HomeMy WebLinkAbout08-8350
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
8350
Permit Number: 8350
Permit Type: FIRE PROTECTION MAINTENANC
Class of Work: FIRE-PROTECTION MAINTENAN E
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 6855 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 03-26-21-0010-01600-0020
9/24/2008 Name: GOLDEN CORRAL
25.00 Address: 6855 GALL BLVD
25.00 ZEPHYRHILLS, FL. 33542
9/24/2008 Phone: 813 783-8969
FPM-HOOD CLEAN-QUARTERLY -GOLDEN CORRAL -
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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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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
813-780-0020
Date Recei9ed . J
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Owner's Name
Owner's Address
Fee Simple Titleholder Name
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Fax-813-780-0021
City of Zephyrhills 'Fire
Permit Application
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Fee Simple TItleholder Address
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IGOLDEN CORRAL 6855 GALL BLVD. .ZEP~LS.FL.33542-2'57~
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Job Address
Sub Division
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Contractor
Signature
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ElECTRICIANI
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Address I
PLUMBER I
Signature
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MECHANICALI
Signature
Address I
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BiD-Hazard Waste Storage - ANNUAL
Comm Exhaust Kitchen HoodIDuct
Controlled Bum
Emergency Generator < 30 kw
Emergency Generator> 30 kw
Fire Protection Maintenance - ANNUAL
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Sprinkler
Fire Alarm
Hood Cleaning
Hood Suppression
Fire Pumps
Fire Works
Flammable Application- ANNUAL
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Owner's Phone Number
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Fumigation Tent
Hazardous Material (Tier II or RQ Facility) ANNUAL
Hood Installation
LPlNatural Gas-Installation
LPtNatural Gas-ANNUAL Sale
Places of Assembly-ANNUAL
Recreational Bum
Sparklers
Sprinkler System Installations
Stanclpipes (Sprinkler Sys)
Torch RoofingfTar Kettle
Waste Tire Storage ANNUAL
Valuation of Project
Company
Registered
Fee Current I
Y/N I
Y/N
Ucense #
Company
Registered Y/N I Fee Current .1 Y/N
Ucense #
Company
Registered Y/N I Fee Current Y/N
Ucense #
Company
Registered Y/N I Fee Current I Y/N
Ucense #
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Signature
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Directions:
Company
Registered Y I N I Fee Current Y I N
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Fill out application completely.
Owner & 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 appliceble documentation
Allow 10-14 days for review after submittal date. Parcel # - obtained from Property Tax Notice (http://appraiser.pascogov.;om)