HomeMy WebLinkAbout13-14716 CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oozo 14716
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 14716 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: 11/14/2013 Name: TOWNVIEW RETAIL LLC
Total Fees: 25.00 Address: 725 CONSHOHOCKEN SR
Amount Paid: 25.00 BALA CYNWYD PA 19004
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 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
813-780-0020 Ciry of Zephyfiilis Fire Fax-813•780-002t
Permit Application
Dete Received ��� Pnone Contact tor Permit $13 621 1357
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owne�s Name TOWNVIEW RETAIL LLC Owners Phene Number � � �
Owner's Address 725 COAISHOHOCKEN STATE ROAD, BALA CYNWYD, PA 19004-2102
Fee Simpie TiUeholder Name TiGehdder Phone Number C� C� C�
Pee Simple TiUeholder Add�ess
JobAddress 7340 GALL BLVD,ZEPHYRHILLS, FL �ot� ��
S�s Division CITY OF ZEPHYRHILLS pef��p 35-25-21-0010-0880-0000
aBio-Hazard Waste Staage-ANNUAL Q Fumiga6on Tent
oComm Exhaust Kitchen HoodlDud � Hazardous Materiel(Tier 11 or RQ Facility)ANNUAL
DControlled Bum � Hood I�stallaUon
OEmergency Ge�erator<30 kw o L.PMatural Gas-Installadon
OEmergency Generator>30 kw Q LPMawral Gas-ANNUAL Sale
� Fre Proledion Maintenance-ANNUAL a Piaces of AssemWy-ANNUAL � /�lJ J/,,
�irl� em� � er � �([/
Sprinkler � $1 p O � � Recreatlonal Bum
Fire Atartn � O ❑ O �� � Sparlclers
Hood Cieaning � ❑ ❑ O C� � Sprinkler System Instaliations
Hood Suppreasion � p p O � � Standpipes(Sprinkler Sys)
OFire Alarm Instailation � Torch Roofi�g/Tar KetUe
n Fi�e Pumps Q Wasie Tire Storege ANNUAL
� Fire Works
�..�
� Flammable Application-JWNUAL r$25.00 � Valuation of Project
Fuel Tanks
QOther:
Contraclor Company -�
Signature Registered Y/IV Fee Currenl Y/N
Address license#
ELECTRICIAN Company �
Sfgnature Ragistered Y/N Fee Current Y/N
Address
Licanse tl
PLUMBER Company �
Signature Registerad L Y/N Fee Curre�t Y/N
Address
licensa#
MECHANICAL Compeny ,
Sig�ature Registered ( Y/N � Fee Cunent Y!N �
Address Llcense#
OTHER ,jEFFERY D. BURNHAM Compeny RODAN FIRE SPRINKLERS, INC. �
Signature Reqistered Y/N Fee Curcem Y/N
Address 7 T P license p i �
OirecGons:
Fill out applicaGOn completely.
Owner&Contractor sig�back of applicaUOn,notari2ed{Or,copy of signed contract with owner)
il over 52500,a Notice of Commencement is required(Mechanicai work over SSOOQ)
Suppiy fwo(2)sets of drswings with appHcable documentaGon
AOpw 10-14 days(w review after submittal date. Parcel#-ohtained hom Property Tax Nolice(http:lJappraiser.pascogov.com)
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictio�s'
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONStBILITiES: !f 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 violatlon
under state law. if the owner or intended contractor are uncertain as to what licensi�g requirements may appiy for the
intended work, they are advised to contact the Pasco County Bu+iding inspection Division—Licensing Section at 727-847-
6009 Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sig�
portions of the "contractor Biock" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not prpperly licensed and is not entitled to permitting privileges in Pasco
County.
CONSTRUCTtON LIEN lAW{Chapter 713, Ftorida Statutes,as amended): If valuation of work is$2,500.00 or more, I
certify that I, the applicant, have besn provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide°prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner", I ce�tify that I 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 AFFIDAVIT: I certify that all the information in this application is accurate and
that all work will be dane in compliance with all applicable laws regulaGng construction, zoning and land
development. Applicat+on 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 worlc will be performed to
meet standards of all laws regula#i�g construction, County and City codes, zoning reguiations, and land
deveiopment regulations in the jurisdiction. I also certify that 1 understand that the regulations of other
government agencies may appiy to the intended work, and that it is my responsibility to identify what actions 1
must take to be in compliance.
If I am the AGENT FOR THE OWNER, I promise in good fafth to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumb+ng, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the worlc 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 Official from thereafter
requiring a correction of errors in plans, construction or vioiations 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 authori2ed by
the permit is suspended or abandoned for a period of six(6)months after the time the worlc is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for khe extension. If work 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
PAYENG TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU lNTEND TO OBTAiN fINANCING,CONSULT
WITH YOUR I.ENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF C_ OMMENCEMENT
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGENT CONTRACTOR X" —
Subscribed and swom to(w affirtned)before me this bsal ed a�d m to(or affirmerbefo e� �g�
bY �bY
Who is/are pereo�afly know�to me or haslhave produaed SQ(�,(stare personaUy��or /have praduced
as idendfication. as identification.
Notary PuWic Notary Public
Comm�sslon No. Commission No. �`q(}'.��lL
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Name of Notary typed,printed or stamped Name of Notary typed,pKinted or stam
;Q�'�`�°W�n Notary Puaic State of Ftonda
. Cheryl A�i,ffell
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`oi n� Exp+rcc 7 v12/2015