HomeMy WebLinkAbout13-14468 , • CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oozo 14468
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 14468 Address: 5506 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: 11-26-21-0010-05700-0256
Improv. Cost:
Date Issued: 8/21/2013 Name: PHIL MOOK ENT.INC
Total Fees: 25.00 Address: 1108 W BRANDON BLVD
Amount Paid: 25.00 BRANDON FL 33511
Date Paid: 8/21/2013 Phone:
Work Desc: FPM-SEMI HOOD SUPPRESSION FOR KFC
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Chapter 633, Florida Statutes,authorizes the City to charge and coliect 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 pertormed 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
s��-�ao-oo2o City of Zephyrhilis Fire Fax-813-780-0021
Permit Application
ate Received Phone Contact for Pertnit C� � ��
J C� �� C�
wners Name Owners Phone Number
wner's Address ✓ � 1�j
3e Simple Titieholder Name — Titleholder Phone Number C� C� �
:e Simple Titleholder Address
�b Address - V Lot# �
�b Division Paroel#
� Bio-Hazard Waste Storege-ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL
� Controlled Bum � Hood Instaliation
� Emergency Generator<30 kw � LP/Natural Gas-Installation �r i
� Emergency Generetor>30 kw � LP/Natural Gas-ANNUAL Sale j/` �
� Fire Protection Maintenance-ANNUAL a Places of Assembly-ANNUAL ���{'C�
�y emi �n er (
Sprinkler � ❑ O O � � Recreational Bum
� f ��/�
Fire Alarm � ❑ ❑ ❑ � � Sparklers � /
Hood Cleaning ❑ O ❑ � � Sprinkler System installations �
Hood Suppression � ❑ $� ❑ � � Standpipes(Sprinkler Sys)
� Fire Alarm Installation l � Torch Roofing/Tar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
� Fire Works
QFlammable Application-ANNUAL � Valuation of Project
Fuel Tanks
Q Other.
��tractor Company •
gnature �� Registered Y/N Fee Current Y/N
Address License#
_ECTRICIAN
Company
gnature � Registered Y/N Fee Current Y/N
Address License#
_UMBER
Company
gnature Registered Y/N Fee Current Y/N
Address
License#
=CHANICAL
Company
�nature Registered Y/N Fee Current Y/N
Address License#
fHER
Company
3nature Registered Y/N Fee Current Y/N
Address
License#
rections:
Fill out application completely.
Owner&Contractar sig�back of application,notarized(Or,copy of signed contract with owner)
If over$2500,a Natice of Commencement is required(Mechanical work over$5000)
Supply Mro(2)sets of drawings with applicable documentation
Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tau Notice(http://appraiser.pascogov.com)
NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed" restriction�"
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, if 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
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, 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 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.
- CONTRACTOR'SlOWNER'S AFFIDAVIT: I ce�tify that all the information in this application 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 certify
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. t 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 AGENT 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, signs, wells, pools, air conditioning, gas, or other installations 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, alter, 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 plans, 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 fo�a period of six (6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building O�cial for a period not to exceed ninety (90) days and w+lf demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned
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
Subscribed and sworn to(or affirmed)before me this Subscribed and swom to(or affirmed)before me this
by bY
Who is/are personally known to me or has/have produced Who is/are personally known to me or haslhave produced
as identification. as identification.
Notary Public Notary Public
Commission No Commission No.
Name of Notary typed,printed or stamped Name of Notary ryped,printed or stamped
SERVICE REQUEST ORDER Page 443
DO NOT PROVIDE TO CtiSTOMER-For Franchise use Only
Due Date $/'7/ZOli
Partner ID: FVIAT005
* -"�� Partner Name: 1�lathis,Jeff
"-- � Customer ]0036470
� f�' 1r�� Contact CHRIS
� � Customer PO# MOOK/ROSEMARY
���'���'+'��'j�a�' � Phone 8 1 368 1 4 84]
Vl..s. S
�+Tm r�orEC�ort�r SMS Text Data
SMS Text Sent By
Working Status Open
Sold To Ship To Master
PHILMOOK ENTERPR[SES KFC ZEPHYRHILLS
1]08 W BRANDON BLVD 5506 N GALL BLVD
BRANDON,FL 33511 USA ZEPHYRHILI,S,FL 33541 US �� �� b�
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SRO SRO Type Priority SRO Description Terms
0000250860 REFILE SEMI ANNUAL HOOD INSP TJET30
Other WO!# Source SRO Re-filed By Taa;Rate
hquigley 7 0000 %
SRO Detail
WO Date Item Item Description Quantity Price Ext.Price
KH00010 Fee,Trip Charge I OOEach 75 00 75 00
KH 11009 Lmk,Fusible ]1 OOEach 15 00 16�00
KH01004 Maintenance,Kitchen Hood Semi 3 OOEach 70 95 212.85
Annual
KFI00000 Labor.Fiat Rate I OOEach 50 00 50 00
KH01003 Cleanmg,Nozzle 9 OOEach 10 00 90 00
Notes
SRO Notes:
Customer tiotes:
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