HomeMy WebLinkAbout10-10363 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10363
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 10363 Address: 5118 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: 11- 26 -21- 0010 - 07000 -0011
Improv. Cost: 3 °fi ... :, -
Date Issued: 4/15/2010 Name: FUND GARDENS
Total Fees: 25.00 Address: 5118 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/15/2010 Phone: (813)788 -4586
Work Desc: FPM- HOOD CLEAN 4 MTHN- FUNG GARDENS- SCH 4/16/10
�,.d 25.00
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FIR AC A 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." "IMP'
Ari ICY
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- Fax -813- 780 -0021
FOR- 0 # � P- it A.piiication
O f0 / (/ Phone Contact for Permit e i
Date Received/- 7
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Owner's Name / 72L�/ - ` Owner's Phone Number 6 1 3 I `T - — 1 3S 1
Owner's Address 'P WA / J g T4HP TL 3 36 '
Fee Simple Titleholder Name Titleholder Phone Number I I
Fee Simple Titleholder Address I
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UN 6 6 5I1i 6ffLL hLV ,D. 1 Lot
Job Address I -
Sub Division 1 I
Parcel
n I I Bio- Hazard Waste Storage - ANNUAL Fumigation Tent
El Comm Exhaust Kitchen Hood /Duct n Hazardous Material (Tier II or RQ Facility) ANNUAL
n Controlled Bum n Hood Installation
•
I I Emergency Generator < 30 kw LP /Natural Gas - Installation
I I Emergency Generator > 30 kw I ( LP /Natural Gas - ANNUAL Sale
Fire Protection Maintenance - ANNUAL I I Places of Assembly- ANNUAL
I Utrly1 isemi ( rATT1 Other
Sprinkler ❑ ❑ ❑ I I Recreational Bum
Fire Alarm I ❑ ❑ ❑ I . 1 I 1 Sparklers
Hood Cleaning VI ❑ ❑ ❑ I4 Ma: I Sprinkler System Installations
Hood Suppression n ❑ ❑ ❑ 1 1 I I Standpipes (Sprinkler Sys)
I Fire Alarm Installation I I Torch Roofing/Tar Kettle
El Fire Pumps n Waste Tire Storage ANNUAL
Fire Works
I
Flammable Application- ANNUAL
1 I Valuation of Project
I Fuel Tanks
I Other: I,, .r.,
Contractor Company tiEW 7' 1Q /ocS
Signature G44 G� Registered Y / N C' s Fee Current I Y / N
Address I I License # I
ELECTRICIAN Company I
Signature Registered Y / N I Fee Current I Y / N I
Address I I License #
PLUMBER Company I
Signature Registered Y / N 1 Fee Current I Y / N
Address I I License # I
MECHANICAL Company I
Signature Registered Y / N I Fee Current I Y / N
Address 1 1 License # I
OTHER Company
Signature Registered Y / N 1 Fee Current I Y / N I
Address License # 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)