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HomeMy WebLinkAbout09-9754 v CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9754 ANNUAL FIRE PROTECTION MAINTENANCE r b < a s� 7777.1'::: 4 < a P i 3a ': ��2!m. x k s 4,�` 3� �' } ` , a..3 � : Permit Number: 9754 Address: 5017 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 - 20800 -0010 Improv. Cost: a :7e Date Issued: 11/12/2009 Name: - HUFFMAN CARLYLE & BA Total Fees: 25.00 Address: PO BOX 251 Amount Paid: 25.00 CRYSTAL SPRINGS, FL 33524 Date Paid: 11/12/2009 Phone: (813)783 -8098 � Work Desc: FPM -SEMI HOOD CLEANING FOR BARB'S RESTAURANT-SCHEDULED //""/Z7 UNIT = 'VI dba L• H IRE' - M F 25.00 c-t_ /A - t a t s'''"")(-64444 2 .° 7 Q FIRE A - 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." er! ArA 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. Fax -813- 780 -0021 7v A {` Permit Application (Z Date Received /42 C ( - Phone Contact for Permit Owner's Name 1.1. .2_1_0 AVM 7--/- Owners Phone Number R/ 3 57es • I 9357 Owner's Address f !L 9738 8 /J/ 7P4 f FL 33674g Fee Simple Titleholder Name Titleholder Phone Number - Fee Simple Titleholder Address c,-a 4., ...A: •,pr« x. , -. >.. x».,, h..x :.-. * - ..xrrw .' ,wo-;'5. r F...r , . ,^� .... r.. K " „..:".: a:e;a,..xr °r:s4E - -- .. �"`Niti. <.;, ;3.Y:'£- '^`a'�ru.�'F✓A 'x%�YU r'1�iss., ( �kfaS4 � / `J' ` /'' / � Job Address g4R ,6 Rt S /" r SO/ 7 671L/L ZLVD Lot# Sub Division Parcel Bio- Hazard Waste Storage - ANNUAL Ti Fumigation Tent ri Comm Exhaust Kitchen Hood /Duct n Hazardous Material (Tier II or RQ Facility) ANNUAL ,v I Controlled Bum i Hood Installation AA , I I LP /Natural Gas - Installation Vi I Emergency Generator < 30 kw � KKK��� „� I I Emergency Generator > 30 kw ri LP /Natural Gas - ANNUAL Sale (L� I Fire Protection Maintenance - ANNUAL f Places of Assembly - ANNUAL , .. - VP Iutnyl ISemiI tither Sprinkler ❑ ❑ ❑ 99999 n Recreational Bum �t j a i, ► �� Fire Alarm I I ❑ ❑ ❑ I . I 9 4 / / 7 I Sparklers - Hood Cleaning VI ❑ ,cal ❑ I L I Sprinkler System Installations , - / /400 I I Stand p p es (Sprinkler S y) ,' s D i . 1 Hood Suppression I ❑ ❑ ❑ ( © W n Fire Alarrn Installation 1 Torch Roofing/Tar Kettle r; � L5R I I Fire Pumps I Waste Tire Storage ANNUAL / /� I I Fire Works Flammable Application - ANNUAL f ( Valuation of Project Fuel Tanks ri Other: IE Contractor Company Signature /op Registered Y / N Fee Current Y / N Address I I License # I I ELECTRICIAN Company _ Signature Registered Y / N I Fee Current I Y / N I Address I I License # I I PLUMBER Company I Signature Registered Y / N I Fee Current 1 Y / N I Address I 1 License # I I MECHANICAL' Company I Signature Registered Y / N I Fee Current 1 Y / N I Address I I License # I I OTHER Company I Signature Registered Y / N I Fee Current I Y / N I Address License s, ti's � w ,-.. �,. - - - �; �.x . •.�.ea� ., �. , . 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 clays for review after submittal date. Parcel # - obtained from Property Tax Notice (http: / /appraiser.pascogov.com)