HomeMy WebLinkAbout13-14477 CITY OF ZEPHYRHILLS
5335-8TH STREET
. �sis)�so-oo20 14477
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 14477 Address: 7306 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: 8/28/2013 Name: TOWNVIEW RETAIL LLC
Total Fees: 25.00 Address: 725 CONSHOHOCKEN STATE RD
Amount Paid: 25.00 BALA CYNWYD, PA 190042102
Date Paid: 8/28/2013 Phone:
Work Desc: FPM- SPRINKLER QUARTER-TOWNVIEW RETAIL
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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 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
813-628-01a3 09 �1 35a m 08-26-2013 2l15 �-
eia-�eo•oo2o City of Zephyrhills Fire Fax-913-780-0021 r
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� Permit Appllcatlon
Date Received Pfione Conlact for Pertnit 813 621 1357
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Owners Name TOWNVIEW RETAIL LLC Owners Phone Number � � �
Qwner's Address 725 CONSHOHOCKEN STATE ROA�, BALA CYNWYD, PA 19004-2102
Fee Slmp�e Titleholder Name Tltleholder P�one Number � � �
Fee Slmple Tiqeholder Address
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Job Address 7306 GALL BLVD, ZEPHYRHILLS, FL .���at tJ �
Sub Divislan CITY OF ZEPHYRHILLS paR�� 35-25-21-0010-0880-0000
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� Blo-Hazard Was[e Slorage-ANNUAL a Fumlgallon Tent
� Camm Exhaust Kitchen HoodlDuU � Hazardoue Maleriel(7ler II or RD Fecility)ANNUAL
OControlled Bum � Hood Inctallallon
OEmerpency Generator<30 kw � LPMatural Gas-Installation
� Emergency Generalor>30 kw O LPMatural Gas-ANNUAL Sale
OFire Protectlon Maintenance-/WNUAL � Places of Assembly-ANNUAL
��y em � er a � ����/}
Sprinklcr � ❑ p Rccrcetlonal8um � �
Flre Alarm � ❑ ❑ ❑ � � Sparklers
Hood Clcaning � ❑ ❑ ❑ � � Spnnklw System Instellatlons
Hood Suppresslon � ❑ ❑ ❑ � � Slandplpes(Spnnkler Sys)
� Fve Alarm Inalalletlon � Torch RoofnglTar Keltle
OFire Pumps � Waste Tire Stordge/WNUAL
� Fire Warks
� Flammablo Appflcalian-ANNUAL $25.00 Valuatlon of Project
OFuel Tanks
O Other
Contraclo� Compar�y
5ignature Registered Y/N Fee Current Y!N
Atldress License tl
ELECTRICIAN Campany
Slgnature Registered Y I N Fcc Currenl Y/N
Address Licenae tl
PLUMBER Company
Signeture Registared Y/N Fee Cunenl Y!N
Address Llcense#
MECHANICAL Company
Signature Registered Y I N Fee Gunent Y/N
Adtlress Llcense ri
OTHER JEFFERY D BURNHAM Company f�ODAN FIRE SPRINKLERS, INC.
Signatura Registered Y/N Fee Current Y/N
Addreas 25 TH T T PA F 1 �iu�a�a 1 1 1
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Direttions: _....:..:::...�.;::....._.,._.��.-..,,-..... _... ... . . .,. ._.
FIII out application completely
Owner&Cantractor sign hack of applicahon,notanzed(Or,copy of signed conlrad with owner}
i!over 52500,e Natice of Commencement ie requlred(Mect�anlcal work over S600D)
Suppty two(2)sats of drawings with appllcaple documentalion
Allow 10-14 days for raview eRer submittel dele Par�e!#-obtalnad f�m PropeAy Tax Nolice(http.lfappralser.pascogov com)
813-628-01a3 09 21 51 a m 08-26-2013 3/15
NOTICE OF DEED RESTRICTIONS: The underslgned understands that this permit may be subJect to"deed" restrictions"
which may be more restrictfve than County regulations. The undersigned assumes responsibility for compliance with any
appllcable deed restrictlons.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be Iicensed in accordance with state and local reguladons. If the
conlractor Is not Iicensed as required by law, both the owner and contractor may be cited for a misdemeanor violatlon
under state law. If the owner or Intended contractor are uncertaln as to what Ilcensfng requlrements may apply for the
intended work, they are advised to contact the Pasco County Building InsPection Division—Licensing Section at 727-847-
8009 FuRhermore, If the owner has hired a contractor or contractors, he Is advised to have the conVactor(s) sign
portions of the "cantractor Block" of this application for whlch they will be responslble. If you, as the owner sign as the
contractor, that may be an Indicatlon that he Is not properly Ilcensed and Is not ent{tled to permitting privlleges In Pasco
Counly
CONSTRUCTION LIEN LAW(Chapter 713, Florlda Statutes, as amended)� If valuation of work Is $2,500.00 or more, I
certify that I, the appllcant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protectlon Gulde" prepared by the Florida Department of Agriculture and Consumer Affalrs. If the appllcant Is someone
other than the"owner", I certify that I have obtalned a copy of the above described document and promise in good faith to
deliver ft to the"owne�' prlor to cornmencement.
- CONTRACTOR'S/OWNER'S AFFIDAViT: I certify that all the information in this application Is accurate and
that all work will be done In compllance wtth all appllcable laws regulating construcUon, zoning and land
development. Application is hsreby made to obtain a permit to do work and installation as indicated. i certify
that no work or Installation has commenced prior[o issuance of a permit and that ail work will be pertormed to
meet standards of all laws regulating construction, County and City codes, zoning regulations, and land
development regulatlons In the Jurisdiction. I also certify that 1 understand that the regulations of other
govemmenl agencies may apply to the Intended work, and that it is my responsibllity 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
thls affidavit prior to commencing constructlon I understand that a separate permit may be requlred for electrical work,
plumbing, signs, wells, pools, alr conditioning, gas, or other installations not specifically included in the application. A
permit Issued shall be construed to be a license to proceed wilh the work and not as authority to violate, cancel, after, 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 for a period of six (6)months after the time the work is commenced. An extenslon
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
Justffiable cause tor the extenslon. If work ceases for nlnety(90)consecutive days,the)ob 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
W1TH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F S. 117 03)
OWNER OR AOENT CONTRACTOR �� -�t.�---�""`��
Subs�ribed and swom lo(or a�rmed)before me this bsc Ged and swortito(or irmed)be,t�c�me this
bY ��_by �T. CQ L'1�l Y`Fl �'1C�f1'1
Wha islare personally knovm to me or has/have produced Who is/are personaliv k2e�wn to mw or has/have produced
as identificatlon. as identlficatlon.
Notary Publlc Notary Puhlic
Commission No. Commisslon No.
�Ja�r�� Natary u K b
Gheryl A Dutfell
Name of Notary typed,prinled or stamped Name of Notery ryped,printed or s ._ �; Y omm�� i
oin� ExAiresltlt2120t5