HomeMy WebLinkAbout13-14410 . CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oo20 14410
ANNUAL FIRE PROTECTION MAINTENANCE ,
Permit Number: 14410 Address: 7909 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: 34-25-21-0010-00100-0000
Improv. Cost:
Date Issued: 7/31/2013 Name: RUBY TUESDAY RESTAURANT
Total Fees: 25.00 Address: 7909 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 7/31/2013 Phone:
Work Desc: FPM- SUPPRESSION SEMI-RUBY TUESDAY
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Chapter 633, Flbrida 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, 5pecifications 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 RECORDING YOUR NOTICE
OF COMMENCEMENT."
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PERMIT OFFICE �
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
ai�ao-oo20' City of Zephyrhills Fire Fau-813-780-002'!
Permit Application
ate Received Phone Co�tact for PeRnit 3 5 2 7 3 2 5 3 2 6
wners Name RT TAMPA FRANCHI SE LP ATTN TAX&LIC DEPT �ers Phona Number � � �
wr,er5 address 15 0 W CHURCH AVE MARYV I LLE TN 3 7 8 01-4 9 3 6
ae Simple Tifleholder Name NA TiUeholder Phone Number � � �
ae Simpfe T'Meholder Address
�b Address �9 0 9 GALL BLVD Lot t� �
�bDivision ZEPHYRHILLS COLONY COMPANY ���# 34-25-21-0010-00100-0000
aBfo-Hazard Waste Storage-ANNUAL � Fumigatlon Tent
� Comm F�chaust Kitchen Hood/Duct � Hazardous AAaterial(Tier II or RQ Facility)ANNUAL
� Controiled Bum � liood Instailation
aEmergency Generator<30 kw � LPMatural Gas-Instalfation
aEmergency Genarator>30 kw � LP/Natural Gas-ANNUAL Sab
a Fire Proteetion AAaiMenance-ANNUAL � Places of Assembly-ANNUAL
� em � r
Sprinkler � ❑ D ❑ � Recroational Bum
Fire Alarm � ❑ ❑ ❑ � � Sparklers
Hood Geaning � ❑ ❑ ❑ � � Sprinkler System Installations
Hood Supprcssion � ❑ � ❑ � Q Standpipes(Sprinkbr Sys)
� Fire Nartn Installation � Torch Rooflng/Tar Kettle
Fire Pumps � Waste Tire Storage ANNUAL
Fire Works
Fiammable Application-ANNUAL Valuation of Project
Fuel Tanks
Q her.
�ntractor Company AMERICAN FIRE & SAFETY SUPPLY
gnature Registered Y/N Fee Currorn Y/N
Address 953 NE SC A AVE STE 100 OCALA FL Licanse# 06461500021985
.ECTRICWN NA Company
qnacure � Regfstered Y/N Fae Cumsnt Y/N
Address U��#
_UMBER NA ComPer�y
�^8��"B Regiatered Y/N Fee curtent Y/N
�d� License#
cCFWNI COrtIPenY
�nature N�'' Registered Y/N Fee Cument Y/N
Address License#
�IiER NA �m��y
�"°t1fB Reg�stered Y!N Fea CurteM Y/N
Address License#
rections:
Fill out application�mpletely
Owner&Contracbr sign back of application,notarized(Or,copy oi signed contract with ovmer)
tf over$2500,a Notice of Commencement is required(Mechanical work over 55000)
Supply two(2)se�s of drawings with applicable documerrtation
Allow 1 at 4 days ioT review after submittal date. Parcel#-obtained fiom Pro}�erty Tax Notice(httpJ/appraiser.pascogov.com)
s
NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to"deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, ff the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contracto�, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
CONSTRUCTI�ON LIEN LAW(Chapter 713, Florida Statutes,as amended): If valuation of work is$2,500.00 or more, I
certify that 1, the applicant, have bee� provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agricuiture and Consumer Affairs. If the applicant is someone
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.
- C�NTRACTOR'SIOWNER'S AFFIDAVIT• I certify that all the information in this applicati�n is accurate and
that all work will be done in compliance with all applicable laws regulating construction, zoning and land
development. Application is hereby made to obtain a permit to do work and installation as indicated. I cert'rfy
that no work or installation has commenced prior to issuance of a permit and that all work will be performed to
meet standards of all laws regulating construction, County and City codes, zoning regulations, and land
development regulations in the jurisdiction. I also certify that I understand that the regulations of other
government agencies may apply to the intended work, and that it is my responsibility to identify what actions I
must take to be in compliance.
If I am the AG�NT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signe, wetls, pools, air conditioning, gas, or other instaflations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alte�, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in pians, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninery (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninery(90)consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILtJRE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYtNG TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR NDER OR AN ATTORNEY BEFORE RECORDING YOUR COMMENCEMENT.
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and swom to(or affirmed)before me this Subscribed and swom to(or affirmer rer�e this
by L'?".�C�'/�by �d.Gf//`�� C+G4i[�!
Who is/are personally known to me or has/have produced Who is/are personally k to me or has/have produced
as identification. �ett�s.��T+ nU�`'7 as identification.
Notary Public __ �/�£'� �"�wCh 4�J Notary Public
Commission No. Commissfon No. r•
_� ° My Comm.�tEEe355l0
Name of Notary lyped,printed or stamped Name of Notary ed,print o�ry publ(C,St1ib of Fbtid� '
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