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Home My WebLink About14-15293r � CITY OF ZEPHYRHILLS 5335-8TH STREET (si3)�so-oozo 93 ANNUAL FIRE PROTECTION MAINTENANCE ;. .�, .. �.. ��. .__. �.�� ` PERMIT INFORMATION LOCATION`INFORMATION Permit Number: 15293 Address: 7340 GALL BLVD Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRFiILLS, 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: OWNER INFO.RMATION : Date Issued: 5/21/2014 Name: TOWNVIEW RETAIL LLC Total Fees: 25.00 Address: 725 CONSHOHOCKEN SR Amount Paid: 25.00 BALA CYNWYD PA 19004 Date Paid: 5/21/2014 Phone: . Work Desc: FPM- SPRINKLER ANNUAL TOWNVEIW CONTRACTOR S APPLICATION FEES RODAN FIRE SPRINKLERS N ' FIRE PERMIT FEES 25.00 f l� � �� -� Ins ections Re uired FIRE ACCEPTANCE Final 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." � �� . - , ��5� ��-�—�� c —, PERMIT OFFICER' �- PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTlON CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 r , • 813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 Permit Application Date Received . Phone Contact tor Permit 813 621 1357 .::.,.;:..:.,::.:.::::.::.:::::.:...:.. :.:.:::.:..:.,.......:.:::::....::...:,.,:..:...:..:::::.:,:.:...�.:.:..>:.::_.;.::::::_.:::....�:::.:.._.............,......:.:::............,,:..<.:.:.::.:_:..:...:....<...:.:......,_...........:..,........:.._........,...,._.�_......_....._.......,...,....,_... ........r_................,...,....... owner's Name TOWNVIEW RETAIL LLC owner's Phone Number � � � owner's Address 725 CONSHOHOCKEN STATE ROAD, BALA CYNWYD, PA 19004-2102 Fee Simple Titleholder Name TiUeholder Phone Number � � � i Fee Simple Titlehoider Address , ' ..........,:....:>>::...... ..... ...;. .. -- - - ..:..:..,....:.: .:...:,.�,:;� _ _ .. . ,. � .. :..:......._:.:...... .::�.�,.:- �;,_ _...�.�-::��<:<_•<.<;..::;�;:::. =:':�=�_::.��.�_.>;.;":'•_.>: � .:.:,...>.: .:..:. .,. ..:_..,..::: ...........u,....-_........_.:.... .�.,�..,:,::;::...:. �...:�. .;:..... .. .. ., . . . ....::.:...::.��._.�:�:..:::;•.:. : .::. � JobAddress 7340 GALL BLVD, ZEPHYRHILLS FL �ot�t suboivision CITYOFZEPI=IYRHILLS parce�# 35-25-21-0010-0880-0000 �....:..... ........ ._.......,...�....._........_.............,.,:::.. ,::......._:_:� -- - - - - - - ....�.__...: .�..,. ...,.. ..,.... . _ . - ��. ....._, . . . ...... ...... ...... ... ............_,..._. -:<:: >, . ...:..:.-� . .. ,. :.:. .,--.:... .. .� . ..., . � ..., . ..... . ... . .._. _. . .,. .. � .,... ,....... . .�::: �.:..,.. . ._ ..... _.. _ � Bio-Hazard Wasle Storage-ANNUAL � Fumigation Tent � Comm Exhaust Kitchen HoodlDuct � Hazardous Material(Tier II or RQ Facility)ANNUAL � Controlled Burn � Hood Installation � Emergency Generator<30 kw � LP/Natural Gas-Installatio� � Emergency Generator>30 kw � LPlNatural Gas-ANNUAL Sale � � Fire Protectlon Maintenance-ANNUAL � Places of Assembly-ANNUAL Q� t y emi �n er �/�� Sprinkler � � ❑ ❑ � � Recreational Burn \ Fire Alarm � O ❑ ❑ � � Sparklers Y Hood Cleaning � ❑ D ❑ � � Sprinkler 5ystem Installations Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) � Fire Alartn Instaliztion � Torch Roofingrfar Kettle � Fire Pumps � Waste Tire Storage ANNUAL � Fire Works � Flammable ApplicaGon-ANNUAL $25.00 � Valuation of Project � Fuel Tanks � Other: �... , ..,..:.�..: .. .. -_ ..... .:... ,..:...:.. :.:. ..,:.:;•:,,.:_. ; ��..�.. .<.,. .,. _ _..._., .... ,. .. «. ., ..�. _ .,.,..�._.�_: ..::, ,;�.,..,.. „ �.::.......... .�: . . . .�.. ;. . . ;.,.•-.;,=,.,_ : ::n, 4 ..... _ . __ ,._..� _. Contractor � Company Signature Registered Y/N Fee Current Y/N Address License# ELECTRICIAN Company Signature Registered Y/N Fee Current Y/N Address License# PLUMBER Company Signature Registered Y/N Fee Current Y/N Address Li�ense# MECHANICAL Company � Signature Registered Y!N Fee Current Y/N Address License# OTHER �EFFERY D. BURNWAM �ompany RODAN FIRE SPRINKLERS, INC. Signature Regfstered Y/N Fee Curcent Y/N Address . A W Y V IT A L 1 _.,. �icense# 831 531 0001 200 ,._..:.<:.,..,.:..:_.._. ::>.-<:.- -, . . .. . F r �._ ,.. ,. ._... ..r,..... _. _. . .r. . .._...... ...... . . . _ .. ,. . .,. . __.. ._> ,._ �.. �. .. .. ;:,. ..:,:::... ,..-..:�.. �..�.: _. . Directions: Fiil out application completely. Owner&Contractor sign back of applicalion,notarized(Or,copy of signed contract with owner) , If over�2500,a Notice of Commencement is required(Mechanical work over 55000) Supply two(2)sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.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. 7he undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CON7RACTORS 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 tFie 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—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 will 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, Florida Statutes, as amended): If valuation of work is$2,50Q.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Gufde" prepared by the Florida Department of 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 promise in good faith to - deliver it to the"owner' prior to commencement. - CONTRACTOR'S/OWNER'S AFFIDAVI7: 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 performed 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 regulatlons of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I � musttake 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 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 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 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 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 RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTO �—� �--' Subscribed and swom to(or affirmed)before me this S 6scribed a vo r affirmed efo e this `_ � by -� Z1—I� by Y`V ��j iRF-Y1 YICLM Who islare personally known to me or has/have produced Who is/are personally n��m�have produced as identification. � as identification. Notary Public _ Commission No. Commissfon No. .,�� No4aryPublicS�CadfFlotide - ��:? � �. � ;�4'S`�. � f�y Commi�sion E�'f 4D32� Name of Notary typed,printed or stamped Name of Notary typed,�printed starfl�C��s��y �.�r'�>�?:?��a�"t��'��s� : . ; ..� :