HomeMy WebLinkAbout09-8918 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 8918
ANNUAL FIRE PROTECTION MAINTENANCE
a• �&ii _ m•.t`$a._..` .C3 ;a E r r r �.; ,.� fit^ �t tag
Permit Number: 8918 Address: 6930 GALL BLVD
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE - PROTECTION MAINTENAN•E Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02- 26 -21- 0010 - 00800 -0050
Improv. Cost:, , : e �w.
Date Issued: 3/13/2009 Name: COMMUNITY NATIONAL BANK
Total Fees: 25.00 Address: 6930 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/13/2009 Phone:
Work Desc: FPM - ANNUAL FIRE ALARM FOR COMMUNITY NATIONAL BANK SCH3/16/09
a ...� . 77,-.477 ; ," br.L ,' .a.,". ... g
SPECIALTY ELECTRONIC SYSTEMS. IN FIRE PERMIT FEES 25.00
c\
" V
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."
ti
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 .
/ Permit Application
Date Received - Phone Contact for Permit
,,,,aki,,eLl Owner's Name ` A yr, y C� t 1 / }•j 4 A NA2. t) r � �
l - y „ 14.. l Owner's Phone Number Y/ 3 �(�
Owner's Address t Q C ' ( 36 - • i 4 l j � ' 0 O, e pk ' f i 11 , T 1 3 3 5 `7
Fee Simple Titleholder Name Titleholder Phone Number
Fee Simple Titleholder Address 1 1
>6 ..., . t, - ms. °- ' , areor g rem oma - , i ` F A - � ,: M '. 1 U -gi g . ;. mk- ,r�� f' witwa ....... e44w: a a� it .. k zfga �� � � ;:
Job Address 09,30 6—c, S d z Q,,p c. h is P[ Lot#
Sub Division . 4 Parcel #
n Bio- Hazard Waste Storage - ANNUAL n Fumigation Tent
n Comm Exhaust Kitchen Hood /Duct 1 1 Hazardous Material (Tier II or RQ Facility) ANNUA - C J _
n Controlled Bum Ti Hood Installation
n Emergency Generator < 30 kw n LP /Natural Gas - Installation
n Emergency Generator> 30 kw n LP /Natural Gas - ANNUAL Sale Vi Fi re Protection Maintenance - ANNUAL n Places of Assembly- ANNUAL /1r IUtnyl semi ( (Anf1 Other
4 ET
Sprinkler n ❑ ❑ ❑/ n Recreational Bum
Fire Alarm ❑ ❑ l I 1 1 I Sparklers
Hood Cleaning n ❑ ❑ ❑ I I I I Sprinkler System Installations %�
Hood Suppression ❑ ❑ ❑ I I I Standpipes (Sprinkler Sys) t'
n Fire Alarm Installation n Torch Roofing/Tar Kettle
n Fire Pumps n Waste Tire Storage ANNUAL
n Fire Works
I Flammable Application- ANNUAL
1 I Valuation of Project
n Fuel Tanks
n Other: I
E L V : i d - M a & V ' : : " : . , , -.n .: 1 : Z ' 1
Contractor 11 ` r
Signature � Registered Y N c1 Fee CBrrent Y / N ' r'
J
Address ligaMiMIIM,MA,IMMAP5 License # 1 J
ELECTRICIAN Company I
Signature Registered Y / N ] Fee Current I Y / N j
Address ( I License # I
PLUMBER Company
Signature Registered Y/ N I Fee Current 1 Y/ N
Address I 1 License # I
MECHANICAL Company 1
Signature Registered Y / N ] Fee Current 1 Y / N
Address 1 1 License #
OTHER Company 1
Signature Registered Y / N 1 Fee Current 1 Y/ N
Address 1 License # 1
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)