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HomeMy WebLinkAbout09-9431 CITY OF ZEPHYRHILLS 5335 - 8T1 STREET (813) 780 -0020 9431 ANNUAL FIRE PROTECTION MAINTENANCE 4} 4 Permit Number: 9431 Address: 5014 GALL BLVD Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL. Class of Work: FIRE - PROTECTION MAINTENAN E Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11- 26 -21- 0010 - 20700 -OOAO Improv. Cost : Date Issued: 8/14/2009 Name: CHATTERBOX CAFE Total Fees: 25.00 Address: 5014 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 8/14/2009 Phone: Work Desc: FPM -HOOD CLEAN - CHATTERBOX CAFE- SCHEDULE 8/12/09 e. ,0,3: ,.,. . < $ 2 ikg r', s i UNI - - VI ES d/b a ZL• H 1 'PERM! 25.00 - C 2S -a1 fit L � B M :.: '. ➢ `Y mss; 1 A E - AN E 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." �! /. Aar 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.ZephyrhillsFir ( Fax - 813- 780 -0021 Permit Application Date Received -2)/� pp /2 O Phone Contact for Permit Owner's Name L71, ZL0 1Ve,R V7,-7—/ r Owner's Phone Number 2/ 3 .S4S . C i_ggi Owner's Address R2 Z K 9738 171/-e79 l fl 3.6 Fee Simple Titleholder Name Titleholder Phone Number Fee Simple Titleholder Address I r . -�--� �} J ... Wa t ". ... :�"_ s. r.:z�, 3_.: . ... , �•. �.� Job Address C � OK E (�TT! , r---0 /4 4- &lC�L 2LV'D Lot# Sub Division Parcel # Bio- Hazard Waste Storage - ANNUAL I I Fumigation Tent n Comm Exhaust Kitchen Hood /Duct 1 I Hazardous Material (Tier II or RQ Facility) ANNUAL n Controlled Bum Hood Installation n Emergency Generator < 30 kw I LP /Natural Gas - Installation I I Emergency Generator > 30 kw I LP /Natural Gas - ANNUAL Sale I Fire Protection Maintenance - ANNUAL n Places of Assembly- ANNUAL 1Utrly1 !Semi' fl Other Sprinkler El ❑ ❑ ❑ I Recreational Bum Fire Alarm n ❑ ❑ ❑ I l Sparklers Hood Cleaning I./I ❑ .©' ❑ I I I I Sprinkler System Installations Hood Suppression n ❑ ❑ ❑ 1 1 ( I Standpipes (Sprinkler Sys) I Fire Alarm Installation ( I Torch Roofing/Tar Kettle I Fire Pumps I I Waste Tire Storage ANNUAL Fire Works Flammable Application- ANNUAL I ( Valuation of Project 1 I Fuel Tanks 1 I Other: I `sa 1: y�3Ta`.,..a,. `.a -u:.e ?`-v w »s. -e lvra >K -.ei ,. e ... .: .-., *R, %a.'n�: .,.s ;. .%-s 9. t ..; • r�+L'.c. „his. 4�.:^. ..,,se?',;.5 �.s >;hr N.'S "Sr.[ ;..iFS r..S_r..t�. ,K ..e:'f�?« i _..,.. ..>.... s - Y3Y1'i+�" .._fir... Contractor ,c1-r''' Company �`///L7�i�' ` , Signature - _ Registered Y / N Fee Current Y / N Address I I I License # ELECTRICIAN Company I Signature Registered Y/ N I Fee Current I Y/ N I Address I I License # I PLUMBER Company I Signature Registered Y / N I Fee Current I Y/ N 1 Address I License # I I MECHANICAL Company Signature Registered Y / N J Fee Current I Y / N 1 Address I I License # I I OTHER Company I Signature Registered Y / N J Fee Current I Y / N I Address License # 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)