HomeMy WebLinkAbout10-10446 CITY OF ZEPHYRHILLS
5335 - 8T1-1 STREET
(813) 780 -0020 10446
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 104 Address: 6548 GALL BLVD
Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL.
Class of Work: FIRE - PROTECTION MAINTENANCE Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0010-05600-0010
Improv. Cost:
Date Issued: 5/10/2010 Name: PIZZA HUT
Total Fees: 25.00 Address: 6548 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/10/2010 Phone:
Work Desc: FPM SUPPRESSIO N SEMI- PIZZA HUT -
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ABA ` •UIP NT • P NY IN F I E P M F _ S 25.00
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IR A - TAN 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." _ =�
3
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
8'!3- 780 -0r?0 City of Zephyrhills Fire i (I° �� Fax- 813 - 780 -0021
.4 Permit Application l
Date Received I I Phone Contact for Permit I I I I I I
Owner's Name I Pi 27- 4 Alv Owners Phone Number Nis l .2 7 , ISss5 I
Owner's Address 1 65 L i q ( 1 I (5 ` id • I
Fee Simple Titleholder Name Titleholder Phone Number I ,
Fee Simple Titleholder Address
Job Address 65 G -" ( 11 b L y(; , Lot #
Sub Division I I Parcel #
7 Bio- Hazard Waste Storage - ANNUAL I Hazardous Material (Tier II or RQ Facility) ANNUAL
EJ Comm Exhaust Kitchen Hood /Duct a Hood Installation
n C ontrolled Burn n LP /Natural Gas - Installation
I E mergency Generator < 30 kw n LP /Natural Gas - ANNUAL Sale
I - I Emergency Generator > 30 kw n Places of Assembly- ANNUAL
7 F ire Protection Maintenance - ANNUAL n Recreational Bum
IQtrlyi emi kW Other
Sprinkler El ❑ ❑ ❑ [ ] Sparklers
Fire Alarm TI ❑ ❑ ❑ I I [ ] Sprinkler System Installations
Hood Cleaning El ❑ ❑ ❑ I I I Standpipes (Sprinkler Sys)
Hood Suppression R ❑ V ❑ ( ( 7 Torch Roofing/Tar Kettle
Fl Fire Alarm Installation n Waste Tire Storage ANNUAL
El Fire Pumps
I - 1 Fire Works
r -- i Flammable Application- ANNUAL ( Z _SE), 00 ( Valuation of Project
El Fuel Tanks
El Other: I I
Contractor � Company a l j E,� vi k�►'�� 4.41 Signature Registered Fee Current Y / N
Address 1 36/9 Al 2.'" ✓. - m.:w.ti. ',, L- 7? /2...7 I License # 0 9 173 0 a D /19 85 I
ELECTRICIAN Company I
Signature Registered Y / N I Fee Current I Y / N I
Address I I License # I
PLUMBER Company I
Signature Registered Y/ N I Fee Current I Y/ N
Address I I License # I
MECHANICAL Company I
Signature Registered Y/ N I Fee Current I Y/ N I
Address I I License # I
OTHER Company I
Signature Registered Y/ N 1 Fee Current I Y/ N I
Address 1 I License # I 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)
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Apr. 30, 2010 1:32PM A -1 FIRE & ELECTRIC No. 4931 P. 1/4
0414 3619 NW 2nd Avenue, Miami,F1,33127
FAX Tel: 305.573.8273 / 800.393.0477
A -1 A-1 Fax: 305.573.1568
info@a1fireandelectric.com
FIRE EQUIPMENT, CORP.* ELECTRIC COMPANY www.alfireequipment.com
ABA. FIRE EQUIPMENT, INC.
1 1
To: From:
Company: Name: Mq4'+ @ A 1 ,r f Elee rk.
Name: Cj}' 1 oc Ztiphychi l(s Date: 1-11364110
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Fax: # Pages: 3
Phone:
COMMENTS:
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CONFIDENTIAL FAX:
IF YOU DO NOT RECEIVE ALL THE PAGES, PLEASE CONTACT SENDER AS SOON AS POSSIBLE
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ABA FIRE EQUIPMENT, INC. 41661
DBA A1WF9ERMUO. 5/3/2010
401 PURCHASES:401.02 SYSTEM INS Pizza Hut 6548 (nsys permit p /u) 25.00
401 PURCHASES:401.02 SYSTEM INS Taco Bell 7317 (nsys permit p /u) 25.00
CHASE ACCOUNT 6 Pizza Hut 6548 & Taco Bell 7317 50.00