The URL can be used to link to this page

Home My WebLink About09-8733 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8733 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 8733 Address: 7422 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: 35-25-21-0010-07200-0011 Improv. Cost: Date Issued: 1/27/2009 Name: K-MART Total Fees: 25.00 Address: 7422 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 1/27/2009 Phone: ._Work Desc: FPM-_. R... __. -KMART INSPECTION PERMIT AFTER FACT—1An od. ABA FIRE EQUIPMENT COMPANY I 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$100.00, whichever is greater. All work shall be performed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." P IT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- Fire Marshal Office- 813-780-0041 133 A-i Awl FIRE EIUIPMMIT,CRRP.*ELECTRIC COMPANY A.R.A.FIRE E$UIPMENT,INC. January 07, 2009 To Whom It May Concern: Please see that check#35623 in the amount of$25.00 is for the remaining fees for the backflow inspection we performed at Kmart#3761 located at 7422 Gall Blvd Zephyrhills, FL 33541. Upon receipt of this check, please send A-1 Fire a receipt for the amount of$25.00. Feel free to contact me with any questions or concerns. Thank you, .o1y Casti to A-1 Fire Equipment& Electric Co. "Serving all of your fire safety needs!" National Accounts 3619 N.W. 2nd Avenue Miami, FL. 33127 M 305.573.8273 x124 8 305.573.1569 Toll Free: 1.800.383.0477 hcastillo@alfireandelectric.com 4, " G f zCD z;. . o' ' X C w �"� r'TI r - rm ��:R . _X W Cl ) r3 CC' 14 O o` O O co co d Ll6ti '°N Id l—d b'10 :01•6002 'L ,u ' Jan. 7. 2009 9: 37AM A-1 FIRE & ELECTRIC No, 4913 P. 8 A-1 A-1 FIRE EQUIPMENT,CORP.*ELECTRIC COMPANY ABA FIRE EQUIPMENT,INC. January 7,2009 Please note that our authorized signature on is PATRICK E.MALDONADO. Thank you, Holly Castillo National Accounts 3619 N.W.2nd Avenue Miami,FL. 33127 T 305.573,8273 x124 9305.573.1569 Toll Free: 1.800.383.0477 2009-01-0711:53 Hammond Co 13527964155>> 813 780 0021 P 515 IJ o�OdQ7;H ti+ tn� llJ1 WoH?� � � s�' �,, W H0 O ' 10 noM" " A t N 2goorA� Kaa zzZo0 H M rt trTA C �'a Ct" 900055 do t—� ; r 0 Oo�V O on� yzgy 1 " I cri W� C7HaH N O1 7D?0 CViW aM Q � •. o H wyro WOH y °C7 w •w�?°D C H bola NOO oa t UM dr•• o00 o W nyz •• M,� �, b 2 Its NM z° QM Hn ' F+MpOH vi H K v O a o �d►�1 cb u+ D9 b C o z HWT ob a� Boyar A� �cbnn gocr - Z yp A O ►1 M M ce N �p h ao O H N W H� Hty ii Ho Kb Kb p t o o tr00 H� O i -C COND � a a~d r zI K4H o! II o I i xQ HNz uo CO) I _________ a I Jan. 7, 2009 9: 36AM A-1 FIRE & ELECTRIC No. 4913 P. 5 MIAMI-DADECCOUNTY 2008 LOCALOU$INESB'tAXRECEIPT 2009 FIRST-CLASSI "TAX COLLECTOR MIAMIDADECQUNTY-STATE OF FLORIPA U.S.POSTAGE 140W.FLAOLER ST.. 'EXPW3. S SEPT.