HomeMy WebLinkAbout09-9918 CITY OF ZEPHYRHILLS
. 5335 - 8TH STREET
(813) 780 -0020 9918
ANNUAL FIRE PROTECTION MAINTENANCE
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Permit Number: 9918 Address: 7446 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:
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Date Issued: 12/21/2009 Name: SYBEA,INC.(ARBY'S)
Total Fees: 25.00 Address: 7446 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 12/21/2009 Phone:
Work Desc: FPM- HOOD CLEAN SEMI- ARBY'S- WORK DONE
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Fl 'R TICN TE IR - MIT FE 25.00
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I A AN E 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!
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
81..780 -0020 City of Zephyrhills-Fire Fax- 813 -780 -0021
Permit Application
Date Recalled I 1. _ Phone Contact for Permit _- _ I 1.1
(� ..:.. `- (11 r-S ..... -.. ( o*ner's Phone Number r: ( 749 3 (1 7 7
Owners Name J A �• "S
owners Address 1 7 v'6 c az C )86(,)0 z - ,sc C s A 1.
Fee Simple Titleholder Name I I Titleholder Phone Number III 1 1
Fee Simple T Ieiolder Address
T.�r.
Job Address 1 -7 41• •)6Z -V6 z. • /7.-t2 CC - L«#
Sub Division I Parcel #
Q Bio- Hazard Waste Storage ANNUAL n Fumigation Tent
a Comm Ebrhaust Kitchen Hood/Duct = Hazardous Material (Tier II or RO F. ty) ANNUAL
ED Controlled Bum Q Hood Installation
ED Emerg �
eecyGerr< 30 kw r LP/Natural Gas - Installation
Li Ernerge cy Generator> 30 kw 1= LP/Natural Gas - ANNUAL Sale
El Fire Pro =lion Maintenance - ANNUAL ED Places of Assembly- ANNUAL
EMI (aem11 ® •'+ _.._...._ _._...
Sprinkler o ❑ ❑ ❑ n Recreational B •
Fire Alarn El ❑ ❑ ❑ I 1 a Sparklers
Hood Cleaning M ❑ p( ❑ 1 1 (' r—i Sprinlder System Installation.
Hood SI.ppassion ❑ ❑ ❑ 1 ! I i Steppes (Sprinlder Sys)
Fire Alain Instalation . n Torch Rooting/Tar Kettle
H Foe Pumps . = Waste Tire Storage ANNUAL
Fire Woks
Flammaote Applcation- ANNUAL EI Valu • • n of Project •
lJ Fuel Tasks
�.n..._T,_R__ a _ Other. .. i.,. - .: - -,,. _,._ .,crz: -_.. _._. .. -� ..._._ -. .. . - .- -.._._ 7 _
co ntractor .__�_: __..
'� G. _ . - c om p any r
rr �J - �._..lrs .4,
Si gnattrs (4 _ - u _ Registered Y / N Fee Cu Y / N
Address `y 1 3 ,8L+owAtb Tat Rhl.E .117%- IftNE.✓ Pr- ( License it
ELECTRICIAN) C
Signature Registered YI N Fee - Y I N
Address 1 1 License*
PLUMBER I a
Signature Registered Y / N Fee -nt Y / N
Address 1 License #
MECHANICAL! Company
Signature ( Registered Y / N Fee . nt Y / N
Address j � License*
OTHER Company
Signature Registered Y / N Fee Cu nt Y1 N
Ademss� License
Diections:
F8l out appli catfoo completely. contract with owner)
Owner & Contractor sign bads of application. notaraed (Or, copy signed
If over $2500. a Votive of Commencement is required (Mechanical work over $5000)
Supply two (2) sets of drawings with applicable documentation
Allow 10-14 days for review after subnttialdate. Parcel #- obtained from Property Tax No6ce (htlpilapprais - .pascogov.com)
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81. -780-0020 City of ZephyrhillsFire. CO If Fax-813-780-0021
_. Permit Application
. .
owners Name I A ER 'Ps
1 Owner's Phone Number IMI 1111 I 713 3 1 1 TS - 7 ,
Owner's Address 1 7 ye/6 a nxc At_vo
Fee Simple Titleholder Name I I Titleholder Phone Number 1 11 I
Fee Simple 'Titleholder Address I
Job Address I —7Z / C (4. - AFZ- ' '■ 6 -2 - iff'zc 1 IL I
Sub Division Parcel # 1
ED Bio-Hazard Waste Storage - ANNUAL r Funtgabon Tent
ED Como Exhaust Kitchen HoodlDuct = Hazardous Material (Tier 11 or RQ -. - r' ) ANNUAL
E . ] Controlled Bum r Hood Installation
E::1 Emengency Generator <30 kw 1 LP/Niatural Gas-lnstailation
ED Emergency Generator > 30 kw R LP/Natural Gas-ANNUAL Sale
= Fire Protection Maintenance - ANNUAL Places of Assembly-ANNUAL
r --- 1 1M1
SprinIder 1 .... J 0 o o ri Recreadonal Burn
Fore Alarm 0 0 0 o 1 1 ED Sparklers
Hood Cleaning D . p( 0 1 1 El Sprinider System Installations •
• Hood Suppression o 0 0 1 I P SieedPiPes (SPrlidder Sys)
ED Are Alarm Installation = Torch Roofing/Tar Kettle
Fire Pumps . . 71 Waste The Storage ANNUAL
Are Works
Flammable Application- ANNUAL
I 1 Va , t • of Project
Fuel Tanks
El Other: I '
SilYieeseicir , I i L.9 _ p.k..„ ._,
,
_
Cantract 1 ,. Company
Registered yn? Fee e Y / N
Address l ; BOWAta 01 ' , _ r _i ' 1 41 Pe. License #
I
EC 1
ELTRICKI
Signae I
I Company
Registered I Y / N I Fee - . 1 Y / N i
Address 1 1 License # 1
PLUMBER CcalOgulY
Signature . Registered I Y/N 1 Fee 11 1 Y/N 1
Address 1 V License # 1
glECH . Company
ftegistered YIN 1 Fee -. . 1 YIN
I
u
Signat7 1
Address 1 I License # 1
OTHER I
1 Company
Registered Y / N 1 Fee ..• 1 Y / N
Signetme
Address I License* 1
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Directions:
FE out appRcation completely.
Owner & Contractor sign back c4 applicition, notarized (Or, copy of signed contract with croner)
if over S2500, a Nolce of Commencarnent is required(kiechanical work over $5000)
Supply two (2) sets of disiviags With applied*: documerdation
Allow 10-14 days for review after submittal Parcel # - obtained from Property TAW Notice (tittp:/ , , • • , -- ‘ • .- •- - • • • .com)
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