HomeMy WebLinkAbout09-9429 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9429
ANNUAL FIRE PROTECTION MAINTENANCE
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Permit Number: 9429 Address: 6834 GALL BLVD STE 101
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: 02- 26 -21- 0010 - 02400 -0010
Improv. Cost: k 0 ZW_77 t9,;0.;.',..,. v
Date Issued: 8/14/2009 Name: ZEPHYR PLACE LLC
Total Fees: 25.00 Address: 1135 S. PASADENA AVE STE 327
Amount Paid: 25.00 S. PASADENA, FL 33707
Date Paid: 8/14/2009 Phone: (727)504 -0256
Work Desc: FPM -HOOD CLEAN- CI CI PIZZA
R : L L ANIN LL FIRE PERMIT FEE 25.00
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I C PTAN inal
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."
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Ai IOW
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• 4k 4
£ ' Fax- 813 -780 -0021 _
Permit Application l " _ __-
Date Received Phone Contact for Permit
Owners Name I C ■U I Own er's Phone Number 14101 I "Igo I 1 \o t" ,
Owners Address I 2 4 @ a. \, (;\062 7-40AQ ,`kti , I
Fee Simple Titleholder Name 1 1 litleFwider Phone Number 1 11 I I
Fee Simple Titleholder Address I I
Job Address ( I Lot # 1 I
Sub Division I I Parcel # 1 I
E1 Bio- Hazard Waste Storage - ANNUAL n Fumigation Tent
n Comm Exhaust Imo, Hood/Duct n Hazardous Material (Tier II or RQ Facility) ANNUAL
n Contmiled Bum n Hood installation
a Emergency Generator < 30 kw n LP/Natural Gas- Installation
n Emergency Generator > 30 kw n LP/Natural Gas - ANNUAL Sale
El Fire Protection Maintenance - ANNUAL n Places of Assembly- ANNUAL
®®®
Sprinkler n ❑ ❑ ❑ n Recreational Bum
Fe e Alarm n ❑ ❑ ❑ I 1 n Spatters
Hood Cleaning N ❑ X ❑ 1 1 E3 Sprinker System Installations
Hood Suppression ❑ ❑ ❑ 1 1 n Standpipes (Spring Sys)
Fire Alarm Installation n Torch Roofingfrar Kettle
Fire Pumps n Waste The Storage ANNUAL
Fire Works
Ftatrvrrabie - ANNUAL ( I Valuation of Project
Fuel Tanks
Q er:
Contractor +� ry I
N. Signature r. A. it �� 1� ' .. A Registered Y / N ' Fee Current ( Y / N 1
Address it e� - la a _ - ' se # I
ELECTRICIAN Company I
Signature Registered Y 1 N I Fee Current I Y/ N
Address I I Ucense # I I
PLUMBER I Company I
Signature Registered ¥ / N Fee Current I Y/ N I
Address I I License # I
MECHANICA9 Company I
Signature Registered ` Y/ N I Fee Current I Y/ N J
Address I 1 License # I I
OTHER Company
Signature Registered Y/ N Fee Current 1 Y/ N j I
Address License #
Directions=
FM out appIcafion completely.
Owner & Contractor sign bade 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)