HomeMy WebLinkAbout13-14715 �
CITY OF ZEPHYRHILLS
5335-8TFi STREET
(si3)�so-oo20 1471�
ANNUAL FIRE PROTECTION MAINTENANCE �
Permit Number: 14715 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: 11/14/2013 Name: TOWNVIEW RETAIL LLC
Total Fees: 25.00 Address: 725 CONSHOHOCKEN STATE RD
Amount Paid: 25.00 BALA CYNWYD, PA 190042102
Date Paid: 11/14/2013 Phone:
Work Desc: FPM- QUARTERLY FIRE SPRINKLER FOR TOWNVIEW RETAIL LLC
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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 activides 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 OFFICER �—
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 513-780-0041
e�3-�ao-oo2o Ciry of Zephyrhilis Fire Fax-e�a-�so-0oz�
Permit Application
Date Received `� Phone Contact tor Permit 813 621 1357
(7vmers Name TOWNVIEW RETAIL LLG pwners Phpna Number �� �� �^�
Ownera Address �25 COIVSHOHOCKEN STATE ROAD, BALA CYNWYD, PA 19004-2102
Fee Simpie Tidehdder Neme TlGeholder Phone Number �] � C�
Fee Simple Tideholder Addrass
Jo6 Address 7306 GALL BLYD,2EPHYRHILLS, FL �a�# �
Sub Divisio� CITY OF ZEPHYRHIILS Parcei tt 35-25-21-0010-088Q-0000
aBio-Hazard Waste Storage-ANNUAL � Fumiga4on Tent
QComm Exhaust Kitchen HoodlOuct Q Hazardous Materiai(Tier II or R�Faci�ity)ANNUAL
QControlied Bum Q Hood inatallatlon �
Emergency Generator a 30 kw Q LPfNaWral Gas-In6taliation
aEmergency Oenerator>30 kw � LPMaturol Ges-ANNUAL Sa � �
Fire ProteCtion Maintenance-ANNLIAL a Piaus of Asaembiy-ANN AL ����/��
� ��n er
Sprinkler � �! O � � � Recreatianal Bum
Fire Alarm � ❑ ❑ O � � Spariclers
Hood Geaning � ❑ ❑ ❑ C� � Sprinkler System Instsllations
Hood Suppression � p O ❑ � � Standplpes{Sprinkler Sys}
QFire Narm InstaUation Q Torch Roofing(Ta�KetUe
OFire Pumps � Waste Tlre Storsge ANNUAL
Fire Works
Flammable Application-ANNUlU. �25.fl0 � Vaivation of Project
aFuei Tanks
QOther:
Contractor Company �—�
SignaWre Registered Y/N Fee Cunent LY!N
Address License#
EtECTRICIAN Company "1
S�gnature Registerod Y/N Fea Curtent Y I N
Address license il
PLUMBER Canpany �
Signeturo Regrstered Y 1 N Fse Current Y 1 N
Address License#
MECHANICAL Compeny i�
Siflnature Registered L Y/N Fee Current Y!N
Address Ucense tF
OTHER JEFFERY D. BURNHAM Company RODAN IRE SPRINKLERS.INC�'-�
Signature Registered Y/N Fee Curtent Y/N
Add�ess . 7 T T. 1 l.icense# 1
Directions:
Fill out applicaGon compiateiy.
Owner B Contractor sign back of app►iceUon,notarized(Or,copy of signed conVact with oxmer)
If pver 525�0,a Notice of Commencement is requtred(Mechanicai wodc over 55000)
Supply Mro(2)sets of drawings wifh appiicable documentetlon
AAow 1Q-14 days tor review after submittal date. Percel�I•�teined Irom Property Tax Notice(http:l/appraiser.pascogov.com)
NOTICE OF DEED RESTRtCTiONS: The undersigned understands that this permit may be subject to"deed"restrictions'
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicabie deed restrictions.
UNLICENSED CC?NTRACTORS 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 lnspection Division—Lice�sing 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 "cont�actor Block" of this appiication for which they wiil be responsible. If you, as the owner sign as the
contractor, that may be an indication that he Is not properly licensed and is �ot 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 khat 1, the applicant, have been provided with a copy of the "Fiorida Co�struction l.ien Law—Homeowner's
Protection Guide' prepared by the Florida Department of Agriculture and Consume�Affairs. If the applicant is someone
other than the"owner', 1 certify that t have obtained a copy of the above described document and promise in good faith to
deliver it to the'owner prior to commencement.
- CONTRACTOR'S/OWNER'S AFFtOAVIT: I certify that all the information in this apptication is accurate a�d
that all work will be done in compliance with all applicable laws regulating construction, zoning and land
development. ApplicaGon is hereby made to obtain a permit to do work and inskallation as i�dicated. I certify
thak 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 regulatians, and land
develapmeni regulatians in the jurisdiction I also certify that I understand that the reguiations 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 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 understa�d that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included i� 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 O�cial from thereafter
requiring a co�rection of errors in plans, construction o�violaUons of any codes. Every permit issued shall become invatid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work autfiorized by
tiie permit is suspended or abandoned for a period of six(6)manths after the time the work is commenced. An extension
may be �equested, in writing, from the Building Official for a period �ot to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If wr�rk 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 RECOROING YOUR NOTIGE OF COMMENCEMENT
F�ORIDA JURAT{F.S. 117 03) �'--� '—"
OWNER OR AGENT CONTRACTOR�" ''�'—'r
Subscribed srrd swom ta(or aKrmed)befnre me tMs bscr�bed and m (w e ed)befor et�c,
bY �'13-l�..by �(�_� G_1"'11 ��L'�LI,C'f1 W�
Who is/are personally known to me or hastheve produced 1Q(bo,is/are oersnoaWckr�vn ta w h eve produced
as idendfication. as identification.
Notary Pubhc � Notary Public
Commission No. Commission GE� �
Name of Notary typed,printed or stamped Name of Notary typed,p�inted or 9ta N � r '�e
. Cheryl A f7��ffell
• My f_ommi,s�on EE14Q324
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