HomeMy WebLinkAbout14-14894 _ CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oo20 14 4
ANNUAL FIRE PROTECTION MAINTENANCE
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Permit Number: 14894
�, Addres -_,,,_: .
s: 38220 HENRY DR
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: 02-26-21-0080-OOA00-0122
Improv. Cost: :;k:
Date Issued: 1/13/2014 Y Name: HCRA PROPERTIES I LLC
Total Fees: 25.00 Address: 333 N SUMMIT ST
Amount Paid: 25.00 TOLEDO OH 43604
Date Paid: 1/13/2014 Phone: (813)788-7114
Work Desc: FPM- SUPPRESSION SEMI- HEARTLAND OF ZH
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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 OFFICER `�'
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
r�m 01/10l2014 13:34 #593 P.001/002
81&78Q-0020 City Of ZpphyPhIIIS�IfB Fax-81378U-0021
Permit Application
Dete Received Pr,one ca�aa ror Pem,lt " S
Owner'a Name r7 C�L� Owner's Phone Number 1,3 � � ) 1�
Owner's Address 3 3 3 /v J U�/Y�� ��
Fee Simpla Titleholder Name TiUehdder PFwne Numbar �� C� �
Fee Simpb TitlaholderAddress
��JobAddress . p�� e � �/� �(� �
' Lot#
Sub DlviaiC� i l' � Parcet fl V� 'o��o "..�/QOgo—��' /•��
� _1 � Bio-Hezard Wtsts Storepe-ANNUAL Q FumipeUon Tent
d�/►v
`� � Comm Exhaust IUtchen Hood/Duct � Hazardous Meteriel(Tier II w Rp FaclNty)ANNUAL
CoMro�led Bum � Hood Instal�tion
� Emergency f3enerator K 30 icw Q LP/NeWrsl Ges-Ins�llation
Emeigsncy Generator>30 kw lPlNatural Gas-N�IUAL Sfk
Fire Proteciion Mair�r�ce-Ai�N�KJAI g Piaces of Asaembly-ANNUAL
� ��
Sprfnkler � ❑ O ❑ Rearoational Bum �( G���
Fire Afartn � D ❑ O � 3parklers I l.r u�
Hood Cleaning � O ❑ � Sprinkler 3ys�m instaAations �
Hood seq�ress�a, � ° � ° � L J yya�v�ves tswinkler sys)
aFlre Alartn Installetfon � Torch RooMglTar KeEtle
Fke Pimps � Waste Tire Storage ANNUAt
Fire worka
Flammabie Appficatbn-ANNUAL ��� Vafuation of ProJect
Fuel Tank�
�] oa,er.
Cor►bactor • ' Compeny e� ,s� �
Sipr►awre rteglctered j 6G1 N I Fee cuRent /N
Address '75 Q L license#
ELECTRICIAN ���
g'°"'t"`� Rsglatorod Y/N Fee current Y/N]—�_—
Address lfcensa#
PLt7NIBER
Compeny �
�"8�"B Reg+sterod Y!N Fee Cur�,t Y 1 N
�� License#
MECFfl4NICAL Compeny �
S�gnature Regtstered Y/N Fee curront Y/N �
Addtesa
Licerise#
OTMER ��y � ,
Slynature Replstered Y/N Fea CurroM Y/N � �
Addreas Lfcwise#
drectione:
Ffll aut appib�tlon completely.
Owner fl Ca�tractor sign back of appllcatan,notarlud(Or�coPY o(signed conVect wlih owner)
N over S2b00.a Notbe of Commencemsrrt Is reqWrod(Mechanical worlc over 55000)
�uPA�Y two(2)sels of drawinps with appitceble docummrtaUon
Allow 10.14 dayB for rsvfew after submfUal date, Paroet#-obtalned from Ptuperty Tex NoGce(Mlp9/appratser.pascogov.cpm)
FrAm 01/10/2014 13:35 #593 P.002/002
NOTICE OF DERD RE87RiC710NS: The underslgned understands that ihis pxmit may be subject to"deed'rettricUons`
wf�ich may be rtrore te�trl�thre than CauMy reWtatbns. The underaipned aesumes respons�ility for complfance wNh arry
appficable deed roatrictlons.