-30,2009, PAID lylh FLOOR MUST BE DISPI AYED AT PLACE OF BUSINESS MIAMI,FL MIAMI,FL 33130 PURSUANTTO COUNTY CODE.CHAPTER BA-ART.9&10 PERMIT NO.221 THIS IS NOT A BILL•DO NOT PAY 522903-6 RENEWAL BU�Nr�s611ke ftIPMENT COMPANY INC CC #IECgn1S(j,5000 265463-1 361 NW 2 AVE 33127 MIAMI OWXEFII A PIKE EQUIPMENT COMPANY INC I. 7� WORKER/S SOc7`8'19fte, CHANICAL 'GONTRACTDR. WORKER TNIaIEONLYALOCAL EUiSINUS TAX NECEI►T.IT FpOEE NOT PERMIT THE IIOLOERTO VIO TE ANY DO" jM0LAWEOFNHE DO NOT FORWARD poEEIVEXELPT*TIIE •NOLDEn FROM ANE'OTCER reRUITORn1IECE pT A B A FIRE EQUIPMENT COMPANY INC RE UOY on m cTm ry ''NO E11TIF1 A ON OF RANDY MELAND PRES THE MIEn S�uIIwCA- • MIAMI FL 33127 COl1W V TAX • 5/2008 60020000362 f111111flimIJ11 IlII111 II 1I11111If11[Jill f11!1If IJ YlI:Il1I-I 000045.00 7 SEE OTHER SIDE 'FIRST.QLA S; i +PERMIT N0.231 AECEIPT.NO.:. 3.0_191.2786._;•O '�"'I BUSINESS.NAME/LOCATION '; !!J�I NT I\71. �.-DB?4 .PAY .RECEIPT:HOLDER'MgY.DQ. , a:., ...: ... i .... BUSINESS AS•A CONTfiAC7bA. +: ... ... ..::.'f.. . . > AS SPECIFIED ED HEREON. Al'FIRE EQUIPMENT"CO 69 •NW 2• AVE o4NER 1A' 8 A. PI4R UIP EI&T- INC A�'LJST E BACK OF RECEIPT FOR :SPEC MECHANICAL CONTRACTOR 0 :sr :F- NON=PARTICUNICIPALITIES ` . I 11-iioldermusl DO NOT FORWARD• p181p1er In,Fie City WhbreW'o/klsIbe Al FIRE EQUIPMENT CO z. ; RANDY MELAND QUALIFIER ^�=' 3619 NW 2 AVE AEECCEIVED MIAMI FL 33127 agrr: , ..- Q2`.='10/09/2008 N7 297U14DD2 /(\ 11111111111111111111111111.11111,1,11111111,1111.11111,11,1°y11 ,' .000175:00 Jan. 7. 2009 9: 37AM A-1 FIRE & ELECTRIC No. 4913 P. 7 K _ `• pQ � t . p A Ii Jan, 7. 2009 9:36AM A-1 FIRE & ELECTRIC No, 4913 P. 3 11✓18/2008 11:40 (305-448-8189 )9EXLER INSURANCE / IJB Ana Larrosa-.'ANNIE 2/2 ACORD CERTIFICATE OF LIABILITY INSURANCE 0ATEQIAVD 1n 2008 TM. PRODUCER Phony(SOS)4ISSOEO Fmc JOS440.9166 THIS CERTIFICATE IS 18SUED AS A MATTER OF INFORMATION WEXLER INSURANCE AGENCY,INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1120 PONCE DE LEON BLVD HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR CORAL GABLES FL 33134 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC INSURED INSURER A: HANOVER INSURANCE COMPANY ABA FIRE EQUIPMENT,INC. INSURERS: LEXINGTON INSURANCE COMPANY A-1 FIRE EQUIPMENT,CORP. INSURER C: AMERICAN INTERNATIONAL A-1 FIRE ELECTRIC COMPANY 3619 N.W.2ND AVE. INSURER D: MIAMI FL 33127 INSURER E: COVERAGES THE POLICIES OP WSURANCE LISTED BELOW IIAVE BEEN ISED TO IPE NSLRED N4AED ABOVE PERIOD NDICATEp.NO1VAIHSTANDPIG ANY REQUREMENT,TERM OR CONDITION OF ANY CONTRACT OR 01HER DOCtLENf WIN RESPECT TOY.I9CH THIS CERTIFCAVE MAY BE ISSUED OR MAY PERTAN,THE NSURANCE AFFORDED BY THE POLICIES DESCRIBED HERE N IS SUBJECT TO ALLTHE TERMS,OCCLUSIONS AND CONDITONS OF SUCH POLCIES.AGGREGATE LMQS SHOYVN MAY HAVE BEEN REDUCED BY PAID CLAMS. EVSR ADD' TYPE OF INSURANCE POLICY NUMBER FOUCY EFFECTIVE rOUOY IXMMTIOM LIMITS LTR E+6 PATE IMM'owti ATl IWLSDIYV1 SENERAL LIABILITY GLO0005061 02/01/08 02101109 EACH occuaaENCE s 1,000,000 X COMMERCIAL GENERAL LIABLIIY D*MAGE TO RelTEo s 50,000 OREMISEB Ee ecanrme CLAMS MADE X] OCCUR MEO.DIP(AnyonepersoO S 5,000 B PERSONAL&ADVNJ. Y S 1,000,000 GENERAL AGGREGATE S 2,000,000 GENLAGGREGATELMIrAPPLIESPER PRODUCTSCOMPIOPAGO. $ 1,000,000 POLICY PPECT LOC AUTOMOBILE LIABILITY AHX436235401 11/01108 11/01/09 COMEENEDSNGLELANT ANYAUTO (E. ;d,nq s 1,000,000 ALL OWNED AUTOS BOOLYMRY O'erDercon) Y X SCHEDULEOAUTOS A X HIRED AUTOS 80DLYNJURY $ X NON.OYVPED AUTOS (Per acddeMl PROPERTYDAMAGE S (Pe cd*4 GARAGELIABILTry AUTO ONLY.EAA000ENT s ANYAUlO O1 ERTHAN EAACC S AUTOON•LY. AGG 3 