HomeMy WebLinkAbout09-8913 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 8913
ANNUAL FIRE PROTECTION MAINTENANCE
n
u • 3¢d &MAKI 3 ` , -. . :777:777,177:11, ' F i "
Permit Number: 8913 Address: 6848 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: 02- 26 -21- 0010 - 00900 -0020
Improv. Cost:
Date Issued: 3/12/2009 Name: ZEPHYRHILLS CINEMA 10
Total Fees: 25.00 Address: 6848 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/12/2009 Phone:
Work Desc: FPM - SPRINKLER ANNUAL- CINEMA 10- 3/12/09
a:. x p s . _ 1 ;
INTERNATIONAL FIRE PROTECTION IN FIRE PERMIT FEES 25.00
\ /V
q -2
; # s: s .:. �'7 c `5
FIRE ACCEPTANCE 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."
el
ICY
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 ZephyrhillsFire• Fax -813 -780 -0021
Permit Application
i 0 Phone Contact for Permit
Date Received I J � / I ..._ sar �..,..��:x.��a� , w�
Owners Name Z LP HAY �.Z (1 c,2 / Owner's Phone Number
Owner's Address tON ir 6A L L 4 L it 2 6- P ( Z c f ,z
Fee Simple Titleholder Name Titleholder Phone Number ,
•
Fee Simple Titleholder Address
_ , ". a iP. a z« ...,,, a; 'r�..,. 171fitr." • R';.w *a r °.:1` NNUMSc .;"`; « a : <r',...k._..a...,. t" ., ,...w. .«,..,......... ,......
Job Address v o (i2 CM L (0 Lot#
Sub Division Parcel U T >,. Mw«, x.,<,si�av arw«w, «, X, a�,r;.
arce
' a.., ,,.,>M.T..;, �..' `: e..«�::.:.,. M_..:.�s.�;Ya�«�. a'. ��s.ax . . a. �e, m . a. •c .:. wm:�; .' <- r... s'.r:? _ e » .h.'�.,�'.i'" . � "�G�.ak.�...'. =_.. ._,.� m.. e, .... »�...
I I Bio- Hazard Waste Storage - ANNUAL I Fumigation Tent
I I Comm Exhaust Kitchen Hood /Duct n Hazardous Material (Tier II or RQ Facility) ANNUAL
- Controlled Burn 1 Hood installation
7 Emergency Generator < 30 kw I LP /Natural Gas - Installation
1 I Emergency Generator> 30 kw I I LP /Natural Gas - ANNUAL Sale
I I Fire Protection Maintenance - ANNUAL 1 I Places of Assembly- ANNUAL
MO 'semi' ] Other
Sprinkler FZ1 ❑ ❑ 1 1 + I7d I I Recreational Bum
Fire Alarm ❑ ❑ ❑ I 1 I Sparklers
Hood Cleaning n ❑ ❑ ❑ I 1 1 I Sprinkler System Installations
Hood Suppression I 1 ❑ ❑ ❑ 1 I 1 I Standpipes (Sprinkler Sys)
Fire Alarm Installation I Torch Roofing/Tar Kettle
I I Fire Pumps 1 I Waste Tire Storage ANNUAL
FT Fire Works
Flammable Application- ANNUAL Valuation of Project
Fuel Tanks
I Other: I c. ..tt..x.�,�.
....._. .,.w..�:x 1.:« wry ; >«,.....s....;..,?'xr'.�u�e, �_.x. 's , gym ac.; _. .,. �:, u,:a�' -„ z[ ..«.. �. . , ,:,,,,,,I;;;,.:.,,,,,,.. x - , M.`..�.,r.�s�.€'�,.mriN,*.sx «. . _ ..M..
