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HomeMy WebLinkAbout09-9120 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9120 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 9120 Address: 5017 GALL BLVD Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL. Class of Work: FIRE - PROTECTION MAINTENANCE Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11 26 - 0010 - 20800 - 0010 Improv. Cost: Date Issued: 5/13/2009 Name: HUFFMAN CARLYLE & BARBARA Total Fees: 25.00 Address: PO BOX 251 Amount Paid: 25.00 CRYSTAL SPRINGS, FL 33524 Date Paid: 5/13/2009 Phone: (813)783 - 8098 Work Desc: FPM -HOOD CLEAN SEMI- BARB'S RESTUARANT- SCHEDULE 5/11/09 # .' L: .. L17: d. £� ;� v 2'`�..S.r - & €» fi r,-. , 7' "°`""';,, 8$ 5• UNIVERSE SERVICES d /b /a LASZLO H FIRE PERMIT FEES 25.00 I tea., •r`, s.,= _.. :::� ✓"•t a, .' a : ,�i' a _::im t r r pE*&:,`�`;EWV r„<..rAV 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 $100.00, whichever is greater. All work shall be performed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." �! P � IT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813- 780 -0041 813-780-0020 City of.Zephyrhills Fire j 1 t (� Fax- 813- 780 -0021 Permit Application . . . Y / /► q /� Date Received '/ IX ©S 1/ �/ 7 P ho n e Contact for Permit I 13 IS q5....17 Owner's Name h./K2-1-0 - 71-0ZV` 1- - l/ i Owner's Phone Number ,g /3 .s . 9337 Owner's Address � / " D WK 7 3e / ✓ ) / 4 FL- 33.67 Fee Simple Titleholder Name Titleholder Phone Number Fee Simple Titleholder Address I Job Address 13 I 5 AC V f 611/7 674 L I/D Lot Sub Division Parcel # Bio-Hazard Waste Storage - ANNUAL n Fumigation Tent n Comm Exhaust Kitchen Hood /Duct I I Hazardous Material (Tier II or RQ Facility) ANNUAL Controlled Bum 1 I Hood Installation n Emergency Generator < 30 kw I I LP /Natural Gas - Installation Emergency Generator> 30 kw I LP /Natural Gas - ANNUAL Sale I I Fire Protection Maintenance - ANNUAL I Places of Assembly- ANNUAL IUtrly1 ISemi1 Other Sprinkler n ❑ ❑ ❑ I Recreational Bum Fire Alarm n ❑ ❑ ❑ I I I Sparklers • Hood Cleaning I,/ ❑ 2' ❑ ( 1 n Sprinkler System Installations Hood Suppression n ❑ ❑ ❑ I I I Standpipes (Sprinkler Sys) I Fire Alarm Installation I I Torch Roofing/Tar Kettle Fire Pumps n Waste Tire Storage ANNUAL Fire Works I Flammable Application- ANNUAL I ( Valuation of Project n Fuel Tanks I Other: I I =ut35 %"'c:tilwW DA]r v:_v -a i?-;b> .»m'- .,'s:'a.�ac ,.n. x -. "F u. .s ,:... ✓,1 a+.re -t ": .rra s. ..:.x, S..- <. r.t.. ,:x �e.m ,a.. ..$ -f6 .c_. .�R#ri, a- .....o,e L.t: ,r..ar ..:, ,.HAJ e�-f, + 4- Ja- e:..J4 _F.:JJ.A.3.. F «: .. r._:. +".:i Contractor Company h/UfkiZ- S (0/C.----C' I - 4G-7 Signature Registered Y / N Fee Current I Y / N 1 Address I License # ELECTRICIAN Company I Signature Registered Y/ N I Fee Current I Y/ N I Address 1 ( License # PLUMBER Company I Signature Registered Y/ N 1 Fee Current I Y/ N j Address I I License # MECHANICAL Company Signature Registered Y / N I Fee Current I Y / N Address I I • License # I OTHER Company Signature Registered Y/ N I Fee Current I Y / N Address 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 (httpJ /appraiser.pascogov.com)