HomeMy WebLinkAbout09-9353 CITY OF ZEPHYRHILLS
5335 - 8T11 STREET
(813) 780 -0020 9353
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 9353 Address: 7921 GAL BLVD
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE - PROTECTION MAINTENAN Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 34-25-21-0010-00100-0010
Improv. Cost:
Date Issued: 7/16/2009 Name: LOWES HOME CENTER
Total Fees: 25.00 Address: 7921 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 7/16/2009 Phone:
Work Desc: FPM SPRINKLER ANNUAL- LOWES HOME CENTER
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WAYNE AU TOMATIC FIRE SPRINKLER I FIRE PERMIT FEES 25.00 �'
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flawri FIRE ACCEPTANCE Final = 's_ ` ;
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."
AritY
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
813 780 - 0020 City of Zephyrhills Fire A 353
Fax 813 780 - 0021
Permit Application
Date Received ����irdip P hone Contact for Permit 1 I I 1 1 I
Owner's Name J14 - l.. Inc • 1 i 5 Owner's Phone Number I I I 1 1 I
Owner's Address 11 ?X X, IQQO - IpS4 11/1UD12 LA_ e / 2a11s' :oo 0 I
Fee Simple Titleholder Name I I Titleholder Phone Number I I I I I I
Fee Simple Titleholder Address I r
Job Address 1112_1 GPNtL bLv b ZePft-I/ IzHh LLS , FL_ 33S 4
( I Lot # I
Sub Division I
Parcel# I 5 .0S• 21 • 00 1D • b01 op 6IOI
n Bio- Hazard Waste Storage - ANNUAL El Hazardous Material (Tier II or RQ Facility) ANNUAL
n I Comm Exhaust Kitchen Hood /Duct n Hood Installation
I I Controlled Burn I I LP /Natural Gas - Installation
n Emergency Generator < 30 kw n LP /Natural Gas - ANNUAL Sale
n Emergency Generator > 30 kw n Places of Assembly- ANNUAL
Fire Protection Maintenance - ANNUAL n Recreational Burn
(Qtrlyl (Semi I � Other
Sprinkler ❑ ❑ Sparklers
Fire Alarm El ❑ ❑ ❑ I I n Sprinkler System Installations
Hood Cleaning 0 ❑ ❑ ❑ 1 1 0 Standpipes (Sprinkler Sys)
Hood Suppression n ❑ ❑ ❑ I I n Torch Roofing/Tar Kettle
n Fire Alarm Installation n Waste Tire Storage ANNUAL
0 Fire Pumps
n Fire Works
n Flammable Application- ANNUAL I
n Fuel Tanks I Valuation of Project
n Other: I I
Contractor I Company I
Signature Registered Y / N I Fee Current I Y/ N I
Address I I License #
ELECTRICIAN
Signature I Company I
I Registered I Y/ N I Fee Current I Y/ N I
Address ( I License # I
PLUMBER I I Company I
Signature Registered Y/ N I Fee Current I Y/ N I
Address I I License # I
MECHANICAL' I I
Company
Signature Registered Y/ N I Fee Current I Y / N I
Address I
' / I License # I
OTHER
I ■/ J Company
Signature a . l ATtL vt1=
Registered MEN Fee Current rcam
Address , ,L to _. • • ai _ J G v_
3 • I" License # I Oq bzkn(oOoU lappet
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)