HomeMy WebLinkAbout09-9572 � CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9572
ANNUAL FIRE PROTECTION MAINTENANCE
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Permit Number: 9572 Address: 7346 GALL BLVD
Permit Type: FIRE PROTECTION MAINTENANCE 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 - 0010 - 08800 - 0000
Improv. Cost: €...,rk� E " x$: ,i�
Date Issued: 9/24/2009 Name: TOWNVIEW RETAIL LLC
Total Fees: 25.00 Address: 725 CONSHOHOCKEN STATE RD
Amount Paid: 25.00 BALA CYNEWYD PA 190042102
Date Paid: 9/24/2009 Phone: (888)777 -3557
Work Desc: FPM - ANNUAL FIRE ALARM FOR VACANT SPACE -WEEK OF 9/28
$PE IALTY ELECTRONIC STEMS. IN FIRE PERMIT FEES 25.00
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FIRE A - AN E 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."
� '400
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 Zephyr ills Fire. Fax- 813 -780 -0021
Permit Application - -
Phone Contact for Permit 1 5V 1 .5 we 1
)ate Received > a,. =.,.w �.• �M,... ..: :.
)wner's Name 1;114 t r'1.j tJU - R 1 \ LL l - l Owner's Phone Number
>wner'sAddress 1 9a 5 Con ch v h a , k,e. , A. 30. AcA_ C4 newir( "Po. 1 cma c /d. /o4--
=ee Simple Titleholder Name Titleholder Phone Number 1 I
=ee Simple Titleholder Address
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Job Address
- Qr• L. . i ► �� Lot#
Parcel # -' o- /C - WSW() - 000
Sub Division __
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1- Bb- Hazard Waste Storage ANNUAL El Fumigation Tent
Comm Exhaust Kitchen Hood/Duct 1 1 Hazardous Material (Tier II or RC Facility) ANNUAL
1 - 1 Controlled Bum 1 Hood Installation
1 — I Emergency Generator < 30 kw 1i LP /Natural Gas - Installation
E Emergency Generator> 30 kw 1 LP /Natural Gas - ANNUAL Sale "!' 9172
r Flre Protection Maintenance - ANNUAL Places of Assembly- ANNUAL
i api (semi) Fri Utner
Sprinkler 0 ❑ ❑ ❑ 0 I I Recreational Bum
Fire Alarm s -- - -_❑ ❑ ii 1 1 n Sparklers
Hood Cleaning ❑ ❑ ❑ 1 1 1 1 Sprinkler System Installations
Hood Suppression ❑ ❑ ❑ 1 I 1 I Standpipes (Sprinkler Sys)
n Fire Alarm Installation 1l Torch Roofing/Tar Kettle
R Fire Pumps 1 I Waste Tire Storage ANNUAL
Fire Works
Flammable Application- ANNUAL H
Fuel Tanks ! I Valuation of Project
1 Fuel Tanks
n Other: 1
Contractor Company 4. • lc 5 al
Signature
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„ 29( D Registered MEM F Curreennt Y / N
Address . "3 7 bt t 4, c2 l7a -LA- 1 License# of OCZ / 70 1
ELECTRICIAN Company
Signature Registered Y/ N I Fee Current I Y/ N I
Address 1 — 1 License # 1
PLUMBER Company
Signature Registered Y/ N I Fee Current 1 Y/ N I
Address 1 1 License # 1 1
MECHANICAL Company
Signature Registered Y/ N 1 Fee Current 1 Y / N I
Address 1 1 License # 1 1
OTHER Company
Signature Registered 0 Y/ N I Fee Current 1 Y / N 1
Address 1 ( License # I1
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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_ /lappraiser.pascogov.com)