HomeMy WebLinkAbout13-14479 � CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oozo 14479
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 14479 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: 8/28/2013 Name: TOWNVIEW RETAIL LLC
Total Fees: 25.00 Address: 725 CONSHOHOCKEN STATE RD
Amount Paid: 25.00 BALA CYNEWYD PA 190042102
Date Paid: 8/28/2013 Phone: (888)777-3557
Work Desc: FPM-SPRINKLER QUARTERLY- 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$100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCE�MNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE
OF COMMENCEMENT."
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PERMIT OFFICE `T--
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
813-628-01d3 09 22 52a m 08-26-2013 6/15
e�s-7ao-oozo City oF Zephyrhills Fire Fa�c•813•7B0-OD21 �
Permit Application
Date Received �--� Phona Conlad for Permft 8�$ 62� 1357
Owncrs Nema TOWNVIEW RETAIL LLC Owncra Phona Number��88B � 7Tl �3557��
ow�,ers Addr�ss �25 CONSHOHOCKEN STATE ROAD, BALA CYNWYD, PA 19004-2102
Fee Slmple Tlqeholder Name Titleholtler Phone Number � � �
Fee Simple Tltleholder Address
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Job Address 7346 GALL BLVD, ZEPHYRHILLS, FL �oi# r—�
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s�o oivis�on CITY OF ZEPHYRHILLS Parcel f� 35-25-21-001 Q-0880-0000
,_ � BiaMazard Waste Stnrage-^IWNUAL _ ,-_ ,._,. .. .-.... -,_'`:�'Fumlgatlon Tent^r. ...<:i.. .�,i S�;i:�..:':.__�:.:: ..... ... .. .. � w,...-- -
� Comm Exhaust Kitchen Hood/Quct � Hezardoua MatarieJ(Tier I�or RO Fecility)ANNUAL
OCantrolled Bum � Hood Installallon
OEmergency Generalor c 30 kw � LPINatural Gas•Installat4on
� Emart3ency GeneratDr>30 kw � LPMatural Gas-ANNUAL Sale
aRre Protectlon Malntenance-ANNUAL � Places ot Assembly-ANNUAL
�lr"I�y emi (}�nT er
Sprinkler � 0 ❑ ❑ � � Recreational Bum //
Fire Aiarm ❑ ❑ ❑ Sparklers �f �� ` 9
l
Hood Cleanmg ❑ D ❑ Spnnkler System Installations
Hood Suppression O ❑ ❑ Slandplpes(Spnnkler Sys)
� Fira Alarm Installation � Torch RoofingRar Kettle
� Fire Pumpc � Wasle T7re Slwage ANNUAL
� Fire Worics
Flammable Apphca4on-ANNl1AL. $25.QQ Valuation oF Project
� FuelTenks
� Other,
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Contractor - v...-J ,.,_
Campany
Slgnature Ragistered Y!N Fee Current Y/N
qddress Llcense#
ELECTRICIAN Company
Slgneturc Reglstered Y/N Fee Cunenl Y/N
Addrass LJccnse q
PLUMBER
Comparty -�
Sipnature ReQistered Y/N Fee Current Y/N
Address License#
MECHANICAL
Comparty
Signawre Registered Y I N Fee Current Y/N
Addrass
License#
OTHER JEFFERY D. BURNHAM Comparty RODAN FIRE SPRINKLERS. INC.
Signaturc Reglstered Y/N Fee Cunent Y!N
Addreaa 2 N T . TAMP L 1 Llcense#
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Directions: ---. ' ` --__.___...__._..._._.__..._._.
Ful out eppilqtion completely
Owner 8 ConVactor sipn back ol epplica[ion,noterized(Or,cnpy ol slpned contract wilh owne�)
It over$2b00,e Notice ot Commencemertt Is requi2d(Medianicsl v+ork over 55000)
Suppfy two(2)sets of drawings wlth appll�able documentatlon
AI1rnv 10-14 days for review efter suhmittal dele. Parcel t!-obtalned(rom Property Tex Notice(http://apprslser pascogov com)
813-628-0143 09 23 08 a m 08-26-2013 7l15
NOTICE OF DEED RESTRICTIONS• The undersigned understands that this permit may be suh)ect to"deed°restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable 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 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 Ilcensing requlrements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Divislon—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 Biock" of this application for which they will be responsible. If you, as the owner slgn as the
contractor, that may be an indication lhat he is not properiy licensed and Is not entitled to permitting privlleges In Pasco
County.
CONSTRUCTION LIEN LAW (Chapter 713, Florfda 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 "Fiorida Construction Uen Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affalrs. Ii the applicant is someone
other than the "owne�', 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 commencemen�
- CONTRACTOR'S/OWNER'S AFFIDAVIT { certify that all the information In this applicatlon is accurete 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 prfor to Issuance of a permit and that all work wiil be performed to
meet standards of all laws regulating construction, County and City codes, zonfng regulations, and land
development regulations in the jurisdiction I also certity that I understand that the regulations of other
government agen�les may apply to the intendad work, and that it Is my responsibility to identify what actions I
must take to be In compliance
If I am the A(3LNT FOR THE OWNER, I promisa In good faith to Inform the owner of the permitting conditions set forth in
this a�davit prior to commencing construction. I understand that a separate permit may be required for elecVical work,
plumbing, signs, weils, pools, air conditioning, gas, or othar installations not specifically included in the application. A
permit issued sfiall be construed to be a license to proceed with lhe work and nol as authority to violate, cancel, alter, or
set aside any provislons of lhe technical codes, nor shall Issuance of a permit prevent the Bullding Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes Every permft 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 aRer the bme the work is commenced. An extension
may be requesled, in wriling, from the Building Officlal for a period not to exceed nlnety (90) days and will demonstrete
just�able cause for the extenslon If work ceases for ninety(90)consecutive days, the job is considered a6andoned
WARNING TO OWNER: YOUR FAILURE TO RECORO A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYINC3 TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCINO, CONSULT
WfTH YOUR L�NDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 117 D3)
OWNER OR AGENT CONTRACTOR --t_ ---�""-
Subs�nbed end swom lo(or aifirmed)before me this bscribed nd swo ( affirtned) re me thls
by by
Who is/ere peraonally known lo ma or haa/have produced Who islere per5anallv known to me or has/heve prnduced
as Identdicatlon. as IdenU�icallan.
Notary Puhlic Notary Publlc
Commission No. Commission No.
a.f�`'� Notary uC ic a
' Cheryt A Dulfell
Name of Notary typad,printed or stamped Nema of Notery typed,printed or s - ,} 1Ay ornm�sswn
�ia��idr Exp�rec tvt212o15