Contractor Company
Signature Registered Y / N I Fee Current I Y / N
Address 1 _ I License # I
ELECTRICIAN Company
Signature Registered Y / N Fee Current I Y / N j
Address I License #
PLUMBER Company
Signature Registered Y / N Fee Current 1 Y / N
Address License #
MECHANICAL Company
Signature Registered Y / N Fee Current L Y / N
Address I License #
OTHER Company
Signature Registered Y / N Fee Current 1 Y / N I
Address I License #
�, ., a «.�...,...:
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)
padwels Jo paluud `padAI tieloN in aweN
padwels Jo paluud '.padiq AleloN in aweN
oN uo!sslwwo0
•oN uolsslww00
oIlgnd tieloN
• o!Ignd tieloN
vogeogguap! se
uogeo}uapl se p aney /sey �o aw of unnou�l ,�Ileuos�ad wets! cum paonpo.�d aney /sey.io aw o; unno. �Cpeuosaad eJe/SI N M
�(q slid aw eJo;eq (paway;e Jo) of worms pue pequosgns
slyl aw wow (pauLyle Jo) of worms pue paciposons
3 1NBOV 210 213NMO
210.1.01/21.111 O
(EO11.66 'Td) want 'Mood
1N3W30N3WW00 AO 30Ii0N 21f1 NI�O aadO?!d lino). 01 S1N� 9n0 dWl 210A 201/1/11 ONIA`dd
1�fiSN00 `ON10N11NId NItl180 01 aN31Nl fi
- 21l0A NI ff S321. AVW 1•3W33N3WIN09- d0.301L0N v a2100a2! Ol 321fi"IIVd Jfl0A :2i3NMO 01 ON I H M
•pauopuege paJap!suoo s! go( ay} '9/cep an! }noasuoo (06) �(}aulu ioi saseao )jonn ii •uo!sua}xe ay} Jo} Iq }
a }e.l}suowap p!nn pue sAep (06) Al P
aup aaoxa o} }ou popad a poi 'poop 6uiPIIf9 ay} wall `6u!}!Jnn w `pa }senbaJ aq Aew
a a
uolsua}xe 'iv y 'paouawwoo s! ){Donn ay} aw!} ay} Jaw sy}uow (g) x!s id p o!�ad a Jo i ! }!woad ay}
P auo p ue q �o o ne uadsns to s s ay} ssalun
�Cq paz! )1�oM }!
Jo ` aouenssi pulled id 914iuOw x!s ulyi!M paouawwoo s! }!woad Bons i(q p 4} ) 1
pgenu! awoo awoaaq !legs panss! }!woad tian3 •sapoa Aue 40 suo! }elo!n .10 uo! }onuisuoa `sueld ul 5.1011 uo!s!nad Cue 5upinbai }as
-1314e9-1344 -1314e9-1344 W04 'BPI() 6u!pling ay} }uana Id ;limed a j.0 aouenss! !legs you `sapoo leo!U ooa } uo s s OI noid panss! se ;a s
Jo 'law `IaOUea 'emit* o} A ovine se }ou pue A.Ionn ay} yi►nn paeoo.id o} esueoll a eq } p an
v •uo►}eolidde ay} u! papniou! Al!eogioads ;pi suo!}eile}su! .1a14 }o .io 'se `6u!uo!}lpuoo _lie `stood `spans `su6!s `6uigwnld
' JOM eau oa a Jo} pai!nbai aq Aew }!wiad aieiedes a }ey} pueislapun 1 •uo! }onJ }suoo 6wouawwoo o} o!Jd }!pepsin 5 !144
w
! I i ! ypoi }as suo!}lpuoa 6u!iilw.lad ay} o iaunno ay} wao !e oo6 u! as!wo.�d 1 `b3NMO 3H1110d lN3Od ay} we I it
i w . o i 4i. i P •aouegdwoo w eq o} aije} }snw
ua I o I I Isuodsei �(w s! }! }ey} pue Vann Papue4Ul ay} 01 �Cldde Aew saloua6e }uawwano6
I 9 .410 id } 110 �(i!} p. } /.I.q. AA= os a •uo!}ops!m( ay} u! suo!}eln6ai }uawdoianap
.191.410 id suoiein6a� ay} ;eq; pue }s�apun I leg; /(i!i.1 ! ! s
puel pue `suo!}eln6aJ 6u!uoz `sapoo /(}!O pue �(}uno0 `uo!}onJ}suoo 6u!}e1n6aJ sMel Il e Jo P ie P ue }s }aaw
e e ue IwJad a id aouenss! o} Jopd paouawwoo sey uo!}elle}su! .10 )!.torn ou }e4}
eU.l �C ga�ay s! uo!}ea!lddy •}uawdofanap
puei pue 6u
o} paw�oi ! U! se p } yi P } Inn Bonn Ile n a p
r(il}�ea 1 •pa}ea!pu! se uo!}epe}su! pue �{�onn op o} }luuad a we }go o } a p
luoz `uc! }onJ }suoo 6u!}eln6aa sMel a!geo!Idde Ile 4i!M aoue!idwoo u! auop aq II.
