HomeMy WebLinkAbout13-14480 CITY OF ZEPHYRHILLS
5335-8TH STREET
� (si3)�so-oozo 14480
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 14480 Address: 7348 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: (610)667-5800
Work Desc: FPM- SPRINKLER QUARTERLY-TOWNVIEW RETAIL
5.
, ��
. �
i,�
� �
F
ina
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."
.-., ,.. .
. i � �"
'��^ , � J � �y�'�-�,>�;
�x- `��- ,
PERMIT OFFICE `
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
813-626-0143 09 23 31 a m 08-26-2013 8/15
813-780-Oii20 City of Zephyrhills Flre Faz-813-7B0-OOZ1
Permit Appllcation ,f
08te Received Phona G
.. .... ...............,,,.... .,,,..,.._,_�._..,._ ... ._..,.-..._.,,,.,._.....__on
tau ror Parmrc 813 621
.... �_ ..
owners Name TOWNVIEW RETAIL LLC Owners Phane Number «610���Y 667 5800���
ow,r,ar6 aac�as6 725 CONSHOHOCKEN STATE ROAD, BALA CYNWYD, PA 19004-2102
Fee Sfmple Titleholder Name Titleholder Phone Number � �J �
Fee Slmple TlHefiolder Address
..., .�.__., ,....,..�,..,„.......,,....�.�_W.,.,...,.�.---�":::,,..:;,. ...,�..�.
Jo6Addresa 7348 GALL BLVD, ZEPHYRHILLS, FL �otp
SubDivision CITY OF ZEPHYRHILLS P8�e1�
. . . ,. .... .... ... .. .... .. ....�. ,..,� .
..... .. ._.:,...X.
..�..,..,.. .,,,._..�_�-:;-��,��
. _ ,._ .: ._._.... ...».. ---...._::...__..�w__�. __.:..��_`._._.<_..,_._._.�_�-.--_-:-.=::_. ��._._:__ �«--•�-------..�..----�—_. ._ - , -
_..-...:�:..��.. ...:...::__ --..,-- -=-_=:.�..i-__.�::•�::>;_::>;.:...,:,_�
O Bfo-Hazard Waste Storage-ANNUAL � Fumigadon Tent
O Carim Exhaust Kltctien Hood(DuU � Hazardous Malerial(Tier II or RO Facility)ANNUAL
� Co�trolled Bum � Hood Installadon
OEmeigency Generator�3D kw � LP/Natural Oas-lnstellatlon
� Emergency Generalor�30 kw O LPlNatural Gas-ANNUAL Sal•
� Fire Protection Malnlenance-ANNUAL � Places ol Assembly-ANNUAL
� emi � er
Sprinkler � 0 ❑ ❑ � � Recreatlonal Bum j fL���
Fiie A1arm � ❑ ❑ ❑ � � Sparklers '� / T
Hood Cleaning � O O ❑ � a Sprinkler System Installations
Haod Suppresslon � ❑ ❑ p � � Slandpipes(Spfinkler Sys)
� Fire Alarm Instalial�on O Tor�RoaMglTar Kettte
� Fire Pumps a Wasta Tlre Slorage/WNUAL
Flre Wwk�
� Flammable Applicallon-ANNUAL $25.00 Valuation of ProJect
Fuel Tenks
O Other,
Gontraclor . .�..-... ,,...,.._. ..,,...,....�,..._....».... _.,_w_._...._.._�.__._.._...,..__......_..µ_.,,...
Company
Signalure Registered Y!N Fee Current Y/N
Address
License�l
ELECTRICIAN �P�y
S�gnawre Reglstered Y/N Fee Currem Y/N
Address
License#
PLUMBER Company
Slgneture Rcgletared Y/N Fee Currant Y/N
Addrese Llcense M
MECHANIGAL Ganpany
Signature Reqistered Y/N Fee Currenl Y/N
Address
Llcense tl
OTHER JEFFERY D BURNHAM Cwnpany RODAN FIRE SPRINKLERS, INC.
Signature Registered Y/N Fee Gwrenl Y/N
Address
; _ Llcense A
;.. .._ .................. ----° - -
- .. .._.. _._._.._.__ --.._....._. ......._,. _
�_.:..,_...__..�...:.:.. ... .._;..:,._._..... ....,.... ...,...........,. ,_..
