HomeMy WebLinkAbout09-9715 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9715
ANNUAL FIRE PROTECTION MAINTENANCE
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Permit Number: 9715 Address: 7821 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:
Improv. Cost: ' °'b.; 1
Date Issued: Name: CHINESE TAKE OUT RESTAURANT
Total Fees: 25.00 Address: 7821 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/02/2009 Phone:
Work Desc: FPM -HOOD CLEAN- HONG KONG _
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R & L L A L IRE FERMI FEES 25.00
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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."
■
P T 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- 780-00V City of ZePhyrhilis f ifie- 1 1 t5 Fax -813 -780 -0021 R`
Permit � - _-
- pho CorAaac for Permit
Dat Received _
1 `J�- 1 Owners Phone Number mber ] IltI 1 n u � 8 1
Owners Name \-\6\k°‘ `�c�11��
Owners Address 1 • 2 \ G o \ Q, \ c 7\4 , cl.•- 1
Fee Simple Titleholder Name 1 I Titlehoider Pone Number I 1 1 1 1 I
Fee Simple Address 1 I
Sub Division
Me` `Lot # I
Job Address I I
1 1 Parcel # 1
n Fumigation Tent
El Bk,_l�rri Waste Storage - ANNUAL
❑ Comm Exhaust Kitchen Hood/Duct ❑ Hazardous Material (Tier II or RQ Facility) ANNUAL
❑ Controxed Bum n Hood Installation
❑ Emergency Generator < 30 kw n LP/Nahra! Gas - Installation
ED er
Emergency Generator > 30 kw ED LP/Natrrat Gas - ANNUAL Sale
❑ Fire Protection A - ANNUAL n Places of DUAL
® ®®
sprinkler ❑ 0 0 0 _ ❑ Burn
Are Alarm -00 0 0 1 I EJ Spenders
Hood Clearing 0 0 1 CD SPrndder System Installations
Mood Suppression [J 7 0 0 I ( n Standpipes (swim Sys)
❑ Fire Alarm Motion ❑ Torch Roofing/Tar Kettle
H Are Pumps ❑ Waste The Storage ANNUAL
Fire Works ' Valuation of Project
Rarrvrrable Application- ANNUAL I
Fuel Tanks 1.7 I
1
Si gns car ` - ` ': tlf. , , � I Registered I Y / N I Fee Current I Y / N I
S
Address �� , _ � — Vy - i
ELECTRICIAN I Registered L Y/ N Fee Current Y/ N
Address Signature I 1 License # I I
PLUMBER l I
Signature Y/ N current u reed Y/ N
I I
I I License #
I
Address 1 Company
MECHANICAL I Registered Y/ N 1 Fee Current I Y/ N
Signature I
Address I I License # I I
OTHER I Registered I Y/ N I Fee Current I Y/ N (
Signature I
license #
Address
Directions:
O awner rt & Contractor r sign back of application. notarized (Or, copy of signed contract with owner)
O & CwMrar sign b
If over $2500. a Notice of Con mencemant is required .(Mechanical work over $5000)
Supply two (2) sets of drawings with applicable documerdaiion Parcel # - obtained from Property Tax Notice (tAtP! /aP er• gc`� ')
Allow 10-14 days for review after submittal date.
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