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08-8675
CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8675 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 8675 Address: 5538 GALL BLVD Permit Type: FIRE PROTECTION MAINTENANC E ZEPHYRHILLS, FL. Class of Work: FIRE-PROTECTION MAINTENANCE Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-05700-0250 Improv. Cost: Date Issued: 12/23/2008 Name: WELLESLEY DEVELOPMENT CORP Total Fees: 25.00 Address: 34619 SR 54 W Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 12/23/2008 Phone: Work Desc: FPM-HOOD CLEAN QUARTERLY- LITTLE CAESARS-DONE 12/23/08 UNIVERSE SERVICES d/b/a LASZLO H FIRE PERMIT FEES 25.00 C d 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." 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 813-180-0020 City of.Zephyrhills"Fire• D�15 Fax-813-780-0021 Permit Application Date Received "f Q Phone Contact for Permit �C` �� Owner's Name Lam_ �� R V l !0 d r Owner's Phone Number ©. [ ✓ Owner's Address 7O 130^ 738 /-I ?L 336 7 ' Fee Simple Titleholder Name Titleholder Phone Number Fee Simple Titleholder Address Job Address L/ / E C,4 S4 5538 c4-LL BLVD Lot# Sub Division Parcel# Bio-Hazard Waste Storage—ANNUAL Fumigation Tent Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tier II or RQ Facility)ANNUAL Controlled Bum 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 yy emi ®nOther Sprinkler ❑ ❑ ❑ Recreational Bum Fire Alarm ❑ ❑ ❑ I Sparklers Hood Cleaning [ j I( O 0 I Sprinkler System Installations Hood Suppression O O O I JJ Standpipes(Sprinkler Sys) Fire Alarm Installation Q Torch Roofing/Tar Kettle Fire Pumps Waste Tire Storage ANNUAL Fire Works Flammable Application-ANNUAL I Valuation of Project Fuel Tanks Other: Contractor Company .S Signature Registered Y/N Fee Current I Y/N 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 I 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)