HomeMy WebLinkAbout14-15295 _ CITY OF ZEPHYRHILLS
' � � 5335-8TH STREET 15295
(813)780-0020
ANNUAL FIRE PROTECTION MAINTENANCE ��
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Permit Number: 15295 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 ��� ��
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Improv. Cost: .:�;: O,WNER INF.,'ORMATION .:�_ � _�. � ,�� _.
Date Issued: 5/21/2014 Name. CONCIRE CENTERS INC
Total Fees: 25.00 Address: 7348 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/21/2014 Phone:
Work Desc: FPM- SPRINKLER ANNUAL TOWNVEIW ,
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RODAN FIRE SPRINKLERS N FIRE PERMIT FEES 25.00 fj�
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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."
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PERMIT OFFIC
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PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 �
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813-780-0020 City of Zephyrhills Fire Fax-813-780-0021
Permit Application
Date Received Phone Contact for Permit 813 621 1357
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owner's Name TOWNVIEW RETAIL LLC Owner's Phone Number 610 667 5$00
owner's nddress 725 CONSHOHOCKEN STATE ROAD, BALA CYNWYD, PA 19004-2102
Fee Simple Titleholder Name Titleholder Phone Number � � �
Fee Simple Titleholder Address
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.JobAddress 7348 GALL BLVD, ZEPHYRHILLS, FL �ot# �
sub Division CITY OF ZEPHYRHILLS Parce�#
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a Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent
� Comm Exhaust Kilchen HoodlDuct � Hazardous Malerial(Tier II or RQ Facility)ANNUAL
� Controlled Bum � Hood Installation
� Emergency Generator<30 kw � LPINatural Gas-Installation �
� Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale �
a Fire Protection Maintenance-ANNUAL � Places of Assembiy-ANNUAL ��/
t y emi � t er ,
Sprinkler � � ❑ ❑ � � Recreational Burn �
Fire Alarm � ❑ ❑ ❑ � � Sparklers
Hood Cleaning � O ❑ ❑ � � Sprinkier System Installations
Hood Suppression � ❑ ❑ � � � Standpipes(Sprinkler Sys)
� Fire Alarm Inslallalion � Torch RoofinglTar Kettle
� Fire Pumps. � Waste Tire Storage ANNUAL
� Fire Works
� Flammable Applf�ation-ANNUAL �25.00 � Valuation of Project
� Fuel Tanks
Q Other.
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Contractor Company
Signature Registered Y/N Fee Current Y/N
Address License#
ELECTRICIAN Company
Signature Registered Y/N Fee Current Y/N
Address License#1
PLUMBER Company �—
Signature Registered �(1 N Fee Currenl Y/N
Address License#
MECHANICAL Company
Signalure Registered Y/N Fee Current Y/N
Address License#
OTHER JEFFERY D. BURNHAM �ompany RODAN FIRE SPRINKLERS, INC. �
Signature Registered Y/N Fee Current Y/N
Address BR AY IT PA � �icense# 8 153100012 06
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Directions:
Fill out application complelely.
Owner&Contractor sign back of application,notarized(Or,copy of signed conVact with owner)
If over 52500,a Notice of Commencement is required(Mechanical work over 55000)
Supply two(2)sets oi drawings with applicable documentatlon
Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Nolice(http://appraiser.pascogov.com)
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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: lf 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 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 $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Fiorida 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 certify that 1 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 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 regulations 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 OWNER, 1 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 extenslon
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 RESUL7 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 CONTRACTOR� �--- � �
5ubscribed and sworn to(or a�rmed)before me this S scnbed an Cs�io (o�r a�l�'ed)b�(er�this 1
by �' 'Z f— by �l'-i--�--c�Y`�l �LJ+l�i�1.1"-11 h Q 1'Yl.
Who islare personally known to me or has/have produced Who is/are personally known to m�o has/have produced
as identfficatfon, as identification.
Notary Public _
Commission No. Commission Na. � �ry���0���'
�� � AAy Canmiasion EE140324 r
Name of Notary typed,printed or stamped Name of Notary typed,printed+6r stafl5�d. ���•�
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