HomeMy WebLinkAbout08-7949
CITY OFZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
7949
Permit Number: 7949
Permit Type: FIRE PROTECTION MAINTENANC
Class of Work: FIRE-PROTECTION MAINTENAN E
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Book:
6/16/2008
25.00
25.00
6/16/2008 Phone:
FPM-SPRINKLER BACKFLOW -SEMI ANNUAL-CHill'S
Name: CHILI'S BAR & GRILL
Address: 7643 GALL BLVD
ZEPHYRHILLS, FL. 33542
r;-/1a2
'1-B-O~
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 ATIORNEY BEFORE RECORDING YOUR NOTICE
OF COMMENCEMENT."
....
P IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
06/13/2008 14:52 FAX
813-780-0020
Date RSl:si"vd
owners Name
Owner's Address
Lirty OT,Lepnymllls rlre
Pennit Application
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Fee Simple TiUeholder Name
Fee Simple TItleholder Address
Job Address
Sub Division
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D Hazardous Material (Tier II or RQ Facility) ANNUAL _
o Hood Installation
o LP/Natural Gas-lnstallation
EmelgencyGenerator > 30 kw 0 LPlNatural Gas-ANNUAL Sale
Fire Protection'Maintenance - ANNUAL D Places of Assembly-ANNUAL
Sprinkler . ~ ~c.."- f 1-fA) 0 Recreational Bum.
o . 0 Spanders
Hood Clean/SuppreSsion D D Sprinkler, System lil~llations
D
D
o Waste Tire Storage ANNUAL
I
tllD-Mazard Waste Sttlrage - ANNttAL
Col1lm Exhaust Kitchen HOodlDuct
ControllSd Bum
. Emergency Generator < 30 kw
Fire Alarm
Fire Alarm Installation
Fire Pumps
Are Works
Flammable Application- ANNUAL
Fuel Tanks
Other:
Contractor
Signature, , .
Address I Lf7(;)( C)Ot.k.. Pr.rr_~- ~ p/-' ,""It
ELECTRICIAN
Signature I
, Address I
PLUMBER I
Signature '
Address I
. MECHANI1
Signature '
Address I
OTHER I
Signature
Address ,
Directions:
StandpipeS (Sprinkler Sys)
Torch Roofing
I
Valuation of Project
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. Registered
License # I
Company I
Registered
License # I
Company J
Registered
License # '1
Company I
Registered
Ucense # I
Company I
Registered
License # I
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Fee' Current' ,
Y/N
Y/N
Y/N
Y/N
Fee CUrrent
Y/N I
Y/N
Fee Current
Y/N I
Fee Current I
Y/N
All out application completely.
.....OWfii!I"!<'COrl1nIemnlgJ'rbllt:K-Oflippncatfon. 'nofiftZijO'{Or-;-capy-ofSigm;cr"coiili1ierWftlf owiUir]
If over $2500. a NoUce 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.
Technician Work Report
District : 292
Technician
Miguel A Rivera
Task Number
Scheduled Start
Service Request
Service Request
Customer Acct
Customer Name
Site Name
Owner Devenie Robbins
14464788
Time
Type
Number
977182
Chili'S Grill & Bar
NA Inspection - Auto Gen
9900582
#00894
Contact Name
Anita Gilmour
Site Address
City
State
7643 Gall Blvd,
Zephyrhills
FL
BillTo Name
BillTo Address:
City
State
Brinker International
6820 Lbj Freeway, Attn:
Dallas
TX
Disbursement Specialist
75240-0000
Contract Number: 131260
Inspections: Jun 2008
Task Type
Task Name
1 Person Inspection
SP-Jun 2008
Problem
System
Inspection
SYSTEM-SP-BACKFLOW
Backflow System
Jun 2008 Created BY AutoGen
Summary
Notes
1~~q
Date of Work: Not Scheduled
In Planning
Payment Terms: Immediate
Phone
863-299-9555
Zip
33541
Zip
Service Plan: SP-TEST/INSP
priority Medium
Current Inspection: Jun 2008
Serial:
NATIONAL ACCOUNT
*** SPECIAL INSTRUCTIONS FOR KITCHEN HOOD SYSTEMS***
*** Please call all locations to schedule service or inspections
prior to dispatching technician to location.
*** You must notify SSC immediately with any system red or
yellow tags @ 800-299-4377 X-8235
*** Brinker International is now under a BAMA Yes agreement with
Simplex Grinnell. Repairs under the following amounts, outside
of the scope of work detailed in Brinkers agreement, can be
performed without a quote.
- While performing any inspections or service work, please
ensure that the national account "800" number stickers are
present and visible at the location.
For full breakdown of services covered, please refer to contract
on SG company intranet.
WHEN ENTERING INFO FOR APPROVED RED TAG, SERVICE OR DEFICIENCY
SR'S, PLEASE INCLUDE THE RFM (REGIONAL FACILITY MANAGERS) NAME
IN THE PO FIELD!!!
LEGACY CUSTOMER NUMBER - 01162345
DETACH BEFORE DEPOSITING
No. 3021734
INVOICE
DATE
NUMBER
DISCOUNT
AMOUNT
06052008
PERMIT060508
0.00
125.00
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056313
0.00
125.00
Jun 05 08,02:25p
SG
813-313-1606
p. 1
-tqCD
~
Simplex Grinnell LP
50 Technology Drive
Westminster. MA 01441
(97B) 731-2500
AP FAX: (978) 731-7756
Fire &
Security
SinrplexG,.;nnell
Payment Requisition Form
This form is to be used.Q!l!ywhen payment is required and an invoice is..JJQt available ( Le. permits. drawings. bids). If an invoice is
available please go through the standard payment procedures for submitting invoices to accounts payable.
Please provide a detailed reason for payment and attach any available back up when submitting request.
Please supply vendor number. If not available, send an email tosg.apinquiry@tycoint.com. Please fill in "Request for vendor number" in
the subject line. Reference the full remit-to address in the body of the email, You will receive either a response with the current vendor
number or information on how to have the new vendor setup,
This payment will be made per system payment terms, Exceptions will require additional approval. (RM < $25k or VP > $25k)
Note: Signature cards must be on file with Accounts Payable for all approvers stating their approved dollar limit.
Payment Amount:
$125.00
Cost Distribution
.... PO Num $Amt
Q)
'E #1 1/
0
Q) #2
11l
ttJ #3
.c
2 #4
:::l
a. #5
Subtotal $ -
Ul Proj Num Ctrl Dist $Amt
0 #1
()
.a #2
0
-, #3
t5
Q) #4
....
is #5
Subtotal $ -
0. Acct Num Dept Dist $Amt
x #1 62471 652 292 $ 125.00
W
-c #2
ttJ
Q) #3
-E
m ~.
Request Date:
06/05/08
Requestor:
Email Address:
Chris Brackett
cbrackett@simplexqrinnell
Vendor Number:
056313
Pay-to Vendor Name:
Remit-to Address Line 1 :
Remit-to Address Line 2:
City / State / Zip:
City of Zephyrhills
5335 8th Street
Zephyrhills, fI 33542
Need by Date: 06/10/08
ChecKs wlll be cut on Tuesdays & Thursdays
Reason for Pa ment:
Permits for sprinkler inspections at Chili's, Florida Hospital Zephyrhills, Sun Medical
Center, and Zephyrhills Health and Rehab in Zephyrhills, FL.