HomeMy WebLinkAbout09-8866 CITY OF ZEPHYRHILLS
•- 5335-8TH STREET
(813)780-0020 8866
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 8866 Address: 7254 GALL BLVD
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENANCE Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 35-25-21-0010-08800-0000
Improv. Cost: :
Date Issued: 3/03/2009 Name: TOWN VIEW RETAIL LLC
Total Fees: 25.00 Address: 725 CONSHOHOCKEN STATE RD
Amount Paid: 25.00 BALA CYNWYD, PA 190042102
Date Paid: 3/03/2009 Phone:
Work Desc: FPM-HOOD CLEAN QUARTERLY-CHINA WOK
UNIVERSE SERVICES d/b/a LASZLO H FIRE PERMIT FEES 25.00
✓V
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
City of.Zephyrhills Fire• `'y Fax-813-780-0021
813780-0020 Permit Application
P, d/ O% Phone Contact for Permit
Date Received
toiw Owner's Phone Number l y J J ?3S
Owner's Name 1A p
Owner's Address / o o� 74/1m9
4/1 9 T L 33 67
LJ >A L11. Titleholder Phone Number Ci r F
Fee Simple Titleholder Name T7//vim r
LL Fee Simple Titleholder Address L
Lot
Job Address
Parcel#
Sub Division
€. Fumigation Tent
Bio-Hazard Waste Storage-ANNUM
Comm Exhaust Kitchen Hood/Duct
Hazardous Material(Tier II or RO Facility)ANNUAL
Hood Installation
Controlled Bum
LP/Natural Gas-Installation
Emergency Generator<30 kw LP/Natural Gas-ANNUAL Sale
Emergency Generator>30 kw
Places of Assembly-ANNUAL
Fire Protection Maintenance-ANNUL emi er
❑ o O p Recreational Bum
Sprinkler El
1 I
D O p Sparklers
Fire Alarm Hood Cleaning
p O �I Sprinkler System Installations Hood Suppression � �❑ I El Standpipes(Sprinkler Sys)
ElFire Alarm Installation [ J Torch Roofing/Tar Kettle
El El Waste Tire Storage ANNUAL
Fire Pumps
a Fire WorksEl Valuation of Project
Flammable Application-ANNUAL
Fuel Tanks
a Other:
Company U/U
Contractor Registered Y/N Fee Current Y/N
Signature
License#
Address
Company
ELECTRICIAN Registered Y/N Fee Current Y/N
Signature
License#
Address
Company
PLUMBER Registered Y/N Fee Current _Y/N
N
Signature
License#
Address
Company
MECHANICAL
Registered YIN YINj Fee Current Y'
Signature
License#
Address
OTHER F
Company
Registered ��Fee Current Y/N
Signature
License# _ _
Address
Directions:
Fill out application completely.
Owner&Contractor sign back of applicationgarized(Or,copy of signed contract with owner)
if over$2500,a Notice of Commencement isquired.(Mechanical work over$5000)
Supply two(2)sets of drawings with applicalEdocumentation
Allow 10-14 days for review after submittal db Parcel#-obtained from Property Tax Notice(http:/lappreiser.pascogov.com)