HomeMy WebLinkAbout08-8559 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8559
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 8559 Address: 7250 GALL BLVD
Permit Type: FIRE PROTECTION MAINTENANC E ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENANC E "Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 35-25-21-0010-07200-0000
Improv. Cost:
Date Issued: 11/21/2008 Name: CNL INCOME FUND IV LTD
Total Fees: 25.00 Address: 1155 PERIMETER CENTER W#700
Amount Paid: 25.00 ATLANTA GA 30338-5440
Date Paid: 11/21/2008 Phone:
Work Desc: FPM-HOOD CLEANING SEMI-PAPA JOHN
R&L CLEANING LLC FIRE PERMIT FEES 25.00
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."
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
I-G1 II Il l rY/F/uv4u./..
Phone Contact for Permit
Date Received
Q �O�WS Owners Phone Number ® lSI I153
Owner's Name nn �nn
Owners Address C�� O LL " Jt� i
c L
Fee Simple Titleholder Name Titleholder Phone Number II II [ �
Fee Simple Titleholder Address
Lot#
Job Address
Parcel#
Sub Division
Bio-Hazard Waste Storage-ANNUAL [ J Fumigation Tent
Comm Exhaust Kitchen Hood/Duct [ ] Hazardous Material(Tier II or RQ Facility)ANNUAL
Controlled Bum [ ] Hood Installation
Emergency Generator<30kw a LPiNatural Gas-Installation
Emergency Generator>30 kw LP/Naturet Gas-ANNUAL Sale
Fire Protection Maintenance-ANNUAL [ ] Places of Assembly-ANNUAL
❑�y emi
Sprinkler O O O Recreational Bum
Fire Alarm ❑ O O O Sparklers
Hood Cleaning ❑ ❑ E7 a Sprinkler System Installations
Hood Suppression ❑ O O
u Standpipes(Sprinkler Sys)
Fire Alarm Installation Torch Roofing/Tar Kettle
Fire Pumps Waste Tire Storage ANNUAL.
Fire Works
Flammable Application-ANNUAL Valuation of Project
Fuel Tanks
Cher.
Contractor Company
Signature Registered Y/N I Fee Current I Y/N
Address License#
ELECTRICIAN Company
Signature I
Registered f Y/NI Fee Current I Y/N
Address
License#
PLUMBER r
Company
Signature Registered I Y/NI Fee Current Y/N
Address License#
MECHANICAL Company
Signature Registered I Y/N Fee Current I Y/N
Address I
License#
OTHER Company
Signature L
Registered rY/N Fee Current Y/N
Address License#
Directions:
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 applicable documentation
Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com)