HomeMy WebLinkAbout13-13892 CITY OF ZEPHYRHILLS
- 5335-8TH STREET
(si3)�so-oozo 1�,3892
ANNUAL FIRE PROTECTION MAINTENANCE �
Permit Number: 13892 Address: 7346 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: 35-25-21-0010-08800-0000
Improv. Cost:
Date Issued: 2/20/2013 Name: TOWNVIEW RETAIL LLC
Total Fees: 25.00 Address: 725 CONSHOHOCKEN STATE RD
Amount Paid: 25.00 BALA CYNEWYD PA 190042102
Date Paid: 2/20/2013 Phone: (888)777-3557
Work Desc: FPM- SPRINKLER QUARTERLY-TOWNVIEW PLAZA
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Chapter 633, Florida Statutes,authorizes the City to charge and coilect user fees to pay for the wsts 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
813-628-0143 01:34:51 p.m. 02-18-2013 10/15
' 813-78D-0020 C.icr or Zephyrhms F��o F..-813-780-0021
Pormlt/D1pplfcation
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ow�.;,Aa,,..� 725 CONSHOHOCKEN STATE ROAD, BALA CYNWYD, PA 19004-2102
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OTHER �omp�ny RODAN FIRE SPRINKLERS, INC.
5 9^.�� . JEFFERY D.BURNHAM R.e�•�••�a Y/N F..c�n.�. Y/N
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Ir e�e.52500,��lea�.ee Com m��eem�nc ia..nw..e(M.�n�me�i�..erR e�.•55000)
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813-628-0143 01:35:04 p.m. 02-18-2013 11 /15
NO'ftCE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed°restrictions"
whlch mey ba more ra�uletiva theh County regulatlona. I he undersigned assumas responslbillty for eompllenca wlti� eny
eppllCeble deed reetrlctlons.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: I. the oW„.� „o, hlrsd o �o„t�e��o� o�
con[rqcCOre to untlertRks wo�k, thay mey 6e required to be Ileansed In accordance wlch stata entl loeal rsguletions. �Tthe
contructor I9 not Ilcensed ns requlratl by low, Doth th• owner end eontrnetor mny be clted for a misqemsenor vloln[1on
unqer steta lew. �f the owrter ar intentled co�tractar are unCartoln us to whe[ Ilcen�ing requlremente moy epply for t�e
Intentled work, chey are ptivlaaC to eoniae[the f aaco County Oulltll�g �napectlon Viviylon�lleansing Sectlon ei 727-847-
80�J. Furthermora, IT the owner hes hired e eontrae[or or eontreetors, he is ativlsetl ia heve ths �ontroeior�s� sign
po�ti�ns of the "contractar Block" of this appllcation for which they w„� be respons�ble. If you, ee �ha oW„e� ,,8„ a, t,,e
contreetor, thai mey be an I�tlleeilon chat he Is not properly Ileensed and la not entltled to psrmltting prlvlleges In I�asco
Cou nty.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): I►„e�„a��a„ o(work is $2,500.00 0� m ore, 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 Ile e nt I s s o m a o n e
other than the°owner°, I ce�tify 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.
- CONTRACi'OR'SIQWNER'S AFFIDAVIT; I �.���.,, �„e� all the Informetlon �., �,,,, applicetlon ,g accurete e„�
that all work w11f bb done In eompllenee with all eppliepble lews regulaiing constructlonr =a���g end lanq
developmen[, flppiicetion ia hereby mede io obteln a pbrmitto do work anq Inatalle[lon os Intllcetsd. � certl�y
that no work or Ins[allatlon hes commencetl prlor to Issunnce of o permlt ond thot ell work wll/ ba performed to
meet stqntlartls o� nll lowa reguteting eonstructlon, County and Clty codes, zoning regulaclons, and land
developmen[ regulntiqns �n Lhs JuNStlic[ion. � also cortify Che[ � understend that the iaguletlons of other
government ogenclos may ppply to ths intantletl wark, entl the[If Ia my reaponsiCillty co Identlfy whet netlons �
mustCOke to be In compliance.
�f� em the AGENT FOR THE OWNER, � promise In gooC fal[h to �nform tne owner of the parmitcing conqltions sat forth cn
thls aTfidavlt prlor io commencing construcilon. � untleracantl that a separnto permic mey be requlred for electrlcol work,
plumOing, signa, wells, pools, uir contlltianing, gas, or oTher Inatellatlons not speclllcolly i�clutled In the appllcatlon. I'1
perTl[ISSUed sh011 De Cons[rued to he e Ilcense to praceed with the wark anA npt es nuthorlty t0 v1al0te, cancel, ulter� or
set oside eny provislons ot ehe teehnleel cotlea, nor shall isauenee oT e permic prevent tne pulltling Qflltlel from Chereefter
raqulring a correctlon of errars 1� plens, conatructlo� or vloletlons oI any eotlas, Lvery permlt Iasued xhall becoms Invelid
unlesa the work eutho�ize0 Oy auch parmit Is com me�cstl wlthin ala months o1 porml[ Issuenca, or If work suthorized by
the permli Is auspentled or ebendonotl for e perlod of sla �U� months after the tlme the work Is commenced. f1n ea[enslan
mny be requested, In wrlting, from ihe Bultding �fTlelal for e parlod not to excead ninety �9V� days end will tlsmonstrete
JusNflabla ceuse Torthe extenslon. �f work ceases far nlnecy `90) co�secutive tlqys,ihe JoL I5 conEldenad abantloned.
WARNING TO OWNER: YOUR FAILURE T� RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMEN7S TO YOUR PROPER7Y. IF YOU INTEND TO OBTAIN FINANCING,C�NSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Yf3UR NOTICE OF COMMENCEMENT.
FLQRIDA JURAT(F.S. 117.03)
OWNER OR AGENT CONTRACTOR���c i'�--- �`""'�'`
SuC�crlbetl antl swarn to�or�Illrmed�before ms thls S b�eril d ntlf�A4o m�ehls
°y ��l�.b, �.�.��C�j�n�b i��c ir'n ti fr h�j
Wno i./... v..:se.uy k�o„,o�o m.a.n../n.�e o.oa�oRa 1�Vya„l.�e por�on�lly kn ��o m ,n../n�v.P.aauc.„
:�n.nnnc�uon, s ia.na�ne.uon
No...,.P�eu� No�..y P�en�
comm�,.,o�r�o. cemm .,o�rvo. � )t C� 'Lt
� r , � � . �c
Nam�efNet��y typx(f,p�IhtsG or�tempetl N�ms ofNo<e�y aN.printetl or staTpwtl
��r+''�<y, Natary Pubiie State of Florkla
h Cheryl A Outltll
�� I`p• My(:ommisiwn EE1�0�24
aneP E�pltat 71t12120/6