HomeMy WebLinkAbout09-9694 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9694
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 9694 Address: 5009 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: 11- 26 -21- 0010 - 2088 -0060
Improv. Cost: 1`i �E e.:
Date Issued: 10/28/2009 Name: BRUNS, DAN '& MARY 'E
Total Fees: 25.00 Address: 5820 CYPRESS ST
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/28/2009 Phone: (813)780 -2005
Work Desc: FPM -SEMI HOOD- PAPPA RESTURANT- SCH 10/28/09
,11117 . 0 1
PIPER R PRsTECTION INC IRE PERMI F 25.00
C
09
tie
r
a Y e'',ti i r�" ..: ;. �"� ...
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."
el
1
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 -7F J -0020 City of Zephyrhills Fire Fax - 813-780 -0021
Permit Application
Date Received I Phone Contact for Permit I I J
' Owner's Name 1 , A Ppi A- t ( il r t-LC c. - Owner's Phone Number
/Owner's Address 009 Coil- � ( i voe
Fee Simple Titleholder Name Titleholder Phone Number
Fee Simple Titleholder Address
/Job Address �� ' .P P PO Lot#
Sub Division Joo' K, P1 Vd Parcel #
ter_ . . •::.. N ...::: + _ -,., . ..: .. .. .....: .. =,,,„ mip :m ... a aa, n ,
pi Bio- Hazard Waste Storage - ANNUAL I Fumigation Tent
I Comm Exhaust Kitchen Hood /Duct I 1 Hazardous Material (Tier II or RQ Facility) ANNUAL
I Controlled Bum 1 Hood Installation
f --- I Emergency Generator < 30 kw I LP /Natural Gas - installation
I Emergency Generator> 30 kw I I LP /Natural Gas - ANNUAL Sale
I Fire Protection Maintenance - ANNUAL I Places of Assembly- ANNUAL
IUtriy1 ISemiI J iiil Other
Sprinkler 7 ❑ ❑ ❑ I Recreational Bum
Fire Alarm I ❑ ❑ ❑ 1 1 Ii Sparklers
Hood Cleaning I ❑ ❑ ,! ❑ I I I] Sprinkler System Installations
Hood Suppression F❑ ld" ❑ I I I Standpipes (Sprinkler Sys)
I] Fire Alarm Installation I Torch Roofing/Tar Kettle
I I Fire Pumps n Waste Tire Storage ANNUAL
n Fire Works
7 Flammable Application- ANNUAL 1 I Valuation of Project
I Fuel Tanks
( Other: I I
t.U: .. nW ... . ; . ..U.e..,....; a' §. . u£2�, . '..,......,_...a�,.�"d?,:: .s.�..,. a.?,-- ....,. ys, ' 5' .... .,.0 . v ,,.:.V_.o...a ?�i at a. . . «. ...: s ..0 2.`...-:
Contractor it ` Company 1. T /- rC a C, i c (1 it
Signature y'' (� Registered Y / N j Fee Current I Y / N 1
Address I 66 ( License # ( I
ELECTRICIAN Company
Signature Registered Y / N I Fee Current I Y / N j
Address I I License # I I
PLUMBER Company I
Signature Registered Y / N J Fee Current I Y / N