. ..�......,._:,._...
. .. .. ..... ........._:<._:_.� ..- .._,:s.:._.::::.�_.`.�_.sx.<.�.:x':x�;�..a':s,..ax:�.'.:c"'s.��-�"�'- :�;:;c�
Directians. ..._ _._._. ..._. _._ ._..
Fill out epplicaUon complelely
Owner 8 Contractor sign bade ol appllcatlon,natarized(Or,copy of slgned confrad with owne�)
If over 52500,a Natice of C�nmencement ls requlretl(Mechanlcal work over 55400)
SuAG�Y►wo(2)set5 0!drawinps with applipWe d�umentaUon
Allow 16-14 days for review efter submittal date Psrcel#-ohlalned from property Taz Nodce(http://appraiser.pascogov.com)
813-628-0143 09 23 a6 a m 08-26-2013 9/15
a
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subJect to"deed" restrictions"
which mey be more restrictive than County regulations The undersigned assumes responslbility for complience with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILfTIES: I( 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 lew, both the owner and contractor may be cfted for a misdameanor 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 edvised to contact the Pasco County Building Inspectlon Division—Licensing Secbon et 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 thls application for which they will be responsible. If you, as the owner sign as tha
conlractor, thal may be an indicatlon that he is not properiy licensed and is not entitled to permltting privileges in Pasco
County
CONSTRUCTION LIEN LAW(Chapter 713, Florlda Statutes, as amended): If valuaUon of work is $2,500.D0 or more, I
certify that I, the applicant, have been provided with a copy of [he "Florida Construction Lien Lew—Homeowner's
Protection Gulde" prepared by the Fiorida Department of Agricuiture and Consumer Affairs. If the applicant is someone
other then the °owner", I certify that I have obtained a copy of the above described documenl and promisa in good faith to
deliver it to the"owner'prlor to commencement.
- CONTRACTOR'SlOWNER'S AFFtDAVIT: I certify that all the Information in lhls application is accurata and
that ali work will be done in compliance with all applicable laws regulating construcUon, zoning and land
development. Application is hereby made to obtain a permit to do work and instellation es indicatad. I certify
that no work or installation has commenced prior to issuance of a permit and that all work wlll be performed to
meet standards of all laws raguleting construction, County and Clty codes, zoning regulatlons, and land
development regulatlons in the jurisdictfon. 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 ections I
must take to be in campliance
If I am the AGENT FOR THE OWNER, I promise in good fallh to inform the owner of the permlttfng condidons set forth in
this affidavit prior to commencing construction. I understand that a separate pertnit may be required for electrical worlc,
plumbing, signs, wells, pools, air canditioning, gas, or other installetions not specificelly included in the epplication. A
permit issued shafl be consUued to be a Iicense to proceed wilh the work and not as authority tfl violate, cancel, alter, or
set aside eny provisions of the techn(cal codes, nor shall issuance of a permit prevent the Building Officlal from thereafter
requlring a correction of errors fn plans, constructlon or vlolatlons of any codes. Every permit issued shall become invalid
unlass the work euthorized by such permit is commenced within six months of permit issuance, ar if work authorized by
lhe permit is suspended or abandoned for a period o(six (6)months after the time the work is commenced. An extension
may be requested, in writing, from the Bullding Official for a period not to exceed ninety (90) days end will demonstrete
justifiable cause for the extension. If work ceases for nlnety(90)consecutive days, the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT lN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
1N1TH YOUR L�NDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMM NGEMFNT
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGEPiT CONTRACTOR_ ,*y' ^— "'—`
Substxibed and swom in(or effirmed)before me this bscribed and swom tn( aRrmed)�ie�fq�e me lhls' J
by �1�bY.—.,� � I dl�t �'S 11 I^Vl,YK[/11
Who Is/are personally known ta me or has/have prnduced Who islare personally known to me or has/have produced
as Identlficatlon. as IdentiflcaUon.
Notary Public Nolary Publkc
Commission No Gommisslon No. ot Fwrtde
�°� , Cheryi A Ouflefl
� n EE140J24
Name of Notary typed,printed or stamped Name o(Nalary typed,pnnted or sta �'o�n Exp�y t1112/20�5