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Home My WebLink About14-15381 �- CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 153�3 ANNUAL FIRE PROTECTION MAINTENANCE � - �.� � �:PERMIT"INFORMATIO'N� ' " � :��°� �. .' � q° ' " ��LOCATION^INF�O`RMA`�TIONT;��,..��"��-� �.t,°��` Permit Number: 15381 Address: 7333 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: 34-25-21-0000-00300-0020 Improv. Cost: k:.:' ' __ �;OWNER�INF�O`RMATION�u ��.�: Date Issued: 6/11/2014 Name:} MERCHANTS STATION LLC Total Fees: 25.00 Address: 11501 NORTHLAKE DR Amount Paid: 25.00 CINCINNATI, OH 45249-1669 Date Paid: 6/11/2014 Phone: Work Desc: FPM-SPRINKLER ANNUAL PHILLIPS ��'CONTRACTOR S ' "'�� APPLICATION FEES � - ``�`°4°� • '°�=is �VSC FIRE&SEC RITY INC FIRE PERMIT FEES 25.00 � �� ,^ r V - �, ,� r� � �;� t�:;`:�`�°��.`�:,'�,��.,�. . , , - Ins ections Re uired � . .. _.��s�. ,D��,��•.;.- -�,;��: k i' , 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." '�� v.�� ,�. J�� ! PERMIT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 �a�3-�ao-oo2o City of Zephyrhills Fire Fax-813-780-0021 ► Permit Application Date Received __� Phone Contact for Permit ��_� �.0 ___._..__�..._Y � - _._. __„�..._,�_..�..�.._..._...��..._,. - -�--- - Ovmers Name � ) I� S' � �Cp/�v�v1� ��3�7'1 �7✓� Owner's Phone Number s/3 ��Y 'j(�� Ovmers Address / 3 �� (�^ /`jL.v� �� li� �L J ,j� Fee Simple Titleholder Name � Titleholder Phone Number � � � Fee Simple Titleholder Address � t�V..__��. - - - �a�___.._ __ _ -�E Job Address Lot# �� Sub Division Parcel# r-�...__�-_°- _�..__.� - ....�.v...,_._.�.,_..__,...�..a._..�-_...,�......_ ._-�,..�...�- _.��-_._..-..n.��_.�..�r�....�,.._-,�..�.✓..�_._.�,�.. � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL � Controlled Burn � Hood Installation � Emergency Generator<30 kw � LP/Natural Gas-Installation � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL �� tr y emi �n t er �, Sprinkler ❑ ❑ �, � � Recreational Bum Fire Alarm g ❑ � ❑ � � Sparklers Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations ' Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) � Fire Alarm Installation � Torch Roofing/Tar Kettle � Fire Pumps � Waste Tire Storage ANNUAL � Fire Works � FlammableApplication-ANNUAL Valuation of Project � Fuel Tanks Q O r: 1"-,°"_._,..,..e._,..: - ° ..,,._:.. �.. �- — .�,._�._._,....�....,.......�.�,..�. -- --- -..� �..�._..m - — - Contractor Company S/1,� C t Signature Registered Y/N Fee Current Y/fV 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 License# MECHANICAL Company Signature Registered Y/N Fee Current Y/N Address License# OTHER Company Signature Registered Y/N Fee Current Y/N Address License# �� ...,_..,.,_-.,_...._,.�._.�._._._�,.�.............�.._,._...�.w_..�.�...._,n��.�,....�,.�......�_.m::..._...,......�..,�...:_....-_�_wa.,.�-..._._d,._...,.�,..__..__--�-:.._....,._�.�.,.____-,.,�..�._.<��_.u�__,:.. Directions: Fill out application completely Owner 8�Contractor sign back of application,notarized(Or,copy of signed contract with owner) If over$2500,a Notice of Commencement is required(Mechanical work over$5000) 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) i NOTICE OF DEED RESTRICTIOMS: The undersigned understands that this permit may be subject to"deed"restrictions" 5 ' •a which may be more restrictive than County regu2atlons. The undersigned assurc�es responsibil'sfy foe compliance with any app(icable deed restrictions. UNLICENSEO CONTRAC7'ORS AND CdiVTRACTOR RESPOM5IBILITIES: If the owner has hired a contractor or contractors to underfake work,they may be requlred#o be licensed in accordsnce wlfh sfata and(ocal regulatsons. tf the contractor is not lieensed as required by law, both the owner and contractor may be cited for a misdemeanor viofatton under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply fior the intended wark,they are advised to contact the Pasco Caunty Bu�lding lnspection Division--l.icensing Sectian at 727-847- 8009. Furthermore, ff the owner has hired a contractor or contracfors, he is advised ta have the contractor(s) sign portions of the"contractor Block"of this application for whioh they will be responsible. If you, as the owner s(gn as the contraciar,fhat may be an Indication tha#he Is nof properly licensed and is not entitled to permitting privileges in Pasca Cauniy. TRAINSPOR7ATIdN IMPACT/UTILITIES IflflF�ACT AND RESOURCE RECOVERY FEES: 7he undersigned unders#ends that TTansporte#ian lmpact Fees and Recourse F2ecovary�ees may appEy to the constrtrctian of new bu3ldings,change of use in existing buitdings, or expansion of exisfing buildings, as spec�ed in Pasco County Ordinanoe number 89-07 and 90-07,as amended. The undersigned alsa understands,that such fees, as may be due,will be fdenfrfied at the time of permltting. tt is further understaod that Transpar#ation lmpact Fees and Resource f2ecavery Fees must be pa3d prior ta receiving a°certiiicate of occupancy"or final power release. Ifi the praject does not