HomeMy WebLinkAbout09-9216 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
' (813) 780 -0020 9216
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Num 9216 Address: 5610 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 - 05700 - 0255
Improv. Cost: :` ;_ s:. 27 , Vst' €i
Date Issued: 6/08/2009 Name: BURGER KING
Total Fees: 25.00 Address: 5610 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/08/2009 Phone:
Work Desc: FPM -HOOD CLEAN QUARTERLY- BURGER KING
R & L CLEANING LLC 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." eriPIP
r. ��
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
/. Fax - 813 -780 -002
813- 780-0020 City of ZephyfiitlsFire• ZiJv _ _ - --
Permit Application
Received - - Phone Contact for Permit
Date eived , .. ... -
I �
e..._ � r - owners Phone ME I-4e2.1 I B-1() Owners Name I t?, \ e 1 .W
6L O ( ' \∎x9 7- 0p \AQ' 4,
Owners Address I Titleholder Phone Number 1 1 1 Fee Simple Titleholder Name I
Fee SimpleTltiehoider Address
Lot #
Sub Division
Job Address ` I I
Parcel # .: ..._ ::
:. ._
❑ F.MTMgation Tent
ED C and Waste Storage - ANNUAL Q t Material R II or RQ Facility) ANNUAL
ED Comm Exhaust Kitchen Hood/Duct
❑ Controlled Bum n Hood kistEdlation
❑ Emergency Generator < 30 kw n LP/NahNal Gas- installation
ri > 30 kw
n LP/Natural Gas ANNUAL Sale
Emergency Generator ED 1:::1 Places of Assembly-ANNUAL
Fire Protection Maintenance - ANNUAL 5�! 4 —iii
❑ 0 0 0 ® I ® _ ❑ tonal Bum
Sprinkler
Fire Alarm ❑ 0 0 0 I 1 Sparlders
Hood Cleaning 0 0 ' I n y st System Installations
Hood Suppression [J 0 0 0 I I n ten' (S Sys)
r-i n Torch Roofing/far Kettle
Fire Alarm Installation
pi ❑ Waste The Storage ANNUAL
Fire Pumps
Fire Works ' Valuation of Project
Flammable Application- ANNUAL
Fuel Tanks
III a 1 -r:' I
mm ®.ommm� - -■ .., Company
Contractor to. Y / N Fee Current Y / N
Signature - �- -
=+�-- , 14 C. License I I
Address -" ` '�h"_'�� -1 t..
ELECTRIC Registered Y/ N ( Fee Clawed Y 1 N
Signature � 1 License* Address I I
PLUMBER
i Registered 1 Y/ N I Fee Current I Y/ N
Signature ( Lk�e # I
Address I I
MECHANICAL' I Company YIN
Fee Cum YIN I N
Signature I
Address I I License* 1 I
OTHER
Registered Signature I L Y/ N f Fee Current I Y/ N
License* I
Address'
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Directions:
Fill out application completely. notarized (Or. copy af signed with owner) & Contractor sign back of application.
-If over $2500, a Notice of Commencement is required (Mechanical work over $5000)
Supply two (2) sets of drawings with applicable documentation Parcel # - obtained from Property Tax Notice (MtpJ/aPPr •Pas v can)
Allow 10-14 days for review after submittal date.
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