HomeMy WebLinkAbout13-14718 � � CITY OF ZEPHYRHILLS '
5335-8TH STREET
(si3)�so-oo20 147
ANNUAL FIRE PROTECTION MAINTENANCE r
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Permit Number: 14718 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: 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: (610)667-5800
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
s�3aeo-oo2o City of Zephyrhills Fire Fax-e�s-�saooz�
Permit Application
Date Received '� '� Phone Contact for Pennit 813 621 1357
ow�er's Name TOWNVtEW RETAII LLC pw�er's Phone Number 610 667 5840
owner6 nddress �25 CONSHOHOCKEN STATE ROAD, BALA CYNWYD, PA 19004-21 p2
Fee Simple Titleholder Name Titleholder Phone Number � � �
Fee Simple TiUehotder Address
dob nddress 7348 GALL B�VD,ZEPHYRHILLS,FL �ot u ��
Su6 Division CITY OF ZEPHYRHIi.LS Pe�G�#
� Bio-Hazard Waste Storage-ANNUA� Q Fumigatfon Tent
� Comm Exhaust Kitchen HoodlDuct Q Hszardous Material(Tier II or RQ Facility)ANNUAL
� Gontrolled Bum O Hpod Insta►latlon
QEmergency Ge�erator t 30 kw Q lP/Natural Gas-InstallaUon
� Emergency Generata>30 kw � �PMatural Gas-ANNUAL Sale ���/// �
oFire Protaciion Malntenance-ANNUAL � Places ot Assembiy-ANNUAL J�'/�
� em� � er / �
Sprinlder � � O O � � Recreatlonai 8um
Fire Alertn � ❑ � ❑ � � Sparklers —,___.
Hood Cleanin9 � ❑ ❑ Q � � Sprinkler System Installetions
Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys)
OFire Alarm Insiallatian Q Torch RoofinglTar Kettle
oFire Pumps a Waste Tire Storage ANNUAL
Fire Works
FlammaWe Application-ANNUAI $25.00 � Valuation of Project
oFuel Tanka
Q Other
Contractor Gorr�any
Sig�ature Registered Y/N Pee Cuvent Y/N
Adtlress licanse�i
ELECTRICIAN Company �
Signa�ure Registered Y/N Fae Cu�rent Y/N
AOdress Llcense 31
PIUMBER Compeny �� �� �
Signature Registered Y!N Fee Curtent Y/N
Address License#
MECHANICAL Campany �—
Signature Registered � Y/N Fee Current Y!N
Address �Ice�se#
OTHER JEFFERY Q. BURNHAM Company rRODAN FIRE SPRINKLERS, INC.
Signature Reg�stered � Y 1 N Fee Curcent Y!N
Address 1 ] F License#
Directions:
Fill oui application compietNy
Owner&Contractor sign back of application,�otarized(Or,copy of sigaed contract with owner)
H over 52500,a Notice of Commencement is required(Mechanical work over 55000)
Suppiy two(2)sets Of drawings with applicade documentaGon
AUow 10-�4 days for review aRer submittal date. Parcel p-obtained trom Property Tax Notice{http:/Jappraisecpascogov.com)
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restricbons"
which may be more rest�lCtive than County regulations. The undersigned assumes responsibility for compiiance with any
appiicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
co�tractors to undertake worlc, 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 uncertai� as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building inspection Division—Licensing Section at 727-647-
8009. Furthermore, if the owner has hired a contractor or contractors, F►e is advised to have the cont�actor(s) sig�
portions of the "contractor Block" af this application for which they wiil be responsibie. If you, as the owner sign as the
contracior, that may be an indication that he is not properly licensed and is not entitied 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, 1
certify that i, the applicant, have been provided with a copy of the "Fiorida Construcdon Lien law—Homeowner's
Protection Guide" prepared by the Fior�da Department oi Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner", I certify that I have obtained a copy of the above described document and p�omise in good faith to
dellver it to the"owner"prior ta commencement.
- CONTRACTOR'S/OWNER'S AFFIDAVIT• I certify that all the information in this a�lication is accurate and
that all work will be done in compliance with all applicable laws regulating construction, zoning and land
development. Applicatian is hereby made to obtain a permit to do work and installation as indicated. I certify
that no work or installation has commenced p�or to issuance of a permit and that all work will be performed to
meet standards of ail laws �egulating construction, County and City codes, zoning regulations, and land
development regulations in the jurisdiction. I also certify that I understand that the regulations af other
government 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 condiGons set forth in
this affidavit prior to commencing construction. 1 understand that a separate permit may be requlred for efectrical work,
plumbing, signs, wells, pools, air conditioning, gas, or othe� installations not specifically included in the application. A
permit issued shall be co�strued 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 cades, nor shaN issuance of a permit prevent the Building Official from thereafter
requiring a correctian of errors in plans, construction or violations of a�y codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if wark authorized by
the permit is suspended or abandoned for a period of six (6)months after the 6me the work 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 the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
W,4RNING 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
WlTH YOUR I.ENDER OR AN ATTQRNEY BEFORE RECORDtNG YOUR NOTlCE OF CQMMENCEMENT,�
FLORlDA JURAT(F.S. 117 03)
OWNER OR AGENT CONTRACTOR 1N' �"-""`
Subscribed and swom to or affirmed before me this bscri�e�d��d s o�r m.1Q.�or¢���ed befo e th�p'^�
Who isJare by { ' ���_•�� by J G-1-i'G�'"11 ���r U �"�4�
persanally known to me or hasthave produced �p,jyare personattv kn�.tame.or s/have pro�uced
as identificaGon. as identifcation.
Notary Pub��c Notary Public
Comm�ss�an No. Commiss�on No. ��'�0�
Name of Notery typed,printed or stamped Name of Notary ryped,prfnted or s =p�€Y•u4r Notery Public ta e o
, Ct�eryl A Duffeli
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