HomeMy WebLinkAbout09-9937 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9937
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 9937 Address: 5050 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: 11- 26 -21- 0000 - 01400 -0000
Improv. Cost:
Date Issued: 12/29/2009 Name: DOMINOS PIZZA
Total Fees: 25.00 Address: 5050 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 12/29/2009 Phone:
Work Desc: FPM -SEMI SUPPRESSION- DOMINO'S PIZZA- SCH 129/09
SE URI I •UIPMEN LL I P RMIT EES 25.00
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FIRE A PTANCE 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 $100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE
OF COMMENCEMENT."
P � IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813- 780 -0041
813 -780 -0020 City ofZephyrhillS Firer Fax- 813 - 780-0021 i.
Permit Application
Date Received 1 I Phone Contact for Permit 1
Owner's Name G.yr,.c -lo.S J z7' 2-62,1•($/,-4
1 Owner's Phone Number } ?i.3 1 1 2W 1 1 7 ?02
Owner's Address IS`Z�C �.t � (/�j
S �� /
Fee Simple Titleholder Name I I Titleholder Phone Number I 1 1 1
Fee Simple Titleholder Address I
Job Address I Lot # I �.~ ��:
Sub Division 1 Parcel # ) I
Storage Fumigation
Bio- Hazard Waste Sto a - ANNUAL 1 1 gation Tent
n Comm Exhaust Kitchen Hood/Duct I Hazardous Material (Tier II or RQ Facility) ANNUAL
n Controlled Bum n Hood Installation
I - I Emergency Generator < 30 kw a LP/Natural Gas - Installation
I Emergency Generator > 30 kw I] LP/Natural Gas - ANNUAL Sale
Fire Protection Maintenance - ANNUAL r Places of Assembly- ANNUAL
lSemil ®Li.+1 1
Sprinkler n ❑ ❑ ❑ El Recreational Bum
Fire Alarm IT ❑ ❑ ❑ I I n Sparklers
Hood Cleaning Ej ❑ ❑ ❑ I I [] Sprinkler System Installations
. Hood Suppression f.R ❑ A ❑ I 1 n Standpipes (Sprinkler Sys)
7 Fire Alarm Installation I Torch Roofing/Tar Kettle
Fire Pumps I Waste Tire Storage ANNUAL
Fire Works
Flammable Application ANNUAL ' ( Valuation of Project
Fuel Tanks
0 Other. I
Contractor Cony I
Signature Registered Y / N, Fee Current I Y/ N I
Address I License #
ELECTRIC Company I
Signature Registered Y/ N I Fee Current I Y/ N
Address I License # ( I
PLUMBER Company 1
Signature Registered Y/ N 1 Fee Current I Y/ N 1 1
Address I License # I
MECHANICAL Company
Signature Registered Y/ N j Fee Current I Y/ N 1
Address I I License # I I
OTHER Company etri ��d L L
Signature ,- � 2,,... - G(.1�_ Registered Fee Current
Address
License
ter.. .,
Directions.
Fill out application completely.
Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner)
If over 5 2500. a Notice of Commencement is required (Mechanical work over 55000)
Supply two (2) sets of drawings with applicable documentation
Allow 10-14 days for, review after submittal date. Parcel #- obtained from Property Tax Notice (httpJ /appraiser.pascogov.com)