HomeMy WebLinkAbout14-15002 - CITY OF ZEPHYRHILLS
5335-STH STREET
(si3)�so-oo20 15002
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 15002 Address: 7346 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: 35-25-21-0010-08800-0000
Improv. Cost:
Date Issued: 2/25/2014 Name: TOWNVIEW RETAIL LLC
Total Fees: 25.00 Address: 725 CONSHOHOCKEN STATE RD
Amount Paid: 25.00 BALA CYNEWYD PA 190042102
Date Paid: 2/25/2014 Phone: (888)777-3557
Work Desc: FPM- SPRINKLER QUARTERLY TOWNVIEW
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I N inal
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 City of Zephyrhilis Fire Fax-813-780-0021
Permit Appiication
Date Received � Phone Contect for Permit $13 621 1357
owner's Name TOWNVIEW RETAIL LLC owner's Phone Number 888 777 3557
Owners Address 725 CONSHOHOCKEN STATE ROAD, BALA CYNWYD, PA 19004-2102
Fee Simple TiNeholder Name Titleholder Phone Number �� � �
Fee Simple Titleholder Address
�obAddress 7346 GALL BLVD,ZEPHYRHILLS, FL �ot#
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sub Division CITY OF ZEPHYRHILLS Pe�e1 q 35-25-21-0010-0880-0000
� Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RO Facility)ANNUAL
� Controlled Bum � Hood Installation
aEmergency Generator<30 kw � LP/Natural Gas-Installation
aEmergency Generator>30 kw � lP/Natural Gas-ANNUAL Sale
aFire Protection Mafntenance-ANNUAL a Places of AssemWy-ANNUAL ,l �
�y emi �n er � / ��/�
Sprinkler � � ❑ O � � Recreational Burn
Fire Alartn � ❑ O ❑ � � Sparklers
Hood Cleaninq � ❑ ❑ O � � Sprinkler System Inslalla6ons
Hood Suppression � ❑ ❑ ❑ � � Standpipes(Spnnkler Sys)
OFire Alarm Installalion O Torch Roofinglfar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
� Fire Works
� Flammable Application-ANNIJAL $25.QQ Valuation of Project
� Fuel Tanks
Q Other:
ConVactor Company
Signature Registered Y 1 N Fee Current Y/N
Address License#
ELECTRICIAN Company
Signature Registered Y/N Fee Cunent Y/N
Address License ti
PLUMBER Company �
Signature Registered Y/N Fee Current Y!N
Address License it
MECHANICAL Company -,
SignaWre Registered l�/(v Fee Currenl Y/N
Address License#
OTHER JEFFERY D. BURNHAM Company RODAN FlRE SPRINKLERS, INC. -�
Signature Registered Y/N Fee Current Y/N
Address License# y 1
Directions
Fill out applicaGon completely.
Owner&Contractor sign badc of application,notarized(Or,copy oi signed contract with owner)
Ii over 52500,a Notice ot Commencement is required(Mechanical work over 55000)
Supply lwo(2)sets oi drawings with applicable documentation
Allow 10-14 days for review after submittal dete. Parcel#-obtained hom Property Tax Notice(htlp:!lappraiser.pascogov.com)
NOTICE OF DEED RESTRICTIONS: 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
applicable deed restrictions.
UNLICENSED CONTRACTORS 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 Inspection Division—Licensing 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 "contractor Block" of this application 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 not entitled to permitting privileges in Pasco
County.
CONSTRUCTION LIEN LAW(Chapter 713, Fiorlda Statutes, as amended): If valuation of work is$2,500.00 or more, I
certify that 1, the appiicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. !f the appiicant is someone
other than the"owner", I certify 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'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and
that all work will be done in compliance with all applicable laws regulating construction, zoning and land
development. Application 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 work will be pertormed to
meet standards of all laws regulating construction, County and City codes, zoning regulations, and land
development regulations in the jurisdiction. I also certify that I understand that the regulakions of 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 OWiVER, I promise in good faith 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,
plumbing, 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 work and not as authorlty 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 correction of errors in plans, construction or violations 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 authorized by
the permit is suspended or abandoned for a period of six (6) months after the time 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.
WARNING TO OWNER: YOUR FAILURE TO RECORO A NOTICE OF COMMENCEMENT MAY 12ESULT IN YOUR
PAYING TWICE �OR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGENT CONTRACTOR� '"�—
Subscribed and swom to(or a�rmed)before me this Su scr� d d om�(or �ed)before m is
by by ".FP p � '���t',n�►llrk.
Who is/are personafly known to me or has/have produced is/are personally nown to me or as/have produced
as identification. es ident�cation.
Notary Public Notary Public
Commission No. Commission No. �� ���_
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Name of Nota t ed, rtnted or stam ed S'"`� ' ��
h' YP P P Name of Notary typed,printed or sta • ��� �ne�A a;�jet�
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