ExCESSIUMBRSULALWSII.RY LHA038423 02101108 02/01/09 EACHOcCURRENCE S 2,000,000 X OCCUR ❑CLAMSMADE AGGREGATE S 2,000,000 C ; DEDUCTIBLE : RETENTION $ 0 ORKERSCOMPENSATIONAND WCETATLL I OTHER EMPLOYERS'LIAeILrtY T.WETS ELEACHACCDENT $ ANY►ROPMITOMARTNERrEEEeumE OFFICEANNSEAEXCLNOED? EL.DLSEASY:EAEMPLOYEE S UYeh ds1c11N YReer EPECW.PROYIE)ONS ielsr EL.OISEAS&POICYLM1 Is OTHER: DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS GENERAL LIABILITY-$15,000 DEDUCTIBLE CERTIFICATE HOLDER CANCELLATION CITY OF ZEPHYRHILLS DATE h E EOFT E 1SSl1NG ABOVE�P MDEAI ARTo�MAL O DALLED AYYS YRRTFORE TEEN VETO 5335 8TH STREET THE CERIIFCAWE HOLDER NAMED TO THE LEFT.BUTFALURETOOOSOSHALLMPOSENO ZEPHYRHILLS,FL 33540 OBUGATIONORLUBLITYOFAMYKI DUPON THE N$LRER,IrSAGEMSORREPRESENTA1IVES. _- AUrHORI?fDREPRESENTATIVE �J Altenllon: M(Ct188I J.Wexler ACORD 25(2001/08) Ceri►0Cele# 105157 ®ACORD CORPORATION 1998 Jan, 7, 2009 9:36AM A-1 FIRE & ELECTRIC No. 4913 P. 1 A- i FIRE EQUIPMENT FACSIMILE TRANSMITTAL SHEET To: From: BUILDING DEPARTMENT Holly Castillo FAX NUMBER: Date: 813.780.0021 01/07/2009 COMPANY: TOTAL NO.OF PAGES INCLUDING COVER: CITY OF ZEPI TYRHILLS (8) PHONE NUMBER: SENDER'S REFERENCE NUMBER: 813.780.0020 Re: YOUR REFERENCE NUMBER: REQUIRED PAPERWORK URGENT ❑FOR REVIEW ❑PLEASE COMMENT ❑PLEASE REPLY PLEASF RECYCLE NOTES/COMMENTS: HERE IS ALL REQUIRED PAPERWORK PER JACKIE. Thanks! -�Fco.�t Holly Castillo A-1 FIRE EQUIPMENT& ELECTRIC 3619 NW 2m AVENUE MIAMI,FL 33127 Email: hcostillo@alfireandelectric.com PH: 305-573-6273 EXT. 124 • FAX: 305-573.1569 Jan, 7. 2009 9:36AM A-1 FIRE & ELECTRIC No. 4913 P. 4 ACORDt CERTIFICATE OF LIABILITY INSURANCE OP ID AT DATE(MMIDD/YYYV)A1FIR-1 I 11/04/08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE O S Insurance Group HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR P.O• BOx :2 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Lpkeland FL 33802-0002 ne: 863-683-1011 Faxi863-683-0521 INSURERS AFFORDING COVERAGE NAIC iNSURBO INSURER A: Florida Retail Federation ABA Fire Equipment Co., Inc. INSURER B: A-1 Fire E i ment, Corp. INSURER C: A--1 Electric company 3619 N.W. 2nd Avenue INSURER D: Miami FL 33127 INSURER F: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 19 SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. (SD' POLICY WATIQF LTR HER TYPE OF INSURANCE POLICY NUMBER DATE MMIDOI Y E PDATE Y M P Y LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES Eaucaxence $ CLAIMS MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GENtL AGGREGATE LIMIT APPLIES PER: PRODUCTS•COMP/OP AGO S POLICY .EfiCTO- f LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea aocdenq ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) S HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per acddenl) PROPERTY DAMAGE $ (Persoddenl) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EAACC $ AUTO ONLY: AGG S EXCESS/UMBRELLAUABILITY EACH OCCURRENCE $ OCCUR El CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE S RETENTION $ $ WORKERS COMPENSATION AND R TORY LIMITS XI ER A ANYPRORIETOBPITY 0520-26360 12/21/08 12/21/09 E.LEACHACCIDENT $500,000 ANY