invoive a cerEificate of occupancy or fine) power release, the fees must be paid prior to permit issuance. Furthermore, ff Pasca County WatedSewer Impact fess a�e due,they must be paid prior to permit issuance in accordance wifh applicable Pasco Coun#y ordinances. � C�NSTRt1CTtON UEtd LA4►N(Chapter 713,Florida Sfafutes,as amendedj: If valuation af work is$2,500.00 or more,! ceriify that I, the applicant, have been provided with a copy of #he "Florida Construction Lien Law—Homeowner's , Protection Guide°prepared by the Florida Department of Agriculture and Consumer Affairs. If#he applicant is someone other fhan fhe"awner",E certify that t have obtained a copy of the above described document and promise in good faith to deliver it to the"owner"priar to commencement. CQIdTRACTOR'SlQVYNER'S AFFlDAVlT: 1 certify that all the information in this application is accurate and that a!I work witl be done 3n comptlance with a!E app}icable laws regulating constrvcfion,zoning and land development. ApplicatEan is hereby made to obtain a permit to do work and installation as indicated. I cerlPty that no work or installation has commenced prior ta issuance of a permit and that al!work wl!! be performed to meet standards of all laws regulating construction, Counfy and City codes, zaning regulafions, and (and devetapmenf regutations in fhe jurisdiction. t also certify that i understand that the regulations of otfier govemment agencies may apply to the intended work, and that it is my respanslbllity to identfty tnrhat actions 1 must take to be in compliance. 5uah agencies Include but are not Iimited to: ' - Departmenf of Environmenfal Profecfian-Gypress Bayheads, tMefland Areas and Environrnentally SensPtive l.ands,WatedWastewater Treatment. - Southwest Florlda Water Menagement District-Wells, Cypress Bayheads, Wetland Areas, Aikering Watercourses. - Army Corps of Engineers-Seawalls,Doaks,fJavigable Waterways. - Department of Health & Rehabilitative ServiceslEnviranmental Health Unit-Welis, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. ]understand that the fa[lawing restrictEons apply#o tfi�e use of fiil:� - Use of fill is not allowed in Fiood Zone'V°untess express�y permitted. - If the fill material is to be used in Flood Zone "A", il is understood that a drainage plan addressing a � °compe�sating volnma"wt11 be submltted at ttme of permltting wbich is prepared by a professiona!engineer licensed by ihe State af F(orida. - If the Till material is to be used in Fload Zone "A" in connection with a permitted building using stem wall � consfrucfsan,3 aertiiy that fill w111 be used only ta flil the area within the stem wa11. . - If ftll material is to be used in any area, I certify that use of such fitl wilt not adverseiy affect adjacent properties. If use of fill is found to adversely affect adj�cent properties,the owner may be cited for violating the conditions af the buiEding pettni#issued under the attached perm#appiicatEon,far lots(ess than one(1} are I vated b fiti an en ineered draina e lan is re uired. acre which e e y , g 9 p 4 If I am the AGENT FOR THE OWNER,I promise in good faith to infarm the owner af the permitting canditions set forth in this affidavlt prior to commencing construction. !understand that a separate permit may be requEred for�lech�icai work, piumbing, signs,wetls, poais, air eonditioning, gas, or otfier fnstallations not specificaity tncluded in the applicafion. A permit issued shall be construed to be a license to proceed with the work and not as autharity to violate,cancel,alter,or sef aside any pravisians of the tecfirrica!cades,nor shaE!issuance ot a pertntt prevent the Bulfdirig Offioial from thereafter requiring a correction of errors in pians,construction or violations of any codes. Evety permft IssuetE shali become invaiid unless the wark authorized by such permit is commenced within six months of permit issuence,or if work authorized by #hs permlt Is suspended or abandoned for a period of six(S)months after the time the wark is commenced. An extension may be reques#ed, in writing,from the Suitding Oifia#ai for a period nat to exceed n€nety(Sd}days and will demonstrafe just�iabie cause for the extension. IP work ceases far ninety(90)consecutive days,lhe job is considered abandoned, WAf2tdIM1tG 1'O OW{dER: VdUR FAILURE TO RECORQ A i�QTICE QF COt�IMENCEMENg MAY RES�iCT 1PI YOUR PAYING TWICE FOR IINPROVEMEIdTS TQ YOUR PROPERTY. IF YOU INTEND TO OBTAIM FINANCING,CONSULT WITN YOUR LENDER OR�4N ATTQRM�Y'BEFORE RECORDING YOUR NOTICE OF COMMENCEME►JT. FLORIDA JURA7{F.S.117.43} OWPdER OR A13ENT CON7RACTOR Suhsaibed and swom ta{or afrlrsnedj betare me thEs Subsesl6ed and sw4m to(nr al5rmed)before me thls by �y Who Is/are petsonally knovm to me or heslhave produced Who Islare personally knpwn io me or haslhave produced asldentlficaHon, asidentlflcadon. Notary Public Notary Public Commisston No. Gommisstan hto. Name of Notaty typed,prtnted or stamped �Flame of No4zry ryped,ptinted or sRamped