HomeMy WebLinkAbout09-9336 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9336
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 9336
Address: 5658 GALL BLVD .
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE - PROTECTION MAINTENAN.E Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11- 26 -21- 0010 - 05700 -0252
Improv. Cost:
3. . . . : : : . s , :.. s. % ',,.. "' :` P` a 3 "' tr y ,. � ,e. . :$I•..
Date Issued: 7/13/2009 Name: ERIC HOOPER INC / WENDYS
Total Fees: 25.00 Address: 5658 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 7/13/2009 Phone: (813)782 -5442
Work Desc: FPM -HOOD CLEAN SEMI- WENDY'S -
SOUTHERN FIRE SYSTEMS, INC FIRE PERMIT FEES 25.00
1
1
° v.., �+ �, s , 'a` a ..' „ ;,• ;. _... � . ', 4 .7 1 17 s _ '" ... , " ,•, s ' ,�``. . ` Y .s .., t
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."
,t,7417
P T 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
City of Ze h Ills Fire Fax - 813- 780 -0021
813- 780-0020 4 g i YO tY P Yfi
Permit Application
)ate Received ZZZ
Phone Contact for Permit
_ . «. ;..xea..,r ,m;.'. 't •.z•. x._.s ; ; '? -. K . _t: .....,.x -. .4 ..w arxw.r-
owner's Name V y `,\ y.S Owner's Phone Number ' a 1 ) i )
)wner's Address
=ee Simple Titleholder Name Titleholder Phone Number ' ) ' ) l 1)
=ere Simple Titleholder Address I
Job Address 5G • • _ k\ V ` LA • 33 HO Lot# 1
Sub Division Parcel #
n Bio-Hazard Waste Storage - ANNUAL n Fumigation Tent
n Comm Exhaust Kitchen Hood/Duct I 1 Hazardous Material (Tier II or RQ Facility) ANNUAL
E Controlled Bum I I Hood Installation
Li Emergency Generator < 30 kw I LP /Natural Gas - Installation
I Emergency Generator> 30 kw n LP /Natural Gas- ANNUAL Sale
ill Fire Protection Maintenance - ANNUAL l 1 Places of Assembly- ANNUAL
pr d (semi l jai other
Sprinkler n ❑ ❑ ❑ n Recreational Bum
Fire Alarm n ❑ ❑ ❑ 1 1 n Sparklers
Hood Cleaning ■ ❑ ❑ ❑ n Spnnkler System installations
Hood Suppression 7 ❑ ❑ ❑ ` I Standpipes (Sprinkler Sys)
7 Fire Alarm Installation ^ I Torch Roofing/Tar Kettle
,
Fire Pumps 3 1 r"..N I Waste lire Storage ANNUAL
Fire Works
H Flammable Application- ANNUAL Valuation of Project
Fuel Tanks
C Other: I
Contractor 7 Company SoOkAn n F it'Q yS-A-PfT\
Signature Registered Y ( Fee Current Y / N j
Address LIMO _ Z`' W . Coq Zy" i! License#
ELECTRICIAN Company
Signature Registered Y / N ' Fee Current I Y / N
Address ( I License # I '
PLUMBER Company
Signature Registered Y/ N f Fee Current l Y/ N
Address I License # I I
MECHANICAL Company
Signature Registered Y / N 1 Fee Current 1 Y/ N
Address I License # I
OTHER Company
Signature Registered YIN ' Fee Current 1 Y / N 1
Address License #
r wwnxia°a _, :., , .. ...... _. ., s,c;r. �.•vr :_ '.v:c, ... ; .... ;. _�r� -.a: cur . °r.a.as�axu�r�
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)