HomeMy WebLinkAbout10-10017 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10017
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 10017 0017 Address: 7838 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: 35- 25 -21- 0010 - 00700 -0000
Improv. Cost: _ t q 7; s k A; :7 .
Date Issued: 1/20/2010 Name: PRIMERICA GROUP ONE
Total Fees: 25.00 Address: 3629 MADACA LN
Amount Paid: 25.00 TAMPA FL 33618
Date Paid: 1/20/2010 Phone: (813)933 -0629
Work Desc: FPM - SUPPRESSION SEMI- PUBLIX SCH 1/25/10
WI IN •N 'R NKLE , IN . FIRE P RM FEES 25.00
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Fl A PTANCE 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."
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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
MAP, /28/2007 /WED 07:20 AM ZEPHYAHILLS BUILDING FAX No. 813 - 780 - 0021 �7 P. 001
813-712-0—"-)• City of.Zephyrhills'Firi6= I1 61D Fax- 813 - 780-0021 l:
• permit Application . -
Date Received -Phone Contact for Permit itirgill
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Owner's Phone Number
Owner's Name 4 �_ . �. - 0 : sew
E� � 1
Owner's Address : • _ _ ' �a - '
Fee Simple Titleholder Name J T itleholder Phone Number 1 1 1
Fee SimplemtleholderAddress I w „ •
Job Address %SS r elv , W , = • Lot # • -
Sub Division Parcel #
n Blo-Hazard Waste Storage - ANNUAL fl Fumigation Tent .
E I . Comm Exhaust Kitchen Hood /Duct , • l l • Hazardous Material (Tier 11 or RQ Facility) ANNUAL
Controlled Bum n Hood Installation
I 1 Emergency Generator < 304tw 1 ` LP /Natural Gas- InstallaUon '
' I I ''Emergency Generator> 30 kw 71 LP/Natural Gas- ANNUAL Selo ,
F1 Fire Protection Maintenance - ANNUAL . f] Places of Assembly- ANNUAL -
l:e144 !berm' pil Vtner
Spr r,de —R- -? ❑ ❑ Reoreational Bum .
Fire Alarm 7 . ❑ 0. ❑ I 7 Spenders _
Ho... ._= I. - ∎�• SprinkerSystemInstallations
Hoo• = uppression IT ID pi ❑ . LI Standpipes (Sprinkler Sys) - 1, 1 �7 •
Fire Alarm Irietellafion Torch Roofing/Tar Kettle , ...� .-.` ����
• In Fire Pumps -- • Waste Tire Storage ANNUAL .
•
Fire Works '
1 12510
Flammable Application- ANNUAL .1 - Valuation of Project
Fuel Tanks
® Other: -
Contractor • Company _ • 1 >1J ii _ •..i _ At
Signature •_ ; erg . _ Registered Lamm Fee Current NMI
Address w iv rera mtj j won1isarI I ns' - tt i #
ELECTRICIAN Company I
Signature • . Registered - Y / N • I Fee Current. . Y / N I
' 'Address; L ] License # I
PLUMBER- ';t Company I
Signature Registered Y /'N I Fee Current I Y/ N I
Address License* • • I 1
MECHANICAL' Company 1
Signature Registered Y/ N I Fee Current I Y/ N
Address I Lieenae # I • 1
OTHER . Company I
Signature Registered Y/ N 1 Fee Current 1 Y/ N 1
Address • License*
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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 $6000)
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)
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