must fake�to be In compllance. • • . •
if I am the AGENT�FORTH�OWNER, t promise iri good faith to inform Ehs owner of the permitfing conditions sef forth in
thts affldavlt priar to commencing construcction. �I understand that a separate psrmit may be required for electrical work.
plumbing, signs, wells, pools, air aonditioning, gas,•or otber instaliations not specific�ily included in the appiication. A
permit issued shall be canstrued to.be a Ilcense to proceed with the work and noC as authority to viol�te, cancel, alter, or
set aside any provisions of the technical codes, nor shalf issuance of a permit prevent the�uilding.Official f�om thereaffer
requiring a correction of errors in plans,construcfion or violatlons of any codes. Every permlt tssued shall becoms invalid
unless the work authorized by such permit is commenaed within slx months of permit Issuanre, or If work authorized by
the permit Is suspended or abandoned far a period aF slx�(6}months after the time the wark ts commenced, An extension
may�e requested, in wrlting,from the Bullding Official for a perlod not to exceed ntneiy(90) days and will demonstrate �
)usfifiable cause for fhe extenslon. lf work ceases for niriety(s0)conseci�tive days,the Job is consldered abandoned.
'WARNING TO QWNER: 'YOUR �AIL'URE�T��RECORD A'NOTICE'OF.C4MM�NCEM�NT MAI�"R�SULT lN'YOUR '"' '
PAYlNG TWIC�FOR IMPR01/�MENTS'TO YOUFt PROF'�RTY. IF YOU INTEND TO OBTAlN�INANCING,CONSULT
WITH YC7UR LE DER O{Z'AN ATTORNEY�EFORE RECOf�DING YOUR Na'fICE OF COMMENC�MENT •
FLORiDA JURAT(F.S.117.03) ' ' . ' ' , , • �
OWN�R OR AGENT i �� CONTRACTOR � ' "
S ed and Y to dj � s , .S Z ed e sy m to or aflirine e e ihis
o Is are o py known to me or haslltave produced o Is/are personally kn to me or dr�/have producad
• as Iden6ficafian. • N A •as idelltfflCaGon.
��-� Notary Public ' Notary Pubiic ,
CommlSSlon No. .V{�J"1 �c�� Commis6lon No.._ 1cJ k..lL (c_71J��
Nl�i�f[��.�, . . M��1�,' �V�.4eP. �
Name of ofary�ped;pnnted or stamped Nama'of Notary dped,printed or stamped .
MtTZI VANCE � . �oam�m
��°��� � � 'MITZI VANCE
�a� E7�PMES OCT 09 4019 GQIiA1rY3310N i�DQ913090
Au�i�ANCt a�c�rw�n � �� ���13
■1 MrluGwce aoiww�nr