HomeMy WebLinkAbout09-9500 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
• (813) 780 -0020 9500
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 9500 Address: 5610 GALL BLVD
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE - PROTECTION MAINTENANeE 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 -0255
Im rov. Cost: 3
Date Issued: Name: BURGER KING
Total Fees: 25.00 Address: 5610 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/01/2009 Phone:
Work Desc: FPM- HOOD CLAN QUARTERLY- BURGER KING
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A - AN 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." O!
/r
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 City of Zephyrhills Fire. 4 c6 rb' Fax -813 -780 -0021 ..
Permit Application _ _ _
Date'Received - - Phone Contact for Permit
Owners Name f I L SQL \Z-V43(2 1 Owners Phone Number 3 J r. i I f CL
Owners Address 1 So \Z OD OAX G\Or.Q 7. wiZ■i:.lk , 1-•- I
Fee Simple Titleholder Name 1 I Titleholder Phone Number I 1 1 I I I
Fee Simple Address I 1
Job Address Lot # I
Sub Division 1 1 Parcel # l I
E Bio Hazard Waste Storage - ANNUAL n Fumigation Tent
Comm Exhaust Kitchen Hood/Duct n Hazardous Material (Tier 11 or RQ Facility) ANNUAL
ED Controlled Bum n I-Iood Installation
n Emergency Generator < 30 kw n LP/Natural Gas - Installation
n Emergency Generator> 30 kw n LP/Natural Gas - ANNUAL Sale
I - 1 Fire Protection Maintenance - ANNUAL n Places of Assembly-ANNUAL
® E I 1E9 ,�
Sprinkler Li ❑ ❑ ❑ n Recreational Bum
Fire Alarm n ❑ ❑ ❑ 1 1 0 Sparklers
Hood Cleaning ❑ ❑ J I El Sprinkler System Instatiations
Hood Suppression LJ ❑ ❑ ❑ 1 I n Standpipes (Spy Sys)
n Fire Alarm Installation Torch Roofirrg!Tar Kettle
ED Fire Pumps Waste Tire Storage ANNUAL
n Fire Works
Flammable Application- ANNUAL ( Valuation of Project
Fuel Tanks
El Other. I
Aningasommemeammrarsamm
Signature
Contractor
- . to. A Registered Y/N I Fee Current I Y/ N J
Address S t... - . _ I C L_ _ _ — a I. License #
ELECTRICIAN Cody
Signature Registered Y/ N I Fee Current I Y/ N I
Address 1 ( Ucettise # I
PLUMBER Company
Signature Registered Y/ N 1 Fee Current I Y/ N I
Address 1 1 License # 1
MECHANICAL Company
Signature Registered Y/ N I Fee Current I Y/ N I
Address 1 I License* I (
OTHER Company
Signature Registered Y/ N I Fee Curerd I YIN I
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 (httpl /appraiser.pascogov.com)