HomeMy WebLinkAbout09-9702 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9702
ANNUAL FIRE PROTECTION MAINTENANCE
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Permit Number: 9702 Address: 6815 GALL BLVD
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE - PROTECTION MAINTENAN •E Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 03- 26 -21- 0010 - 01700 -0020
Improv. Cost:
Date Issued: 10/30/2009 Name: QUALITY INN
Total Fees: 25.00 Address: 6815 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/30/2009 Phone:
Work Desc: FPM- SPRINKLER QUARTERLY- QUALITY INN -SCH 10 -30 -09
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INDU RIAL FIRE 4 & SAFETY IN FIRE P R 1 25.00
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FIRE AC P AN inal
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." �r
1i
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 „,:r rq - iJ - 2 , Fax- 813- 780 -0021
Permit Application l/
Date Received, I
• ! Phone Contact for Permit
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Owner's Name I Pankaj Patel Owner's Phone Number I I 1 1 1 I
Owners Address 29341 Rhodin Place, Wesley Chapel, FL 33545
Fee Simple Titleholder Name I Titleholder Phone Number I I I
Fee Simple Titleholder Address I I
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Job Address 6815 Gall Blvd, Hiway 301 North, Zephyrhills, FL 33541 Lot #
Sub Division ( I I
Parcel #
.: . . _... WM.U, ''..'' ' ' ,, ,. 1u,,: � ., AgAMIKVe IV .,., WW¢ IIMMINMV'''
n Bio- Hazard Waste Storage - ANNUAL n Fumigation Tent
a Comm Exhaust Kitchen Hood /Duct n Hazardous Material (Tier II or RQ Facility) ANNUAL
n Controlled Burn n Hood Installation
n Emergency Generator < 30 kw n LP /Natural Gas - Installation
n Emergency Generator > 30 kw LP /Natural Gas - ANNUAL Sale
n Fire Protection Maintenance - ANNUAL n Places of Assembly- ANNUAL
pm (Semi LW Other
Sprinkler El Jfif ❑ ❑ n Recreational Burn
Fire Alarm D ❑ ❑ ❑ I I n Sparklers
Hood Cleaning D ❑ ❑ ❑ I I n Sprinkler System Installations
Hood Suppression El ❑ ❑ ❑ I ( n Standpipes (Sprinkler Sys)
Fire Alarm Installation n Torch Roofing/Tar Kettle
n Fire Pumps n Waste Tire Storage ANNUAL
E Fire Works
n Flammable Application- ANNUAL I I Valuation of Project
Fuel Tanks
0 Other: I
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Contractor Company YSC -fs 5 4 ^ / A I
Signature Registered Y/ N I Fee Current I Y/ N f
Address
I License # I
ELECTRICIAN Company
Signature Registered Y/ N . 1 Fee Current I Y/ N I
Address I
I License #
PLUMBER Company
Signature Registered Y/ N I Fee Current I Y/ N
Address I
I License # I
MECHANICAL Company
Signature Registered Y/ N I Fee Current 1 Y/ N I
Address I I License # I
OTHER Company
Signature Registered Y/ N 1 Fee Current 1 Y/ N 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 (http: / /appraiser.pascogov.com)