UkLICENBED CONTRACTORS AND CONTRACTOR RESPOK�1811.171ES: !f the owner hae hked a conlraetor or
corrUaciora to undertake work,they mey be nqutred to be Gcensad in acc�rdmce vvHh state and locai re�lal�ns. If the
contractor ia not Il�naed sa requlrod by�w,both tlm ownar erid oo�treotor may be alted tor a mfsdemeanor vbfatlmi
under state law. Ii tha owner or lntended contraCtor are e�noer�in es to whet iicentinp reQulretn8nts may appiy for ihe
#��ndad wak,they.ro advised to co�tact the Paeco Courdy BuYdh�y inapedion Dhrislorr—Ucensinp Seat�n et 727-847-
8000. Ftxthertnore, N the ovmer hea t�red e co►�trador a o�nrs, he �edviaed to have the conbador(s}stpn
porrions ot the`contractor Blook'of tl�s appNqidon for whiah tliey wIN be rasponsible. N you,as the owner alg�ea fhe
conUedor�that may be an hsdicarion that he is not proparty lioeneed and is not eMitled to P�8 P��s in Peeco
�PORtATiON IMPAC7NTi1.171ES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understanda
ihut Trer►sporMdon in+Pact Fees arri Reoaxse Reoovery Feee maY�PN to tt�c�nslruclbn of new buAd'mge.chsnge of
use in e�NnB buNdhips,or exp�of a�dsHng buNd�.as speafHed in P�co CouMy�number 8�Q7 and
90-07�as amended. 7rie undarsigned also w�de��that auoh faes,as msy be�e,w11 be idendfled at the tlme of
Pe►miNinD. It is turffwr underslood Htst Traroportatfon Impac�Fses and Reaource Recowsly Fees tnust ba pald�rfw to
reoaMing a'oertMCa�of occupatwy or lhml powsr releps. M the projecd doea not kmdve a oerUNoate of aoaupancy or
fmal Power roMaas,the fws m�tst be p�id p►br to P�+�issuanoe. Furtl�emiore�N Paaco Cotnriy WederlSawar Impect
f�s are due,tliey muat be paid pHor io Pemdt hssuence in aocoManos wlfh appNcable Pa�w County ordk�enoe�.
CONa7RUCT10N LIEtI LAW(Ch�pbt 713.Florid�St�RuiN.ss amMttl�d�: IF vaktNion of work h i��.��n'wre�1
aettlfy that 1, the epplicant, ha�ro been provided wiU► a copy of the `Florida Constrvetlon Lten Law�--tiomeo�w�ror'e
Prote�bn Gulde'P►ePared bY the Florida Depart�nent of Aprictillu�e and Conaumer Aflaira, N the appNcent Is someone
otli�r than the'o�wner",�ce�llty�at I heve obmfned a copy of tlie above deaafbed document snd ptomise in yood feNh to
delNer It to the'oMrner'prior to oonanenoement. '
COtiTRACTOR`SlOYYNER'8 AFFIQAVIT. 1 certlry ttret dl lhe tMarm�lon in thfe appHcatbn]s eccurate and that�t work
wIG be dolro M t�mpit�►x�e wNh aN�ble Iews repuletlng CorretruCllon.apnln0 and iand davebpmeM. Appilc�Uon ie
hereby made to obtah► a D�M to do wak and InsieNatlon as Indiaated. I oerlify tlmt no waric ar haeMleUor►fias
c�rtxnenced prior lo hs�rxe of a psrmit and 1tf�e�nrork rrNt be perforrtred to meat slandads oF all Isws rept�k�p
conetrucdon� Ca�ttb��Y�. zonin9�gulallons� a�d k�nd developrrieM repulsgwre In the Jurtsdtotlari. t albo
certlfy that I underotsnd tMet Ihe rep�adons ofi ofher povemmant agenc�fsa maY apdY lo the M�ended work,end that It ia
my reaporroibAlqr to Id�tlly whe!eu�iaw 1 must ieke to bs in eompihr�ce. Strch agsndes hxiutia bat are not IinNted to:
- Departrnbnt of E�onn�l ProtecUon-CYProus Heyheeds� We11K►d Areae and Envlronrner�taNy Sensitive
Lands�WaMrlVNaetewt�ber TreaUrtet�t.
- Southwest Fiaida Water Menapement Dlstrlat Wells. CYPrees Hayheads, WoUernl Areas� AilxB►8
Wataoatxaes.
