HomeMy WebLinkAbout09-9582 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9582
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 9582 Address: 7313 GALL BLVD
Permit Type: FIRE PROTECTION MAINTENANCE 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: 34 25 - 0000 - 00300 - 0050
Improv. Cost: ,.ut•':.
Date Issued: Name: TACO BELL
Total Fees: 25.00 Address: 7313 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/29/2009 Phone: (859)624 - 3866
Work Desc: FPM - SUPPRESSION SEMI- TACO BELL
ABA 1 U Y F - M 25.00
FI'EA C PTA 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." er!
A
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 q 6 " 1 Fax- 813- 780 -0021
Permit Application
Date Received 1 I Phone Contact for Permit P72,911 1 0 2/9 I 2// I
Owner's Name I Yuri (o ■r d S /77,4C. as 1 I I Owner's Phone Number I q0 I 178 6 Wei e( 2
Owner's Address I b 2-0 O Lee jeS'/ - i 8lvi. Orlc,,cYo, Pc..
Fee Simple Titleholder Name I Titleholder Phone Number I I
Fee Simple Titleholder Address
Job Address 1 - ' !l l� �
��G �/ YU Lot #
Sub Division I Parcel # 1
Ei Bio -Hazard Waste Storage - ANNUAL I= Hazardous Material (Tier II or RQ Facility) ANNUAL
E Comm Exhaust Kitchen Hood /Duct n Hood Installation
L1 Controlled Burn = LP /Natural Gas - Installation
Emergency Generator < 30 kw I LP/Natural Gas - ANNUAL Sale
Emergency Generator> 30 kw n Places of Assembly-ANNUAL
0 Fire Protection Maintenance - ANNUAL = Recreational Bum
Sprinkler ❑ ❑ ❑ ❑ El Sparklers
Fire Alarm ❑ ❑ ❑ ❑ I I El Sprinkler System Installations
Hood Cleaning El ❑ ❑ /// ``` 17 I I 0 Standpipes (Sprinkler Sys)
Hood Suppression El CI gI El I 0 Torch Roofing/Tar Kettle
In Fire Alarm Installation X.
` n Waste Tire Storage ANNUAL
El Fire Pumps
Fire Works
n Flammable Application- ANNUAL I i/� dU I Valuation of Project
n Fuel Tanks
I—I Other: I I
Contractor Company gfir i c - i' j e 661 v ; f . I
Signature Registered I Fee Current I Y/ N
Address 1 36/9 H. W. 2 " iOA ve , r ....: a, .µ: PC - Vol 6 I License # 0/9/7300o S / 98S` I
ELECTRICIAN Company I
Signature Registered Y/ N I Fee Current 1 Y/ N I
Address I I License # I
PLUMBER Company I
Signature Registered Y/ N I Fee Current 1 Y/ N I
Address I I License # I
MECHANICAL Company I
Signature Registered Y / N I Fee Current I Y/ N I
Address I I License # ( I
OTHER Company I
Signature Registered Y/ N I Fee Current I Y/ N I
Address I I License # I I
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)
ABA FIRE EQUIPMENT, INC. / DBA Al FIRE EQUIPMENT CO. 38875
CITY OF ZEPHYRHILLS 9/24/2009
401 PURCHASES:401.09 SYSTEM INS TACO BELL # 4868
25.00
25.00
BOA - ABA 6411 TACO BELL # 4868