HomeMy WebLinkAbout09-9586 CITY OF ZEPHYRHILLS
5335 - 8T11 STREET
(813) 780 -0020 9586
ANNUAL FIRE PROTECTION MAINTENANCE
S .� ,�a„« x� , 3�.a8 .'" ,ce`i.�
Permit Number: `.: fia
er: 9586 Address: 5538 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: 11- 26 -21- 0010 - 05700 -0250
Improv. Cost:: t £'
Date Issued: 9/29/2009 Name: WELLESLEY DEVELOPMENT CORP
Total Fees: 25.00 Address: 34619 SR 54 W
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/29/2009 Phone:
Work Desc: FPM - QUARTERLY HOOD CLEANING FOR LITTLE CEASAR'S PIZZA -SCH 9/30/09
m; .. ,,. . ,„ a .a dig°
%),‘r HIN INC FIR P RMI FEES 25.00
016) SQ_ ,o7
IRE A - AN inal V
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 $100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE
OF COMMENCEMENT."
P �' IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813- 780 -0041
- 8 13 -780 -0020 City of Zephyrhills Fire Fax- 813-780 -0021
Permit Application
Date Received Phone Contact for Permit
Owner's Name t i r T -r /G ,,,,......5--e-/-
v.,S' - ems S / r Owner's Phone Number ) y'/3 7813 z>
Owner's Address
Fee Simple Titleholder Name Titleholder Phone Number
Fee Simple Titleholder Address
Job Address , �.,x.: „$ 3 V 6 ''- / ( /6 / Lot #
Sub Division Parcel #
€ se
n Bio- Hazard Waste Storage - ANNUAL I Fumigation Tent
Comm Exhaust Kitchen Hood /Duct n Hazardous Material (Tier II or RQ Facility) ANNUAL
I -- 1 Controlled Bum I I Hood Installation
El Emergency Generator < 30 kw n LP /Natural Gas - Installation
I - I Emergency Generator > 30 kw n LP /Natural Gas - ANNUAL Sale ,--'-
n Fire Protection Maintenance - ANNUAL nI Places of Assembly- ANNUAL
ILttrlyl ISemil Ma Other • (j(1°'
Sprinkler n ❑ ❑ ❑ I Recl Bumn ❑ ❑ ❑ I I Sparklers
Hood Cleaning rj NV ❑ ❑ I I I I Sprinkler System Installations
Hood Suppression n 12 I: ❑ I 1 1 1 Standpipes (Sprinkler Sys)
D ✓
n Fire Alarm Installation n Torch Roofing/Tar Kettle
Fire Pumps II Waste Tire Storage ANNUA
1 Fire
n Fire Works
I I Flammable Application- ANNUAL ` - I Valuation of Project
I Fuel Tanks
F-7 Other: I I
vvj,n1.�, n.,. . _.. „,_.. `: «.w, -,2' i ._. ::% :' "�M>.4 :°1f241., TAIESa�:.. nna :: :.<i'.m .,. .... �.,d. as su.... '.a. x..... v: ffa&j:_M.K:.._...06i i. ....._ '': . o-.
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Contractor •7` 9.....---- �� ��� —��- Company A "-� 'l G /C�,- 4.1' .
Signature �—� 'er Registered Y / N Fee Current Y / N
Address I License # I
ELECTRICIAN Company I
Signature Registered Y / N I Fee Current I Y / N I
Address I License # I I
PLUMBER Company I
Signature Registered Y / N Fee Current I Y / N ,I
Address I 1 License # I
MECHANICAL Company
Signature Registered Y / N I Fee Current I Y / N I
Address I I License # I I
OTHER Company I
Signature Registered Y/ N I Fee Current Y / N I
Address [ 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)
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