PROPRIETOR/PAIiTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? EL.DISEASE•EA EMPLOYEE 5 500,000 lI yes describe under SPECIAL PROVISIONS bolow E.LDISEASE-POLICYLIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION ZEPHYRH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF.THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURETO DO SO SMALL City of Zephyrhill s IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 5335 8th Street REPRESENTATIVES. ZephyrhillB) FL 33540 M !PPEENTAT . ACORD 25(2001/08) !(l ®ACORD CORPORATION 1988 J.an. 7. 2009 9:36AM A-1 FIRE & ELECTRIC No, 4913 P, 2 Porm ftY"� Request for'Taxpayer Give form to the (Rev.January 2005) requester, Do not identification Number and Certification send to the IRS. Deportment of the Treasury Inlemal Revenue Service Name(es shown on your income tax return) a, _ aBusiness name,if different from abpvo O Individual/ Exempt from backup ❑Check appropriate boic Sole proprietor ❑ Corporation ❑ Partnership ❑Other► •--.• ❑withholding h Address(number,street,and apt or suite no.) Requester's name and address(optional) a£ 3619 NW 2 Ave. City,state,and ZIP code o. Miami, Florida33127 roList account number(e)here(opdonal) - m u1 eFI Taxpayer identification Number TIN) curity number Enter your TIN In the appropriate box.The TiN provided must match the name given on Line 1 to avoid soeTaise backup withholding.For Individuals,this Is your social security number(SSN).However,for a resident - alien,sole proprietor,or disregarded entity,see the Part I instructions on page 3.For other entities,it is or your employer identification number(EIN).If you do not have a number,see How to get a TfN on page 3. number Note.If the account is In more than one name,see the chart on page 4 for guidelin Employer ldentifioattones on whose number id ` 4 to enter, / 4 Iiiti Certification Under penalties of perjury,I certify that; 1. The number shown on this form Is my correct taxpayer identification number(or I am waiting for a number to be issued to me),and 2. I am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all Interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding,and 3. I am a U.S.parson(Including a U.S,resident alien). Certification Instructions.You must cro§s out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tak return.For real estate transactions,item 2 does not apply. For mortgage interest paid,acquisition or abandonment of secured property,can lion of debt,contributions to an individual retirement arrangernerlt(IRA),and generally,payments other then Interest and divide not required to sign the Certification,but you must provide youc correct TiN.(See the instructions on page 4.) Sign Signature of Date Mere . U.S.person T► Purpose of Form A person who Is required to file an information retu ith the a Any estate(other than a foreign estate)or trust.See IRS, must obtain your correct taxpayer identification number Regulations sections 301.7701.6(a)and 7(a)for additional (TIN)to report,for example,income paid to you,real estate information. transactions, mortgage Interest you paid,acquisition or Foreign person.If you-are a foreign person, do not use abandonment-of