pue 81e.100e 91 uo!}eapdde 9114} u! uo! }ewioiu! au; He }ey} A14iJao I Wndd uawa o uuawwoO o } ouud euuMon 00
4} 0}.}1 aan!!ap
awe }go amt.! 1 leg; �!� I ue �a o
ano e a 40 �(doo e p e as ` JauMo„ ay} 14} 14}
o} 484 pooh u! as!wald pue }uawnoop paq!�osap q 4i i uo! }aa }ad
pue ainilno!J6d id }uewpedaa ep!old eq4. /q paiedaid u ap!nO
auoawos s! }ueo!ldde ayi dl 's�!e}iy �aulnsuoO p IM a Inad uaaq aney `}ue0!ldde ay} `I }e4} �!�ao
s,JeuMoawoH —Me1 uar! uo! }OnJ }suo0 eplold„ 314 }. 40 ICdoo e y}. P P.
`avow J0 00'009.`Z$. Si AJonn io uo! }enlen iI :(papuawe se `sa ;n ;e ;g epPold `E4LJaldeg3) Md"1 N31'1 NOIi3f1Zi1
cased w se6apniJd 6ulmuuad. o }.pal }I}ua ;oil s! pue pasuaoll Apadoid }op s! ay leg; uo!}eopul ue eq Aew }e14} `
J0 0w}uo0
c oc 0 ael�uoa� ay} io suo}�od
ay} se Ub!S JGUM0 a14}. se `no�C 41 'a!q!suodsaJ eq HIM �Cay}..40!4M .10i. uo!}e0pdde 9114} i „�I 18 } I °a0Ow� 44 40 '6008
assn a s! ay `so}oeJ}uoO Jo ao}0ea}uoo a pally sey .IauMO ay} i.
116!9 (s)�oae�}uoa ay}. aney o} p P uno0 cased ay} }ae}uoo o} pas!npe a.1e �Cay} `)jJOM papua}u!
-Lt�8-LZL }e-uogoas 6wsuaon— uols!ma uo}oadsul 6ulppn8 y ; `) a e s le pun
ay} poi �Cldde: Aew s}uawaJ!nba.. 6u!sueo!l 4814M 01. se uppeoun ate oioo }UO papa aUnba� se pasua }OU is! � 4 s lepu
uo!}elon Joueawapstw e: Joi. pa410 aq Aew JooeJ;uoo pue JaUMO a4} 144 bay 1 � p �Ca14} Vann a sua !I 40 S sJ0}0e1 }1100
ay} 41 •suol}e1n6aJ.Ieool pue ems y }!nn eouep.r000e u! pasuall eq o}. p
. suo }0!i }sa.l peep algeo!idde
_ _ Jo. JO4OEJ4UO_o.e:_p9Jly. 98i4 JauMO ay; 41 :S3111'1191SNOdS321 21013V I1NO3- aNb S21010tl211N00 a3SN3aI1N
Aue y}lnnsaaueldwoa.Joi A}!1!q!suodsaJ sawnssa pau6Is.1apumayl •suo! }e!n5aJ A}uno3 uey} an! }0!J4saJ a.IOW eq Aew 4o!4M
. , _,paapn_o }; }oa(gns:aq-Aew ;plied 51141 }e4} spue}sJapun pau6isJapun ayl :SNOI13l 9921 Q33a'd0'33110N