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10-10223
CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 10223 ANNUAL FIRE PROTECTION MAINTENANCE Ri ;s. L f v € it g 7.s "k', Vi Permit Number: 10223 Address: 6930 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: 02- 26 -21- 0010 - 00800 -0050 Improv. Cost: _ t ;` yE'0 Date Issued: 3/09/2010 nG � ' -1- Name: COMMUNITY NATIONAL BANK Total Fees: 25.0010 aj Address: 6930 GALL BLVD Amount Paid: 25.00 j�� -- . � ZEPHYRHILLS, FL. 33542 Date Paid: 3/09/p10 Phone: (813)783 -8122 Work Desc: FPM- FIRE ALARM ANNUAL- CENTER STATE BANK- SCH 3/12/10 -CRDT 9370 IAL Y L RAN EM . IN 1 =E PERMIT F 25.00 OS „coal:tmeollimpi7;;!usRmtga moot ,g t R A EP AN 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." 1r P T 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 - , Fax-813-780-0021 • Permit Application (0'2:2') / _ e Received 0 �� S Phone Contact for Permit I 35 5 ner's Name I n'1 YrN Lt l' • J V r•A L p ,,,ed -1/43 PI K. Owner's Phone Number l` V M-- 3 . 3337 ner'sAddress q3a il tl , i Simple Titleholder Name Titleholder Phone Number l Simple Titleholder Address I ai 4:4- n 211451sT a, a s •,' .- •: ; a, ,. :,AF x' . T `§ t 43t1.lr , s .s.W .5., t Address ,Vm -Q / /, 0V Lot # /, a Division Parcel # lo )c ' ,1/ 0/ 00,AD') M5o n Bio- Hazard Waste Storage - ANNUAL n Fumigation Tent n Comm Exhaust Kitchen Hood/Duct I 1 Hazardous Material (Tier II or RQ Facility) ANNUAL 1 I Controlled Bum E l Hood installation n Emergency Generator < 30 kw n LP /Natural Gas - Installation Emergency Generator> 30 kw 1 ( LP /Natural Gas - ANNUAL Sale Fire Protection Maintenance - ANNUAL I I Places of Assernbly- ANNUAL R r y 'Semi] Other Sprinkler ❑ ❑ ❑ I I Recreational Burn Fire Alarm ❑ ❑ ')1 1 1 El Sparklers Hood Cleaning Ei ❑ ❑ ❑ I I 1 I Sprinkler System Installations Hood Suppression 0 ❑ Q 01 1 1 I Standpipes (Sprinkler Sys) n Fire Alarm Installation n Torch Roofing/Tar Kettle n Fire Pumps I I Waste Tire Storage ANNUAL I 1 Fire Works H Flammable Application- ANNUAL Valuation of Project Fuel Tanks n Other: I 1 / a.n�a ntractor 1 .z /J Company 5 9 p'Gf4 It V j /CGTl.d "vr G Sy 57-e nature Registered / N Fee Current I Y / N I / Address ( 1 License # 1 EF d © 6) /6 y6 1 ECTRICIAN Company ;nature Registered Y / N Fee Current Y / N Address 1 License # I UMBER Company I ;nature Registered Y/ N I Fee Current I Y/ N Address I I License # I I CHANICAL Company I ;nature Registered , Y/ N I Fee Current I Y / N j Address 1 1 License # 1 HER Company )nature Registered ` Y / N Fee Current Y / N Address I �License # �- l .y;.,....; ections: 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)