- A�my Co�s a Enpinser.see�waMs�hocke�Nevgame wst�wars•
- Depertment vF Health d� R�habpNaqve Savk�el'Environme�i Heaflh Unl!-WeNc, Weatewater YroakneM, '
Sepdc Tanks.
- liS EmAronnfen6el Rolectlon Aperwy-/18besl�s�
- Federa!Avlatfo�AudtoHty-Wxwvapis.
I unde�stend tt�t the foNowk�B rest�iotlot�e apply tfl the usa oF 111:
- Usa of f9i is rwt tiNowsd k�Flood Zone'b'utisea a�ress�Y Pem►�ted•
- If ths f� me�erfal le to ba uesd in Flood Zate"A'� R i� �xidenmod thet a dra�e Plen eddrnsaM9 a
•compernaUng vohrtns'wiM be eubmNMd at tlme of permi�g wFdch is proparod by a proteesfone!�h»e�
Noensed by U�s St�ofi Flotida.
- M th�1pl nmtariai is to be wted in Flood Zone'A•M cax►edion wNh a psrmNted buNding usirig stem well
� c�nabuclion,�oer�y u�et fql vvql be uaea«ily bu t�the a�sa wNMn the ste�n waa.
- it flN malerlal is b be wea in my aree. � aert�y�et use of suah �I wql not sdveraey afFect ac�ex;eM
propsrNes. !f�e of flN te to�d b advassN e1�sCt a�pe�ent pro�srtles.the awner may ba'c�ed tor violWirg �
ttts condltlotn of the Mi6dtrq psnr�t isausd W�dar tl1e alt�sd DertnR apPNc�adon.for fMa lesa than one(7)
ec��e MAiich are slevated by�IlI,sn enyhie�ed drainepe pMm!s*equksd•
K I am the AGENT FOR'11�OWNBt,!promise In pood fakh to i�orm the oMmer of the permNtlrg c�rMMfor�set foMh in
m�s mfidavR prtar to c�mmerx�ng oor�saudlon. 1 unaersau,d d,at a seaarete vem►!t may be fequlred�or alechrod work,
Piw�p��a�watls�PooN,Nr condilio�iln8.9ea,or�N�Matlons not spe�r indudsd'm ihe appii�lion. A
permft Neued ahail be ooiretrued to be e iiceme to qoosed wKh Ihe work and trol e�auUqrNy to.violste,c�al,ariar.a .
set as�e arry pra�eb�of tl�e�k�aodes�rror ahe�Msuarroe ot a permM prevent the 9aldhig olficial from thereeiRer
requMnp e c�orrecdon of enars 1n ptems�aantrtix�fon ar violedora of emy aodas. 5very pecmR bsusd ihall bsoome k�veiNd
ir�less lhe worlc euUarized by auoh permR h ootnrt�eno�d�abc montlu of penrYt isau�noe.or R wak�Nt�o�ized by
Gie perrrdt is susPended or ebendoned tor a perfod of aFx(8)mordhs atlsr the Ume�e work Is oommenosd. M aoReralon
mer be roquest�d.In wriUr��trrnn H+a�Ildinp.OlRcFat for a pdrbd no!M exceed nN�alY(8D?deys and wM demonstrate
�usiMi�Me cause for the�ion, if vwrk oeeaea for nkiely(Qp)�live days,the�Joh is t�stdered absndm�ed.
yyARNMKi 7'O O4YNER: YOUR FA�URE TD R�CORD A NOTICE OF COMIYIEMCE'M�NI'MAY REBULT IN YOUR
PAYIN(i TYYfCE FOR Mi1PROVEIMENT�TO YOUR PROPER77. F YOU INTF�ID TQ OBTAIN FINA#IqNG.CONSULT
YYITFI YOL�LNDEIt OR/l�!ATTOR�►BERORF,RECaRDWO YOl1R NOTICE OF
R.ORNaA JURAT(F:S.197.08) �
• \&�ot1A�d�u+d swom to(w bNo�s ma tltls �Sub_K�_a�lb�d�n�d iwan to(or dMnetl)bstwe ms E�is .
Who Iqaro D��Y iufown b ma a lu�llrow �D�Y lo mo or P�+�
a fdentllaAon. ss Idw�lOc�9ai.
�y p�pb Nohry Publc
Casmtin�On No. Cam�n No
Nanro of 1�bWy qpsd�O�rrted or sdnW�d Mens �l�Ded.P��hd asmmPed