HomeMy WebLinkAbout09-9498 CITY OF ZEPHYRHILLS
. 5335 - 8TH STREET
(813) 780 -0020 9498
ANNUAL FIRE PROTECTION MAINTENANCE
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Permit Number: 9498 Address: 6855 GALL BLVD
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: 03 26 - 0010 - 01600 - 0020
Improv. Cost:
Date Issued: Name: GOLDEN CORRAL
Total Fees: 25.00 Address: 6855 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/01/2009 Phone: (813)783 - 8969
Work Desc: FPM- HOOD CLEAN QUARTERLY- GOLDEN CORRAL'
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A ■ - •N -- U - E L A ING INC FIRE P E - MI F ES 25.00
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IR A - AN 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." err
.,e-
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 46106 Fax - 813 - 780 -0021
Permit Application
Date Received
Phone Contact for Permit (,
Owners Name 1 I ANDERSON PRESSURE CLEANTNG 1 o wners Phone Number IR �- I (RR4 _ 1 5�(1R
1�
Owners Address 5104 MURRAY HILL DR, TAMPA, Fr,.13€s1 S -4734
Fee Simple Titleholder Name I I Titleholder Phone Number I
Fee Simple Titleholder Address I
__ m_r:'Mr'' rte *„ -,- EWA:.�:74r ";':"a' .... i , ': - )IYPIN- ',_.''rm'IV'�s - 'r,T_ -T M _ M.- ---M.`_z^. '._ti ,".- ,.; _ ":si.. _ F.. z..c, - _-- ..:, _., - - t — *V.%".' - i
Job Address 'GOLDEN CORRAL 6855 GALL BLVD. ZEP 4;_,I! - • Lot# I
Sub Division 1 Parcel* I
_ -- 'c: H- T- xe, .?'_, - rk = r4 riw e:v, °" 'T` .. . m.a.,.. ...:, _ Yx. ....t - , :g. - ,=z..... -..�F s. -. ._ _mom ""5.;- .., .� .. _ _
Bio- Hazard Waste Storage - ANNUAL Fumigation Tent
® Comm Exhaust IGtchen Hood/Duct ED Hazardous Material (Tier II or RO Facility) ANNUAL
Controlled Bum fJ Hood Installation
rI Emergency Generator < 30 kw n LP/Natural Gas - Installation
n Emergency Generator> 30 kw LP/Natural Gas - ANNUAL Sale
CD Fire Protection Maintenance - ANNUAL I-I Places of Assembly- ANNUAL
L ! ® tm,er
Sprinkler ?= G G n Recreational Bum
Fire Mann 0 G M ( [] Sparklers
Hood Cleaning i E= c C ( ( F
Sprinkler System Installations
Hood Suppression C 0 ' I a Standpipes (Sprinkler Sys)
0 Fire Al arm Installation = Torch Roofing/Tar Kettle
Fire Pumps n Waste Tire Storage ANNUAL
Fire Works
Flammable Application- ANNUAL i 1 Valuation of Project
Fuel Tanks
Q Other. I
Contractor Company
Signature Registered Y / N j Fee Current I Y/ N I
Address ( I License* I
ELECTRICIAN Company
Signature Registered Y/ N j Fee Current I Y/ N I
Address I License # I I
PLUMBER Company
Signature Registered Y/ N j Fee Current I Y/ N I
Address I I License # I
MECHANICAL Company
Signature Registered Y / N 1 Fee Current I Y/ N I
Address I License # I
OTHER Company
Signature Registered Y/ N I Fee Current I Y/ N I
Address
. �:,� � ,..:.,�,_� r. ,. _.:,.: s �.w -= ...ate- �._.Y�.�:,�;;.,.�.� -.:... �.�.r•.� .- ^-�
tense #
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner)
If over 52500, a Notice of Commencement is required (Mechanical work over 55000)
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 l /appraiser.pascogov.com)