HomeMy WebLinkAbout10-10492 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10492
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 10492 Address: 7838 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: W : _ :; i Fw. ° t. \ ":7:;
Date Issued: 5/17/2010 Name: PRIMERICA GROUP ONE
Total Fees: 25.00 Address: 3629 MADACA LN
Amount Paid: 25.00 TAMPA FL 33618
Date Paid: 5/17/2010 Phone: (813)933 -0629
Work Desc: FPM- HOOD CLEAN SEMI- PUBLIX
•UT A E' --• • - VI E FIR - RMIT F 25.00
1/ I
FI' A AN 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."
WIP
ICY
P T 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
t$13-/2Sti-tittZto 4 C114 V
- Peon* Application
Date i �_
Name FEM7 / `1M arse P ha n° Plumber j 1 1 1 . (---
Adam 1 7 '2e /.'14/1'2► Zj j 0c0 A/ e? sw
Fee Simple Titleholder Name 1 7 I I i t i
Fee sima+efiie4II+der Acidness 1 .4
Job Address rJ 2 r j 4. / _ q4.( /.' r _ , Lot
Sub Division Parcel*
ED tilo-limeed Wawa Seaege- ANNUAL C3 FumrSsimaTart
ED Cann T3dteaest iCildren i ioodEluot Q Fiseasdees Helene* (Tier 1 or tit Farilly) ANNUAL
ri CorrioiedBum. El 1110 dlnslerw.a.
Q _ Emergency Ge endor < 30 ins ri LPilirriural 6es- inPoioion
Emergency Cienewior> 30 tau f 1 LP/Haim. (lewARINUAL Ws
E Fire Prolecfmn laninienanc e ANNUAL l . of Pear abitiaeamt.
Sprinkler rin i] 0 Q . I I ( &sn
Fire Me id 0 t3 0 1 1 n Speddns Hood Cleaning fl ❑ Spialier S�elera b sbalieionc
Hood Suppression n o D CI J1 Q 9hillidpipm PlididderSTO
El Alarm fire Ala baste -aian Q TacktioalagfiarMiYe
R as pump. El West* „we Slams ANNUAL
Re Works
Flammable Appicallan- ANNUAL
! I Vaksalan of Project
Fuel Tanks
[l Other. I
r 1 '� 4
Sigrature 1 Fiegielaaed Y/ N Fee Cursent 1 Y I N ( It 1
wddraas I r� n _ Limnos e
rilleoft J %� I C°e_'ent'
Stgr.ahae Re�giuiered YIN = FeaCaaeai 1 YIN 1
Address 1 1 license* 1 1
PLUMBER Company
Signature Pagieiersd E Y/ N ( Fee Careen ( Y/ N 1
Address 1 1 Liosrwe* 1 I
MECHAMCI
Signature Aegtelered YIN Pee Current ( Y 1 N
Address 1 . 1 Lime* # 1 - I
Si 9 Reposeful 1 Y 1 N 1 Fee Current 1 Y/ N
Address - License*
F9i out apphaion aoaepieleiy.
Owner & Contactor sign back cif a ppiraion, naartaed ('sr, copy of signed acneact w ah owner)
if over 52500, a Noise of C ammsnosment Is regettid.(Msdrrdoel weak over $5000)
Supply two (2) .. (2) seas of drawings wih applicable dooumenallkm
Mow 10-14 clays for review after a#miw dace. Panel #- Maimed Liao Properlf. Tae: Hulce pp er pacogow.eam)