HomeMy WebLinkAbout10-10445 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10445
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 10445 Address: 7313 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: 34-25-21-0000-00300-0050
Improv. Cost:
Date Issued: 5/10/2010 Name: TACO BELL
Total Fees: 25.00 Address: 7313 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/10/2010 Phone: (859)624 -3866
Work Desc: FPM SUPPRESSION SEMI- TACO BELL
A :A 1' • UIPM N • - YIN FIR P M E 25.0
C SIL
✓ �� L
IR AC - TA E 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." .
�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
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813 - 780 -0020 City of Zephyrhills Fire .4 (pt-1- 5 Fax- 813- 780 -0021
Permit Application
Date Received I I Phone Contact for Permit I 1 1 1 1 I
Owner's Name r &i I Owner's Phone Number 1 IZ]� r �• — '✓ ��
Owner's Address L 1 ly G- 1 11 61 tc
Fee Simple Titleholder Name Titleholder Phone Number
Fee Simple Titleholder Address
•
Job Address (I 1 a Ga 1 1 • 6 Ii vi ' Lot #
Sub Division I Parcel # .
n Bio- Hazard Waste Storage - ANNUAL n Hazardous Material (Tier 11 or RQ Facility) ANNUAL
n Comm Exhaust Kitchen Hood /Duct n Hood Installation
n Controlled Burn n LP /Natural Gas - Installation
n Emergency Generator < 30 kw n LP /Natural Gas - ANNUAL Sale
n E - mergency Generator > 30 kw n Places of Assembly- ANNUAL
n Fire Protection Maintenance - ANNUAL n Recreational Burn
IQtrlyI 'Semi' raj Other
Sprinkler n ❑ ❑ ❑ n Sparklers
Fire Alarm n ❑ ❑ ❑ I I n Sprinkler System Installations
Hood Cleaning n 0 / ❑ I I IT Standpipes (Sprinkler Sys)
Hood Suppression I ❑ l ❑ 1 1 ri Torch Roofing/Tar Kettle
n F ire Alarm Installation in Waste Tire Storage ANNUAL
n Fire Pumps
n Fire Works
n F lammable Application- ANNUAL I Z..� T '
• 00 I Valuation of Project
n Fuel Tanks
n Other: I I
Contractor Company A ri j re & p14 I
Signature Registered j f Fee Current 1 Y/ N I
Address 1 36/9 1J• . - 2..^h'4 0 2 - !v►:t - 1 f L.- 7? /Z-7 I License # ( 0 / 9 f 73 0 c+ o a 9 g 5 I
ELECTRICIAN Company I
Signature Registered Y / N I Fee Current I Y / N I
Address 5 I License # I I
PLUMBER Company I
Signature Registered Y/ N 1 Fee Current I Y/ N I
Address I I License # l I
MECHANICAL Company I
Signature Registered Y/ N I Fee Current I Y/ N I
Address 5 I License # I I
OTHER Company I
Signature Registered Y/ N I Fee Current I Y / N I
Address I I 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)
Apr. 3. 2 010 1:33PM A -1 FIRE & ELECTRIC . No. 4931 P. 4/4
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Apr. 30. 2010 1:33PM A -1 FIRE & ELECTRIC No. 4931 P. 3/4
013.780.0020 City of Zephyrhllls Flre Fax -813- 780.0021
' Permit Application
Date Received r • , Phone Contact for Permlt l 1 I 1
Owner's Name r a w be t_........ I Owners Phone Number 1 i j ] `_?� ..
Owner's Address L 313 G-411 6 fv , . • 1
Fee Simple Titleholder Nome I I. Titleholder Phone Number I 1 1 ( 1
Fee Simple Titleholder address
Job Address Gall I ` - Lot t/ I l
Sub Division 1 1 Parcel #
E Bio- Hazard Waste Storage • ANNUAL n Hazardous Material (Tier II or RQ Facility) ANNUAL
El Comm Exhaust Kitchen Hood/Ducl 7 Hood InstallaUon
0 Controlled Bum r--1 LP/Natural Gas - Installation
0 Emergency Generator < 30 kw n LP /Natural Gas - ANNUAL Sete
n Emergency Generator n• 30 kw ED Places or Assembly- ANNUAL
0 Fire Protection Maintenance- ANNUAL 0 Recreational Burn
au LIM 12E1 =MN
Sprinkler 0 0 0 ❑ NE Sparklers
l
Fire Alarm l 0 0 ❑( I F Sprinkler Syslem Installations
Hood Cleaning [r1 0 ❑ ❑ mi ❑ Standpipes (Sprinkler Sys)
Hood Suppression '❑ i 0 l I El Torch Roofing/Ter Kettle
n Fire Alarm Installation n Wattle Tire Storage ANNUAL
Fire Pumps
®
Fire Works
H Flammable Application- ANNUAL ( Z.S c O 1 Valuation of Protect
Fuel Tanks -Z
E1 Other: I .
�
Contractor 1 Company A f F; haul 1r7'
Signature Registered N / N Fee Current Y / NN
Address 1 36/9 It 2."r`'#u4 - M•iot n. 71 /2-7 I License # I 0/9 17 ? o o 0 /r 9 (25 I
■
ELECTRICIAN Company I
Signature Registered Y/ N J Fee Current I Y/ N I
Address I I License # f 1
PLUMBER Company I
Signature Registered Y/ N I Fee Current I YON]
Address I I License # L
MECHANICAL Company I
Signature Registered I Y / N I Fee Current 1 Y/ N I
Address I I License ff 1
OTHER Company I
Signature Registered Y/ N 1 Fee Current I Y/ N I
Address I ( License # I
Directions:
FIII out application completely.
Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner)
IF over 32500, a Notice of Commencement is required (Mechanical work over 35000)
Supply two (2) eels of drawings with applicable documenlallon •
Mow 10 -14 days for review after submittal date, Parcel # - obtained from Property Tax Nolice (http: / /appralser.pascogov.com)
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