secured property, cancellation of debt, or Forrft W-9. Instead, use the appropriate Form W-8(see contributions you made to a6 IRA. Publication 515,Withholding of Tax on Nonresident Aliens U.S. person.Use Form W-9 only if you are a U.S.person and Foreign Entitles). (including a resident alien), to provide your correct TIN to the Nonresident alien who becomes a resident alien. person requesting it(the requester)and,when applicable, to: Generally,only a nonresident alien individual may use 111e 1.Certify that the TIN you are giving is correct(or you are terms of a tax treaty to reduce or eliminate U.S.tax on waiting for a number to be issued), certain types of income. However, most tax treaties contain a provision known as a"saving clause."Exceptions specified 2. Certify that you are not subject to backup withholding, in the saving clause may permit an exemption from tax to or continue for certain types of Income even after the recipient 3. Claim exemption from backup withholding if you are a has otherwise become a U.S.resident alien for tax purposes. U.S. exempt payee. If you are a U.S.resident alien who is relying on an Note.Ifs requester gives you a form other then Form W,9 to exception contained In the saving clause of a tax treaty to request your TIN,you must use the requester's form if rY is claim an exemption from U.S. tax on certain types of Income, substantially similar to this Form W,9. you must attach a statement to Form W'9 that specifies the For federal tax purposes you are considered a person if you following five items: are: 1.The treaty country.Generally,this must be the same • An individual who is a citizen or resident of the United treaty under which you claimed exemption from tax as a States, nonresident alien, • A partnership, corporation, company,or association 2.The treaty article addressing the Income. created or organized In the United States or under the laws 3.The article number(or location) in the tax treaty that of the United States,or contains the saving clause and its exceptions. Cat.No.10231X Form W-9 (Rev.1-2005) Jacqueline Boges From: Kerry Barnett Sent: Wednesday, December 31, 2008 5:18 PM To: Jacqueline Boges Subject: Permit for Al Fire Protection Jackie, If Al Fire P-ro comes in to pull any permit or renew any paperwork they owe a back permit fee for performing work at K-Mart in October 2008. Thanks Kerry Barnett Fire Marshal, Zephyrhills Fire Rescue 813-780-0041 kbarnett@fire.zephyrhills.fl.us 1 '— —J.an, 7. 2009 9: 37AM A-1 FIRE & ELECTRIC No. 4913 P. 6 STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF STATE FIRE MARSHAL TALLAHASSEE,FLORIDA INSPECTOR PERMIT THIS CERTIFIES THAT; MOSES MCINTOSH EMPLOYER; ABA FIRE EQUIPMENT COMPANY INC 3619 NW 2ND AVE MIAMI, FL 33127- LICENSE NUMBER: 7703 7500011991-PATRICIO E.MALDONADO WATER-BASED FIRE PROTECTION INSPECTOR IS.LIMITED TO THE INSPECTION OF WATER SPRINKLER SYSTEMS,WATER SPRAY SYSTEMS,FOAM-WATER SPRINKLER SYSTEMS,FOAM-WATER SPRAY SYSTEMS,STANDPIPES.COMBINATION STANDPIPES AND SPRINKLER SYSTEMS,ALL PIPING THAT IS AN INTEGRAL PART OF THE SYSTEM BEGINING AT THE POINT WHERE THE PIPING IS USED EXCLUSIVELY FOR FIRE PROTECTION,SPRINKLER TANK HEATERS,AIR LINES,THERMAL SYSTEMS USED IN CONNECTION WITH SPRINKLERS,AND TANKS AND PUMPS CONNECTED THERETO,EXCLUDING PREENGINEERED SYSTEMS. Chle1Financial Officer n_ 4 :,L,/Z_.I 07 01 2008 14 06 Broward 75609200012006 0665310004 1061301200 Issue Date ITypoiClassi County License/Permit Number Application# Ezpire Date Feb. 11. 