HomeMy WebLinkAbout10-10127 CITY OF ZEPHYRHILLS
5335 - 8TH STREET .7
(813) 780 -0020 16127
ANNUAL FIRE PROTECTION MAINTENANCE
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Permit Number: 10127 Address: 7921 GALL BLVD
Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL.
Class of Work: FIRE - PROTECTION MAINTENANCE Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 34- 25 -21- 0010 - 00100 -0010
Improv. Cost:
Date Issued: 2/12/2010 Name: CO WES HOME CENTER
Total Fees: 25.00 Address: 7921 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/12/2010 Phone:
Work Desc: FPM - SPRINKLER ANNUAL- LOWES
AYN Al •MA 1= P K RI F - - RMI EES 25.00
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I E A E = ANCE 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." ,
P .11 ", 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
- I0(2.7
813 -780 -0020 City of Zephyrhills Fire Fax- 813- 780 -0021
Permit Application
Date Received I 1 Phone Contact for Permit I 1
Owner's Name letiu'`r- J Y C 0 .1 \_ 3 4 ( (ifi I Owner's Phone Number I 1 1 1 1
Owner's Address [Po o u l L C t I A ' - - - P l c . : v l.EJb LI L L , ILL ?ti 17 - I L U
Fee Simple Titleholder Name I Titleholder Phone Number
Fee Simple Titleholder Address I
Job Address — 00 1 (1 'V CI , 4ti,. Ltll j* ':3�JL- 1 Lot#
Sub Division Parcel # I J3 . ) S ' a 1 . LU it, • C41 • ail l j
n Bio- Hazard Waste Storage - ANNUAL El Hazardous Material (Tier I! or RQ Facility) ANNUAL
El Comm Exhaust Kitchen Hood /Duct Ii Hood Installation
I Controlled Burn I-1 LP /Natural Gas - Installation
I Emergency Generator < 30 kw I-1 LP /Natural Gas - ANNUAL Sale
E Emergency Generator > 30 kw 71 Places of Assembly- ANNUAL
Fire Protection Maintenance - ANNUAL F Recreational Burn
IQtrlyI ISemiI LW Other
Sprinkler 7 ❑ ❑ IX n Sparklers
Fire Alarm 0 ❑ ❑ ❑ I I n Sprinkler System Installations
Hood Cleaning 0 ❑ ❑ ❑ ( I 0 Standpipes (Sprinkler Sys)
Hood Suppression l l ❑ ❑ ❑ I ( n Torch Roofing/Tar Kettle
I Fire Alarm Installation I] Waste Tire Storage ANNUAL
17 Fire Pumps
E Fire Works
1 Flammable Application- ANNUAL I I Valuation of Project
ri Fuel Tanks
0 Other: I I
Contractor � Company I I
Signature ,G I Registered 1 Y / N I Fee Current I Y / N
Address I License # ( I
ELECTRICIAN Company I
Signature Registered Y/ N I Fee Current I Y/ N I
Address I I License # ( I
PLUMBER Company (
Signature Registered Y/ N I Fee Current I Y/ N I
Address I I License # ( I
MECHANICAL Company I
Signature Registered Y/ N I Fee Current I Y/ N I
Address I I License # I
OTHER � Company ice.. =\j c .-11 ' , lc y ':)
Signature (/`� Registered ram Fee Current mei
Address 3C (1( \.Q.. -v r`cJ�, l t.--- - z.Yy.FIgI License# l0dit4ts c) C)C19 LOA) 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)