HomeMy WebLinkAbout10-10342 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10342
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 10342 Address: 6733 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: 03- 26 -21- 0010 - 03200 -0020
Improv. Cost: , # # ; ;:
Date Issued: 4/08/2010 Name: M AHOOTC H . I, AHAD (MD)
Total Fees: 25.00 Address: 6733 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/08/2010 Phone:
Work Desc: FPM -FIRE ALARM SEMI- MAHOOTCHI AHAD -SCH 4/8/10
IAL Y •NI . IN REP =M 25.00
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- A - TAN anal
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." 01:47PP
/i
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 U l City of Zephyrhills-Fire. � - 2 (J y Fax - 81 -780 -0021
-
•
Permit Application
/ate Received ..
I - Phone Contact for Permit - - _.,..a -, ...r, .,
) Contact
!�
Owners Phone Number 'Mil 7
Tnrner s Name
Co 1 3 G- & a1 0 2p ► .. 5 . ...
Owners Address � 1 I I
Titleholder Phone Number J
=ee Simple Titleholder Name
ee Simple Titleholder Address
L 2� h ��S F� 33sy a- I Lot# }
� o , 3 C7- �. 1 �� r � 'fi _ b
Job Address -
� r h ; Parcel # 1 AO
Sub Division ��. „�..: -
n Bio -Hazard Waste Storage - ANNUAL El Fumigation Tent
El Comm Exhaust Kitchen HoodlDuct
Hazardous Material (Tier II or RQ Facility) ANNUAL
EJ Controlled Bum Hood Installation
El Emergency Generator < 30 kw
El LP /Natural Gas - Installation
Emergency Generator> 30 kw LP /Natural Gas - ANNUAL Sate
El Places of Assembly- ANNUAL
Fire Protection Maintenance - ANNUAL ��{
ISemil Iutner I 1
Sprinkler li ❑ ❑ ❑ Recreational Bum
Fire Alarm ❑ IZ‹ ❑ I I 0 Sparklers
Hood Cleaning El ❑ 0 ❑ I Sprinkler System Installations
Hood Suppression
❑ ❑ ❑ ❑ I I El Standpipes (Sprinkler Sys)
n Fire Alarm Installation n Torch Roofing/Tar Kettle
IN Fire Pumps n Waste Tire Storage ANNUAL
Fire Works
Flammable Application- ANNUAL Valuation of Project
Fuel Tanks
n Other: I y�
e , pc, Ort 4— ✓)C
Contractor Company G # - � `
Signature 1 Registered (ISMS Fee Current 49 l N
Address '� � ��
Si�alriM1� ININI . ` = ZUNI License# 1 E ( 000 (0 y L0 I
ELECTRICIAN 1 Company I
Signature ,.. Registered ---7 171 Fee Current I Y / N
Address ` I License # ` I
PLUMBER I Company
Signature II Registered Y / N Fee Current Y / N
Address 1 I License # I I
MECHANICAL 1 Company I
Signature Registered L Y/ N 1 Fee Current 1 Y/ N 1
Address ` I License #
I l
OTHER I Company 1
Signature 1 Registered Y/ N I Fee Current I Y / N I
Address License #
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)
- SPECIALTY
ELECTRONIC
SYSTEM5,mm_
# EF0001046 352 - 557 -5995
P.O. BOX 41 - DADE CITY, FLORIDA 33525 - FAX 352 - 521 -5085
April 7, 2010
City of Zephyrhills
Building Department
To Whom It May Concern:
This letter is to serve as authorization that the following employees of Specialty
Electronic Systems, Inc are allowed to pull the fire alarm inspection permits on my
behalf. They are as follows:
1. Mary Rogers
2. Robert Blanner
3. Luis Rivas
4. Fredick Fleming
5. Duane Pleienes
If you have any questions regarding this, please feel free to contact me at 352 -567 -5996.
Thank you.
S' ere y,
N.0 istirie ail'' " . "' '3f3 ERS
i. al :' MY CC + `:00820662
• ` • ' EXPIRES 2012
x !407)395.0153 Floridallota.:r. - .
; ` ~rn i:,,, MARY E. ROGERS
MY COMMISSION # DD820682
,y
,p
EXPIRES September 08, 2012
(407) 398 -0153 FloridallotaryService.com
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