HomeMy WebLinkAbout10-10457 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10457
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 10457 Address: 7920 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: 35- 25 -21- 0010 - 00700 -0000
Improv. Cost: ..f.. ,..,,x 1e e°
Date Issued: 5/12/2010 Name: ZEPHYR COMMONS LLC
Total Fees: 25.00 Address: 3629 MADACA LANE
Amount Paid: 25.00 TAMPA FL 33618
Date Paid: 5/12/2010 Phone: (813)933 -0629
Work Desc: FPM -FIRE ALARM ANNUAL- ZEPHYR COMMONS-
AFA P= • E TIV STEM 1 FIRE PER I S 25.00
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FIR AC PTA 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 $100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE
OF COMMENCEMENT."
�iA
P � IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813 - 780 -0041
813 -780 -0020 City of Zephyrhlls Fire Fax- 813 -780 -0021
Permit Application
Date Receiv 1 Phone Contact for Permit 171:b a '' D
3 rK�
Owner's Name Ze C I Owner's Phone Number 1 8/3 I 133 Meal
Owner's Address I 3 CPt. 9 Met G F . Qm /1 l) 334 i 8 ao F Jca0,6
Fee Simple Titleholder Name I I Titleholder Phone Number I I I
Fee Simple Titleholder Address I
•.'..pv•g.. ,7;:;•va v..sr 3—. _ -,,gig wm . , s° x ,,,4 .m , r,_, mromt ,it roFym ,,.o ' m„ Z% .$';,..; .' ',"`�. po �." . = '3'1,41.4 ..„ . a . k"Ew OKTMASk
Job Address 174a0 9a,`/ 6/Vd 7Q ph -A, 1); FL 3397/ / Lot # I / y
Sub Division I Parcel # I36-as -.2 / • 4' 3o- (app -6/ T b
... . _, .a�eu ¢E$.OI:1 , . ? xW 4: :,,,,Vr4, rs ' „W J- K�a,1 ;.,:: -... ,F . i=s s F E,Siti_ :Q0EM ;: .....:..-ea.. ,x ...fps f3ralaWA .,.?„ WS::
n Bio- Hazard Waste Storage - ANNUAL n Hazardous Material (Tier II or RQ Facility) ANNUAL
n Comm Exhaust Kitchen Hood /Duct n Hood Installation
n Controlled Burn n LP /Natural Gas - Installation
p n Emergency Generator < 30 kw n LP /Natural Gas - ANNUAL Sale
Emergency Generator > 30 k n Places of Assembly- ANNUAL
Fire Protection Maintenance - ANNUAL n Recreational Burn
IQtrlyI (Semi) WO Other
Sprinkler 0 ❑ ❑ ❑ n Sparklers
Fire Alarm [1 ❑ ❑ ( l n Sprinkler System Installations
Hood Cleaning n ❑ ❑ ❑ I 1 n Standpipes (Sprinkler Sys)
Hood Suppression n ❑ ❑ ❑ I I n Torch Roofing/Tar Kettle
n Fire Alarm Installation n Waste Tire Storage ANNUAL
n Fire Pumps
n Fire Works
Flammable Application- ANNUAL I I Valuation of Project
ri Fuel Tanks
F Other: I I
Contractor Company
Signature Registered Y / N I Fee Current I Y/ N I
Address I
I License #
,
ELECTRICIAN A--''' Company • /} / r p �.� WA C I
Signature Registered Y / N Fee Current J Y / N .fin
Address 1 13/ 1 ./ 5&771 C!` Al ie QDJ C'l hrweate- S !rU,oI License # er 000///(.., I
PLUMBER Company
Signature Registered Y/ N j Fee Current I Y/ N I
Address I
License # I
MECHANICAL Company
Signature Registered Y / N I Fee Current I Y/ N J
Address I
I License # I J
OTHER Company
Signature Registered Y/ N I Fee Current I Y/ N I
Address I I 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)