Address I I License #
MECHANICAL Company I
Signature Registered Y/ N I Fee Current I Y / N I
Address I I License # I
OTHER Company
Signature Registered Y/ N I Fee Current I Y/ N I
Address I License # J 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 $5000)
Supply two (2) sets of drawings with applicable documentation
Allow 10 -14 days for review after submittal date. Parcel # - obtained from Property Tax Notice (http: / /appraiser.pascogov.com)
padwe ;s Jo pa ;uud `padA; tie;oN ;o aweN padwe ;s Jo pa ;uud •padA; tie}oN ;o aweN
•oN uolsslww00 'oN uoissiww00
ollgnd tie30N ollgnd tie;oN
•uopeogguapl se 'uopeoyguapl se
peonpoid aney /sey Jo ew o; unmowl AlleuosJed eJe /sl oyM peonpoid aney /sey Jo aw o; uMowl Alleuos.iad a eisl oyM
Aq Aq
sly; ew aio}aq (paungle worms pue pequosgns sly} ew eio;eq (pewJgje Jo) o; worms pue paquosgnS
21010Y211NO3 11,139V 210 213NM0
(£0'L66 's'd) flf `d0l Old
. 1N31A130N3INW00 d0 30110N NnoA ONIO2IO0321321O438 A3N2I0.LLV Md 2I0 213aN31 HJIM
11f1SN00 `ONIONVNId NIVi18O 01 GN31NI fOA d1 'Al2I3dO21d 2IfOA Ol S1N3W3A02IdWI 2104 301M1 ONIAVd
2Il0A NI 11fS32I AVW 1N3W30N3WW00 d0 30110N V a2I0032I O1 321flhIVd 2IfOA :213NMO O1 0NIN2IVM
•pauopuege peJeplsuoo s! go( ay} `sip angnoasuoo (06) A;aulu .1o4 saseao )$Donn 4l •uo!suapce ay1.104 asneo aigel4l;snf
a;ea;suowep !um pue sAep (06) A;awu paaoxa o} ;ou poued e Jo}. leloi}}p 6ulplm8 aq} wa4 `6ul ;uM u! `pa;senbaJ eq Aew
uolsua;xe uy •paouawwoo s! )1.10M an awl} an .18}}e sgluow (9) x!s poped e Jo;. pauopuege Jo pepuedsns s! ;lwJed an
Aq pazuogIne MJ0M dI Jo `aouenssl }lwiad 40 sy ;uow x!s u!y }inn paouawwoo s! ;lwled ions Aq pezpogIne ijJlonn an ssalun
pgenu! awooaq !legs panssl }lwJed A.ian3 •sapoo Au8 }o suo! }el0ln Jo uol}onJ}suoo `sueld u! sJoJ.ie 40 uo4o9JJo0 a 6up!nbaa
Ja}4ealay} wad lepigo 6ulplln8 ay; ;uanaid pulled a }0 aouenssl !legs you `sapoo leoluyoa} ay} 4o suo!s!nad Aue apse }es
Jo `wa ;le `laoueo `a;eloin o} A;uoy;ne se ;ou pue )Bonn an y;lnn peeoad o} asuaall e aq o; pani;suoo eq is panssl ;pied
v •uol;eolldde ay} u! papnlou! Alleol4loeds 40u suoI}epe;su! Jay ;0 Jo '586 `6uluol;!puo0 Jle `stood `spans `su6ls `6ulgwnld
`M.10M leoppala .104 papbeJ aq Aew ;pied a;eJedas a leg; pue}siapun 1 •uo!}onJ;suoo 6ulouawwoo o} Joud }lnep!}}e sly}
u! gpoj. as suol;lpuoo 64.}lwied ay} 4o J8UM0 ay} WJolu! o} -11! 4 pooh u! eslwoid 1 `213NM0 3H12IOd 1N3OV a44 we 141
•aouelidwoo u! aq o} aw;;snw
