HomeMy WebLinkAbout13-14478 , CITY OF ZEPHYRHIL�S
' S335-8TH STREET
(si3)�so-oozo 14478
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 14478 Address: 7340 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: 35-25-21-0010-0880-0000
Improv. Cost:
Date Issued: 8/28/2013 Name: TOWNVtEW RETAIL LLC
Total Fees: 25.00 Address: 725 CONSHOHOCKEN SR
Amount Paid: 25.00 BALA CYNWYD PA 19004
Date Paid: 8/28/2013 Phone:
Work Desc: FPM- SPRINKLER QUARTERLY-TOWNVIEW RETAIL
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Chapter 633, Fiorida 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 YOU'R 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
613-628-0143 09 22 10 a m 08-26-�013 4/15
e13-�eaoozo City of Zephyfillls Fire Fax-e�3-��ozi
Permit Application �
Date Received Phona Conlsct for Pormit 813 621 1357
Owner'e Nema TOWNVIEW RETAIL LLC owners Phone Numbe�+` � � �
owner's Address 725 CONSHOHOCKEN STATE ROAD, BALA CYNWYD, PA 19004-2102
Fee Simple Titlehotder Name Tltleholder Phone Number � � �
Fee Simple Titlehalder Address
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JabAddress 7340 GALL BLVD, ZEPHYRHILLS, FL �pt� �
suo oivision C�TY OF ZEPHYRHILLS p87C�q 35-25-21-0010-0880-0000
� Bio-Hazard Waste Storage-ANNUAL � Fumlgalion Tent
� Comm E�cheust Kilchen Hood/Duct O Hezardous Material(Tier II or R�Facil�ty�ANNUAL
aControlled Bum � Hood lnslellepan
QEmergency Generator�30 kw � LPMaturel Gas-Installatlon
aEmergency Generator>30 kw a LPMatural Gas-ANNUAL Sale
� Fire Proleulon Malntenance-ANNUAL � Places of Assembty-ANNUAL
� emi � er �
3pnnkler � m O ❑ � � Recreatlonal Bum Cy �
Fire Alarm ❑ O ❑ SparkleB � I � (
Hood Cleaning O ❑ O Sprinkler System Instatletions
Hootl Suppresslan D ❑ ❑ Slandplpes(Sprinkic�Sys)
� Fre Alarm Inslallation � Torch Roofing/rar Kettle
OFire Pumps Q Wasle Tlre Storage ANNUAL
aFlre Warks
� Fiammable AppllcaUon-ANNUAL $25.00 Val�ation of ProJe�t
Fuel Tflnks
Q Olhef:
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contractor ����y �—
Signature Registered Y/N Fee Currenl Y/N
Address Llcense iJ
ELECTRICIAN Crnnpany
Signeture Reglatcred Y/N Fca Curtenl Y/N
Addrese Ll�ense q
PLUMBER Gompany
Slgnatura Reglstered Y 1�I Fee Curtant Y/N
Add�ess Llcense#
MECHANICAL Company
Signewre Fegistered Y!N Fee CurteM Y/N
Address Llcense i7
OTHER JEFFERY D. BURNHAM Campany N SPRI KLERS. NC. —�
Sfgneture Regislered Y/nl Fae Current Y/N
Address � , T T. TAMPA FL ��cense� 1 � y
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Fill out applicalion campletely
Qwne�8 Contractw slpn badc of application,notarized(Or,copy of sipned coMrad with owner)
If over$2500,a Notice at Commencemenl is requirod(Mechenical work aver 55000)
Supply Iwa(2)sets of tlrawings wilh appiicaWe documerrtaUon
Allow 10-14 days for review after suhmlttal dete Parzel p-obtalned}rom Pr�perty Tex Notice(http:/lappraiser.pascagov.com)
813-628-0143 09 22 �9 a m 08-26-�013 5/15
NOTICE OF DEED RESTRICTIONS: The underslgned understands that this permit may be subJect to"deed" restrlctlons"
which mey be more restrictive than County regulations. The undersigned assumes responsibility for compliance wilh any
applicable deed restrictlons.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be requlred to be Iicensed In accordance wlth state and local regulatlons. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor vtolation
under state law. Ii the owner or fntended contractor are uncertain as to what Ilcensing requlrements 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 hlred 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 Indlcatlon that he fs not properly licensed and Is not entitled to permitting privlleges ln Pasco
County.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended). If valuation of wortc is $2,500.00 or more, I
certiiy that I, the appllcant, have been provided with a copy of the "Florida Construction Uen Law—Homeowner's
Protectlon Gulde" prepared by the Florida Department of Agrtculture and Consumer Affalrs. 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
dellver ft to the"owner' prior to commencement.
- CONTRACTOR'SlOWNER'S AFFIDAVIT: I certify that a�l the information In this application is accurate and
that all work wili be done in compl(ance wlth all appllcabie 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 Cfty codes, zoning regulations, and land
development regulations in the Jurisdictlon. I also certlfy that I understand that the regulatlons of other
govemment agencies may apply to the intended work, and that it is my responsibility to identify what actions I
must take to be in compllance.
if I am the AGENT FOR THE OWNER, I promise in good faith to Inform the owner of the permitUng condltions set forth in
thls affidavit prior to commencing construction I understand that a separate permlt may be requlred 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 Ilcense 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 O�cial from thereafter
requiring a correction of errors In plans, construction or vlolations of any codes. Every permit Issued shall become Invalld
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 Bullding Official for a period not to exceed ninety (90) days and will dem�nstrate
Justlfiable cause for the extension. If work ceases for nlnety(90)consecutive days, the Job Is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORO A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TW10E FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT
FLORI�A JURAT(F.S. 117 03)
OWNER OR AQENT CONTRACTOR Sf" �—�'
Subscribed and swom lo(or affirmed)before me this yuhscnbed nd swom to r effirtned) fore me thi¢�
bY C��by_�� �'1Y'1 �f.{Y�Y1)"1Ci�1.f
Who islare personeily known to me or haslhave produced Who Islere personalty knowr�to me or has/have produced
es Identlficatlon. es fdenllficallon.
Notary Public Notary Public
Commisslon No Commisslon No.
�.►►T�� Natary Pua�c Stete of Florida
Name of Notary typed,printed or stamped Nama of Nota t d, rinted or st
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