2009 1 :06PM A-1 FIRE & ELECTRIC No. 6690 P. 2 JAN/I4/2008/1.401U 03:44 Pl•I ZRPHYRHHIL S 6UILDiNC )iAX No. 813-780-0021 P. 002/002 613-780-0020 City of2ephyrhllitr Fira Fa elYaaoo21 Permit Applioolion V. Phone Contact for Ponnll Date Reeelved Ye �°xnwzcss?cb •• ownor's Phone Number Own era Home. t)wrtsr3AddroeQ I y (�"� Fae. Impte'rldeholder Neme ITllleholder Phone Plumber t__,._ L, J II I Fee Slmpte•TWerrolderAddrose tS�+APJ JobAddross f Z 'paroellF Sub Divioron .; �+DAI r . Blv-Hakerd Waslg Slerogo-ANNUAL FumigationTenl V• Comm r thqI8.'t Ifllohsn Hood/Duct Hrrardous Metarinl(Tier I1 or RQ FarJllgr)ANNUAL • I ' Controlled Bunt Hood In tiNehon LP/Nelurel0an•lnslahuon •. _ t Emorpenay 6¢nefolor 90 kw LPINdi}mal(gae.ANNUAL le ga , II I Emergency egneralor>a0 Mr ploads op AesrmblyANNUAL • Fire Proteclorl Meintenando-ANNUAL l._.! ' " ® � • Sprinkler o o A •ReredUarrrt)purtl Hie Alarm • 0 •O C Q •Sparklers- ' Hood Loaning O O D L__—Il 9pIinklerSy9lemin9latl�llantr Hood Suppreiolon .E• C C Suuldplpes(epdnklo►eyo) Fire Alelm Ins)agadon YvrchRooingC(6rKetde Fire Pampa Waete.•r1roltorage,ANNUAL Fire Works Valuatierl of project Flammable AppllcaUoh-ANNUAL. • FuelTanka ' Other ' ooaa - [ pi<Slldt Gcrnpany, ..Aca3 Contractor illlilJ Regtslered Fee Currant L / 8lgnaluro License# D AddrOee i ELECTRICIAN • 1 oglaivyy - Signatute Reglelened • N Fee Current Address. Uceneo rf PLUMBER Company Re9131ered /N Pee cuneM J-_'YIN I N tiigmiu(aII Address looms# l may,, MECHANIGAI Company Signature Reglslerarl re9 Curn:nC Y' Addmss Llcanse$ OTHER Company 5lgUe.lwo 1 Reglelered IiilVY.i N Fae CunMnt Addreeg: Lieenee.tl . , Fill out ppplloallon completely: • of signed oonheot wllb otmeh Owner 8 Conlntalor slap back or epplictlllon,notarized(Cr,COPY Prover 02600,a Nollee of Comhtenaemenl is requtrod,(Mochargoal wadi ova(16000) `Supply No(2)aeWofdmv4nga with applicable document Uon -Allow l0.144ayeforrbvleweltereubrniiial'dale, Percalliroblalned from PwpertyTex Notice(tUpJlIlPPmistittpaaeogov.00m) Feb. 11. 2009 1 : 06PM A-1 FIRE & ELECTRIC No, 6690 P. A- i FIRE EQUIPMENT FACSIMILE TRANSMITTAL SHEET To: From: ATIN:JACMIE Holly Castillo FAX NUMBER: Date: 813.780.0021 02/11/2009 COMPANY: TOTAL NO.OF PAGES INCLUDING COVER: CXTY OF ZEPHYRHU. S (2) PHONE NUMBER: SENDERS REFERENCE NUMBER: 813.780.0020 Re% YOUR REFERENCE NUMBER: I{MART#7422 PERMIT APPLICATION URGENT CJ FOR REVIEW ❑PLEASE COMMENT ❑PLEASE REPLY Q PLEASE RECYCLE NOTESICOMMENTS: Jackie, I apologize for not getting back to you sooner. I was out sick & our affiliate did not get back to me. If there is anything else you need from me, please feel free to contact me. Thanks! Holly Castillo A-1 FIRE EQUIPMENT A ELECTRIC 3619 NW 2 AVENUE MIAMI, FL 33127 Email: hcastiJIo@oLfjreondeIectrjc com PH: 305-573-8273 EXT. 124 • FAX; 305-573.1569