HomeMy WebLinkAbout09-9067 CITY OF ZEPHYRHILLS
5335 - 8TH STREET 9067
(813) 780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 9067 Address: 6056 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: 03
Improv. Cost: t 4 .
Date Issued: 4/24/2009 Name: MCDONALDS USA, LLC
Total Fees: 25.00 Address: 6056 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/24/2009 Phone:
Work Desc: FPM- HOOD CLEAN QUARTERLY- MCDONALDS -SCH 4/13/09
NOVA RESTAURANT CLEANING SVC INC FIRE PERMIT FEES 25.00
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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 $100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE
OF COMMENCEMENT."
/1i
P ' IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813- 780 -0041
813-780-0020 City of.Zephyrhills Fire. ot 0 ( Fax - 813- 780 -0021
Permit Application
Date Received 1,. - ,x. ,n w»
Contactfor Permit
Owner's Name I /✓DVil G'G..e.A•v.VC xt'.e.✓ /c /A e " • I Owner's Phone Number .
Owner's Address O O ' ,$ OX //9a6 TA-070. , 3 3C 7>
Fee Simple Titleholder Name Titleholder Phone Number I I
Fee Simple Titleholder Address I
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Job Address
MG ,POW.tLP 5 Go4z . GALL duck• I Lot#
Sub Divisio Parcel #
I 1 Bio- Hazard Waste Storage - ANNUAL Fumigation Tent
n Comm Exhaust Kitchen Hood /Duct I Hazardous Material (Tier it or RQ Facility) ANNUAL
I I Controlled Bum I I Hood Installation
I I Emergency Generator < 30 kw I LP /Natural Gas - Installation
I I Emergency Generator> 30 kw n LP /Natural Gas - ANNUAL Sale
I1 Fire Protection Maintenance - ANNUAL I I Places of Assembly- ANNUAL
lUtrlyl (Semi JAFi l Other
Sprinkler ❑ ❑ ❑ I I Recreational Bum
Fire Alarm I ❑ ❑ ❑ I I I Sparklers C LF..AN/ N C MLA- ae
Hood Cleaning ® Xr ❑ ❑ I I I I Sprinkler System Installations
1 1 I ?)0 NE O� l�+�Q• !3 •
Hood Suppression I 1 ❑ ❑ ❑ I Standpipes (Sprinkler Sys)
I I Fire Alarm Installation Ii Torch Roofing/Tar Kettle
Fire Pumps n Waste Tire Storage ANNUAL
Fire Works
Flammable Application - ANNUAL
1 ) Valuation of Project
Fuel Tanks
I Other: I
Contractor Company /�/OV/+ CeflN /NC S6.e!/ /GB /M!•
Signature Registered Y / N 1 Fee Current I Y / N I
Address I P. Of ?O,Y, 4'9GG 7740/09.7,$3c721 License# I I
ELECTRICIAN Company
Signature Registered Y/ N I Fee Current I Y/ N
Address I I License # I
PLUMBER Company I
Signature Registered Y / N I Fee Current I Y / N
Address I I License # I
MECHANICAL Company I
Signature Registered Y / N Fee Current I Y / N I
Address I I License # ( I
OTHER Company I
Signature Registered Y / N 1 Fee Current I Y / N I
Addres
License
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)