HomeMy WebLinkAbout10-10410 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10410
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 10410 Address: 7422 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: 35- 25 -21- 0010 - 07200 -0011
Improv. Cost: EMSEFtWilL FT,
Date Issued: 4/27/2010 Name: K -MART
Total Fees: 25.00 Address: 7422 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/27/2010 Phone:
Work Desc: FPM- SUPPRESSION ANNUAL- KMART- SCH 4/27/10 CRDT USED PRMT 9664
AL 1A 1` A 1 1` ` 'M1 25.00
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Ita;.Vn7P71 1E7'7 n. Attian2V: 2 111114:
1 A 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."
42Y
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
04- 26 -'10 16:19 FROM- Alliance Fire Safety 9414833321 /,C�/ T -692 P002/003 F -080
813 - 780 -0020 City of Zephyrhills Fire ) /0 / r' Fax- 813- 780 -0021
Permit Application
Date Received ( I Phone Contact for Permit I 941 I 485 1155y402x33
Owner's Name ( K -MART #3761 1 Owner's Phone Number i(,f /p 3 FO P
Owner's Address ( 7422 GALL BLVD ZEPHYRHILLS, FL 33541
Fee Simple Titleholder Name l Titleholder Phone Number I I
Fee Simple Titleholder Address I
Job Address 7422 GALL BLVD Lot # I
Sub Division L Parcel 11 34 25 0000 - 00300 - 000
El Bio- Hazard Waste Storage - ANNUAL I I Hazardous Material (Tier Il or RQ Facility) ANNUAL
n Comm Exhaust Kitchen Hood /Duct I Hood Installation
I —I Controlled Burn I I LP /Natural Gas - Installation
I I Emergency Generator < 30 kw 1 1 LP /Natural Gas- ANNUAL Sale
I I Emergency Generator > 30 kw L -
FTC-1 Places of Assembly-ANNUAL
J Fire m
e Protection Maintenance - ANNUAL I 1 Recreational Hu
pail 'Semi ILLI ter
Sprinkler El CJ El U (l Sparklers
Fire Alarm 0 L.] El f7 I 1 1 Sprinkler System Installations
Hood Cleaning C ❑ U O I 1 Ii Standpipes (Sprinkler Sys)
Hood Suppression Fl I fa 0 1)1 I I 0 Torch Roofing /Tar Kettle
pi Fire Alarm Installation I , Waste Tire Storage ANNUAL
n Fire Pumps
I -1 Fire Works
Ii Flammable Application- ANNUAL
1 I Valuation of Project
El Fuel Tanks
Q Other: I I
Contractor Company I
Signature Registered Y / N I Fee Current I Y / N I
Address I I License # ( I
ELECTRICIAN Company I
Signature — — Registered Y / N -I fee Current L - Y 1 N I
Address I - - -- 1 License it --___I
PLUMBER Company J
Signature Registered Y/ N I Fee Current I Y/ N I
Address ( License# ( I
MECHANICAL Company
Signature — -- -- -- -- -- —� ) -- - -I Registered Y / N _ - I Fee Curren I Y / Ni
Address ( / License # ( I
OTHER �, . , r° Company ALLIANCE FIRE & SAFETY I
Signature /l , ,(4. - ,L< a 2' ;/°? Registered Y / N [ Fee Current I Y / N I
Address 1 500 BASE AVE E VENICE, FL 34285 I License .# 1 48254100012004
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 - days for review after submittal date. Parcel # - obtained from Property Tax Notice (http:/ /appraiser- pascogov.com)
04- 26-'10 16:19 FROM- Alliance Fire Safety 9414833321 T -692 P003/003 F -080
STATE; OF FLORIDA :,
DEPARTMENT OF FINANCIAL SERVICES t-
DIVISION OF STATE FIRE; MARSHAL ` '11:2
TAJ,I,AHASSEIs, FLORIDA
(1 )..:.
'
VI RE EQUIPMENT FN'1 I) ALF.IL LICENSE �' "" "''`'
TI IS ClatT rirs 'MAT: ALLIANCE FIRE: & SAFETY, INC DI3A/ALLIANCE FIRE & SAFE FY
500 BASE AVENUE EAST
VENICE, FI. :34285-
QUALIFIER: MICIIAII, R WILLIS SR.
IIAS COMPLIED WIil1 FLORIDA STA'L(JTI S AND IIAS QUALIFIED FOR TI -Il- TYPE AND CLASS SI IOWN 1 IEICEON'I'() SERVICE, REPAIR,
INSTALL OR INSPECT Al) 'I'YPES OF PRE-ENGINEERED FIRE EXTINGUISHING SYSTEMS
a ,- ,6 7C 4
Chief Financial Meet
01IOI12010 07 04 Sarasota 48254100012004 1755730001 1213112011
Issue Date Type Class Courtly License /Permit Number Application 0 Expire Date
04- 26 -'10 16:19 FROM- Alliance Fire Safety 9414833321 T -692 P001/003 F -080
'I'ele: (941) 485-5402
0ance Avenue Fax: (941) 483.332
& 483-3321
500 Base Avenue 1 (877) 664.6612
P.O. Box 637
Venice, Florida 34284-0208
' Formerly
ccu t dire
Accur�:h Fire Sprinklers &
Mikes Fire & Safety
Fire & Safety
THE INTELLIGENT CHOICE FOR YOUR
LIFE SAFETY SOLUTIONS
FACSIMILE TRANSMITTAL SHEET
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❑ URGENT ODOR REVIEW 0 PLEASE COMMENT ❑PLEASE REPLY 0 PLEASE RECYCLE
NOTESI COMMENTS :
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�N�' t \1 v.��_O c� (4?L' Y v' C'.A
'01 (- )e
I 1 _
v ,k FIRE ALARM SYSTEMS • FIRE SPRINKLES • SECURITY • SUPPRESSION • ACCESS CONTROL • EXTIIMISMfRS
SAFETY EOUIPM LE M MONITORING SERVICES • LIGHTING COMPLf E T E S ING SERVICES SYSTEMS
• CCTV • EMERGENCY