HomeMy WebLinkAbout09-9149 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9149
ANNUAL FIRE PROTECTION MAINTENANCE
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Permit Number: 9149 Address: 5317 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 - 0010 - 13300 - 0090
Improv. Cost: : , g-W .a ; ; k t 1 ,E1
Date Issued: 5/22/2009 Name: C FAMILY RESTAUR
Total Fees: 25.00 Address: 5317 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/22/2009 Phone: (813)788 -2511
Work Desc: FPM -HOOD CLEANING - QUARTERLY FOR CLOCK RESTAURANT
SOUTHEASTERN PROTECTION SERVICE 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." /VIP
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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
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813-780-0020 _
City of.ZephyrhiilsFim Fax- 813 - 780 -0021 •
• Permit Application
. Phone Contact for Permit 0 7 %� 0 'WANE/
Date Received .,. � ..,._ ,.. .,.:�.._::.�:,- �.ry...,.
Owner's PIarne .1 ( /a C/C S ` • - • - I owners Phone Number Mill 17n 1 I DS I l 1
Owners Address I 5 0 &A 1 I Q1 u t-+ p tl k1 a Vl a+,5 • PI '3 5 7 / (� ]� lI
Fee Simple Titleholder Name I Al[ 4 1 Titleholder Phone Number 1 I T 11 1 t
Fee Sample Titleholder Address I A �. s_ -- '``
Job Address 1
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Seb man 1 �1� A Parcel* . I
Sub �.i.�.:.:: - .....�:� 4 I ::,.........s, _ ._,. �._
n 8io -Hazard waste Storage - ANNUAL = Fumigation Tent
❑ Conm Exhaust Kitchen Hood/Duct ❑ Hazardous Material (Tier II or RQ Facility) ANNUAL
❑ Controlled Bum ❑ Hood Installation
❑ Emergency Generator < 30 kw . . ❑ LP/Na aa1 Gas4astallation
❑ Emergency Csenerapw> 30 toe ❑ LP/Nahral Gas - ANNUAL, Sale i
Places of Assembly- ANNUAL • ED Fire Protection Maintenarhee ANNUAL I-1 l I/
Sprinkler 1_1 D D ❑ n Reue®baral Bum
Fee Alarm ❑ D / ❑ 0 11 ED Spadders • •
Hood Clearing R' D 0 1 1 n Sprinkler System k>slatlabons
Hood Suppression ❑ D D 0 1 1 .0 StandPiPes (Swinider SYs)
❑ Fire Alarm Installation n Torch Roofing/Tar Kethe
Fire Puy • ❑ Waste Tae Storage ANNUAL
Fee works 1 • Flammable Application- ANNUAL Valuation of Project
Fuel Tanks
❑ other- I �.. ...
Contractor S •i iw {D626TEC >roc. $c,LT . Company 1 5oc� t TNG 76. 032pZ0.G7 /D...• 6 (
Signature c---- L Regrstlered 'Y N I Fee ctment I Y/ N I
Address ' . O iv ie. ,i- - _ . d: 1 _.. UNITrs$ It • :.
cc cr IM4 Lpouq wood p.. 32'7SU .. Company I
Signature Registered 1 Y/ N I Fee Currant I Y/ N. I
Address I License #
PLUMBER any I
Signature Registered I Y/ N I Fee Current I Y/ N I
Address I 1 License it 1 1
MECHANICAL' Company 1
Signature Registered f Y/N I Fee Current I Y/ N
Address (t 1 License # {
OTHER 1 Company
Signature I Registered Y/ N I Fee Current I Y/ N I
Address • License # �.�
Directions:
FIII out application completely.
Owner & Contractor sign back of application. notarized (Or, copy of signed contact with owner)
If over $2500, a Notice of Commencement is requ ired.(Mechanical work over SS000)
Supply two (2) sets of drawings with applicable documentation
Allow 10-14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (hupJ!appraIser.pascogov.com)
May 1:9 09 09:09a Southeastern 4078309602 p.1
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SOUTHEASTERN PROTECTION SERVICES
160 W. Evergreen Avenue — Suite 180
Longwood, FL 32750
Phone: 407 - 830 -5647 — Fax: 407- 830 -9602
Email: spsoffl-ci:aol.
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O DATE: MAY 19, 2009 a
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TO: JACKIE a
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FROM: ED MEYER a
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• RE: PERMIT APPLICATIONS e
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• FAX: 813- 780 -0021 ,::'
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