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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9456
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 9456
Address: 7441 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: 34-25-21-0000-00300-0040
Improv. Cost: _ 2 - 7.7177,7 A, rg „ ::
Date Issued: 8/28/2009 Name: LONG JOHN SILVERS
Total Fees: 25.00 Address: 7441 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/21/2009 Phone:
Work Desc: FPM -SEMI HOOD SUPPRESSION FOR LONG JOHN SILVER'S-SCH 8/21/09
- A C.A T 1 E & AF IN FIRE PE 4LE' 25.00
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N 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."
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
313-780-0020 City of Zephyrhills Fire. Fax-813-780-0021
Permit Application
Date Received Phone Contact for Permit '2 ( f C IO' 3
Owner's Name 7._ns - ) . 0 IA el S ?v -0 Owner's Phone Number Sr") 7 -7, (/573
Owner's Address 1 4 \ C-0\ 1 1 g1 11d
Fee Simple Titleholder Name Titleholder Phone Number
Fee Simple Titleholder Address
Job Address LC 1 113 - 3011 1 1 S o )11 tr — PA L I I C E 1 tid Lot #
Sub Division Parcel #
I I Bio-Hazard Waste Storage - ANNUAL n Fumigation Tent
ri Comm Exhaust Kitchen Hood/Duct 1 Hazardous Material (Tier II or RQ Facility) ANNUAL
I 1 Controlled Bum I I Hood Installation
1 I Emergency Generator < 30 kw n LP/Natural Gas-Installation
El Emergency Generator > 30 kw 1----1 LP/Natural Gas-ANNUAL Sale
1 ---- 1 Fire Protection Maintenance - ANNUAL n Places of Assembly-ANNUAL
0
ILarly1 (Semi' pkin Other
a e , 0
Sprinkler E ID 0 0 ri Recreational Bum
Fire Alarm I 0 CI Ell I I Sparklers
Hood Cleaning 7 E ID 01 1 7 Sprinkler System Installations
Hood Suppression 2r o V ID 1 1 1 Standpipes (Sprinkler Sys)
n Fire Alarm Installation I Torch Roofing/Tar Kettle
I I Fire Pumps 1 Waste Tire Storage ANNUAL
7 Fire Works
I Flammable Application- ANNUAL I 9,9f) - - I Valuation of Project
El Fuel Tanks
I Other: I
A'• ,M: , ,.1,,:1; ,,,, • ' .-;:. ,,,, 6:,,,,k-:, , ',,,,,,,.i.a , ;T:j,',-aqMt:,-:.,.L-,. -- a:aVgn:;:m,.;:;;. , ;a;g=a'tM;9PXAQRAZ, ,,, nEP' - ' ,,,- ;' , IL' , •: 12 : , ' ,, '' .,- , ,::::::Z.a , :u .d;,,: :4.:g.:Wk.',, &Wit-MOTH' '.".L., ,:,
Contractor Company A pc t e , coas 4- r.nr
Signature ------ -- Registered gm= Fee Current Fritiran
Address I License # I
ELECTRICIAN Company I
Signature Registered Y / N Fee Current Y / N I
Address I I License # I
PLUMBER Company I
Signature Registered Y/N I Fee Current I Y/N I
Address I 1 License #
MECHANICAL Company I
Signature Registered Y / N I Fee Current I Y f N I
Address I I License # I
OTHER Company I
Signature Registered Y / N I Fee Current I Y / N 1
Address I I License # I I
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)
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