l suol }oe ;aim A4! }uap! o} A;lpglsuodsei Aw s! ;! ley; pue `)IJonn papua ;w ay} o} Aldde Aew seloue6e ;uawwano6
.Iay 40 40 suo! }eln6eJ ay} ley; pue;siapun 1 ley; A}!}.1ao asp I •uol;0lpspnf ay} u! suol}ein6aJ }uewdolenep
pue! pue `suol;ein69J 6uluoz `sapoo A ;IO pue A;unO3 'uol}onJ}suoo 6ul;eln6aJ sMe! !le 40 spiepue ;s ;aaw
o} pewioj od aq II!M vonn lie ;ey; pue ;Ruled a }0 aouenssl o} Jo!Jd paouawwoo sey not }elle}sul Jo )jJ0M ou ;e
A4lle3 I •pa;eo!pu! se uol;8Ie4su! pue )JJonn op o} ;lwJad a ule;go o} spew i(geiay s! uol}eollddy • }uawdolanap
pue! pue 6uluoz `uo! }onJ}suoo 6ul}eln68J some! algeolidde 118 y;!nn aouelidwoo u! auop eq !um Ton^ Ile ley;
pue a;eJn00e s! uol;eolidde sl41 w uol;ewJo4u! ay} 118 min Appao 1 :1IAVGIddV SaA3NM0 /Sa2I010V 111N00 -
UeWe0u9ww00 0; Jo!Jd „JauM0„ ay; 0; 4! Jan!Iap
04 y }!em poo6 u! aslwad pue ;uawnoop pegposep anoge ay; }o Adoo a paule;go aney 1 win Ap!}pe° 1 ` ay} Uey} .lay ;o
auoewOS s! }ueolidde an AA - sJ!e}}y .awnsuo0 pue am;lnop6y 40 luawpedeO epuold an Aq peiedaJd „awe uol;oa ;ad
s,iauMoawoH Mel uaf uo!}onJ;suoa eppold ay; }o Adoo a 4;!M pap!nad uaaq aney `}ueolldde ay; '1 leg; A}l1Jao
1 'WOW J0 00.009`Z$ s! )1J0M 40 uol;enlen dl :(papuewe se `sa ;n ;e ;s eplio13 `£LL Ja ;dey0) MV1 N3I1 NOI10f1211SN00
•A }unoa
Dosed u! sa6ailnud 6un.pwJad o; pal }l;ua }ou s! pue pasuao!! Alaadoid }ou s! ay leg; uol;e0lpu! ue aq Aew ;ey; `Jo;oeJ;uoo
ay; se u6ls JeUMo an se `noA 4l •elq!suodsa l eq 111M Aa golynm .1o; uol;e3lldde sly; ;o „)l0018 Jo}0ea;uoo„ ay} }o suopOd
u6ls (s)Jo;oeJ;uo0 ay; aney o; pas!npe s! ay `sJ010ea11.100 Jo Jo;39J;u00 9 pally sey Jaw() ay; d! `aJowJegpnd '6009
- Lt79 ;e u0l;oaS 6ulsueol uolslnla uol;0adsul 6ulplm8 A;unoa Dosed ay;;Oe;U00 0; pas!npe ale Aa ll `von& papua }u!
ay} .104 Aldde Aew s;uawaJInbaJ 6ulsueo!i leynm 04 se u!e}Jaoun ae JO;oeJ ;u00 pepua;ul .10 aauMO ay} 31 'fine! a ;e ;s Japun
uo!e10!n Joueawapslw a .104 pap aq Aew JO;3e.l;uo3 pue JOUMO ay; y;oq `Me! Aq paJ!nbeJ se pasueo!I ;ou s! JO}38J;u03
ay; i! 'suol;eln6eJ 18301 pue awls (4;!M aouepJ033e u! pasueon eq 04 peJlnbaa eq Aew Aay; `)IJonn ame}Japun 0; sJo}0BJ;uo0
.10 J010841100 e. pally sey JOUMO ay; If :S31111I81SNOdS321 2IO10V211N00 QNV S2I010V2I1N00 03SN3011Nf1
- suo1}0!J}saJ poop algeolldde
Au8 y}!nm eaue!dwoo.10} A;Jmglsuodsei sawnsse pau6!sJapun ail •suol;eln6a A }unoa ueq; an!;oplsa.i WOW eq Aew y3ILM
„suo! }op}sai „paap „_o }, }0afgns eq Aew;!wJed sly ; ;ey} spue;siepun pau6lsJepun ail :SNOI101211S32I 8338 dO 30110N