HomeMy WebLinkAbout10-10458 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10458
ANNUAL .FIRE PROTECTION MAINTENANCE
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Permit Number: 10458 Address: : 7850 GALL BLVD
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- 0130 - 00000 -0140
Improv. Cost:
... ....; °, „,. .... 6 .... -_. .. fir., sq• 3
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)927 -0011
Work Desc: FPM- FIRE ALARM ANNUAL- ZEPHYR COMMONS
ter
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AFA "•T TIV M I C l P RMITFE 25.00
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I - AC PTAN E 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.” arIPP
Jr.
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 Received ) I Phone Contact for Permit 1 — 7 a7 1 1 556 I I eD 1
Owner's N a m e • )) Comm v n5 LI-C. L -C. Owner's Phone Number 1 813 9 (26..a
Owner's Address I Jj 9 me k c - & . GI, Q,,,, Fe, 33a/ g- ao y R X a oC
Fee Simple Titleholder Name I I Titleholder Phone Number I 1 1 I
Fee Simple Titleholder Address I
<. : „i. c. . '71R61, . ..... -.::r A�,.�. 3 ...,.',`e,"*r �., .. :� " ,r . ,» -m . ,.,.. , _ "a5a� er ..:.;N"� �_...., .s . -u'; : €� s...2;..',
Job Address 6, // Zito �Q,fifyrhl//SP a3-5 Lot# 1 / Y
Sub Division I ( Parcel # 13CS mss a / 0 /3o- 00000 Q/ v
n Bio- Hazard Waste Storage - ANNUAL n Hazardous Material (Tier II or RQ Facility) ANNUAL
n Comm Exhaust Kitchen Hood /Duct n Hood Installation
El Controlled Burn 1E1 LP /Natural Gas - Installation
El Emergency Generator < 30 kw n LP /Natural Gas - ANNUAL Sale
El Emergency Generator > 30 kw n Places of Assembly- ANNUAL
7} Fire Protection Maintenance - ANNUAL n Recreational Burn
(Qtrlyl emi LW Other
Sprinkler 0 ❑ ❑ ❑ n Sparklers
Fire Alarm i ❑ ❑ V 1 1 n Sprinkler System Installations
Hood Cleaning LI ❑ ❑ ❑ 1 1 n Standpipes (Sprinkler Sys)
Hood Suppression n ❑ ❑ ❑ I ( n Torch Roofing/Tar Kettle
n Fire Alarm Installation n Waste Tire Storage ANNUAL
El Fire Pumps
n Fire Works
n Flammable Application- ANNUAL
1 I Valuation of Project
�I Fuel Tanks
El Other: I
Contractor Company
Signature Registered Y / N I Fee Current I Y/ N I
Address I
I License #
ELECTRICIAN 44s- Company / ". Peelle - - , • ,, ■
Signature Registered Y / N Fee Current NM
Address [L..% J 56 T ' a ny qo_ Ate. ig 3/( d License # ( EP 000//lkj I
PLUMBER Company
Signature Registered Y/ N I Fee Current I Y / N J
Address I
I License #
MECHANICAL Company
Signature Registered Y/ N ,J Fee Current I Y/ N I
Address I
I License #
OTHER Company
Signature Registered Y/ N ] 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)