HomeMy WebLinkAbout10-10528 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10528
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 10528 Address: 6855 GALL BLVD
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE- PROTECTION MAINTENAN •E Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 03 26 - 0010 - 01600 - 0020
Improv. Cost: V g _ .
Date Issued: 5/28/2010 Name: GOLD CORRAL
Total Fees: 25.00 Address: 6855 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/28/2010 Phone: (813)783 - 8969
Work Desc: FPM- SUPPRESSION ANNUAL- GOLDEN CORRAL
My' rn F & M: - ., a sa. i ... s a �u�s A. y v».�m
FI' E , I FIRE P R I 25.00
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I E AN 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."
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
May. 26. 2010 11:12AM FIRE FIGHTER, INC No. 8245 P. 2
813- 79 - Q020 tatty of Zephyrhills'Fire • Fax -813- 780 -0021
Permit Application
Date Received S 7— V • Phone Contact for Permit
Owner's Name pI n ( DIVA/ Owner's Phone Number 1 ' II fila I t41
Owner's Address I LAS s 6A II 131Y
Fee Simple Titleholder Name Titleholder Phone Number
Fee Simple Titleholder Address
Job Address CASs � i /) . • . .
1>IW Loth
Sub Division I Parcel #
.._ _,..._.., .i.. _�_... .. _ *' IIIAt�9lllBlBil .�1®tlA9iNlttYASR' IW111Crf;irA4ry7M'
E Bio- Hazard Waste Storage - ANNUAL n Fumigation Tent
L.J Comm Exhaust Kitchen Hood/Duct I Hazardous Material (Tier 11 or RQ Facility) ANNUAL
Ei Controlled Bum El Hood Installation
Q Emergency Generator < 30 kw = LP/Natural Gas - Installation
Emergency Generator S 30 kw 0 LP/Natural Gas ANNUAL Sale
n Fire Protection Maintenance - ANNUAL n Places of Assembly- ANNUAL
Lila LIM 1E1 MOM
Sprinkler Lj f] ❑ O ID Recreational Bum
Fire Alarm E ❑ ❑ ❑ 11 = Sparklers
Hood Cleaning E ❑ ❑ ❑ 11 E Spnnkler System Installations
Mood Suppression 2 D o v"I1 E Standpipes (Sprinkler Sys)
a Fire Alarm Installation n Torch Roofing/Tar Kettle
I I Fire Pumps n Waste Tire Storage ANNUAL
n Fire Works
Flammable Application- ANNUAL
H 1 I Valuation of Protect
Fuel Tanks
n Other I I
Contractor Company , ^ ' U Signature / LAA Registered � � . a � F• ®Current Y / N
Address • I o 'RAIIIII I IMIllr' 1�1MIEriKil License# 0 0 OO'-b 1 CLIME.
ELECTRICIAN Company I
Signature Registered Y/ N I - Fee Current I Y / N I
Address I _ I License # I
PLUMBER Company I
Signature Registered I Y/ N I Fee Current I Y/ N I
Address I I License # I
MECHANICAL Company
Signature Registered Y / N I Fee Current I Y/ N I
Address I I License # I I
OTHER Company I
Signature Registered Y / N J Fee Current I Y / N J
Address License #
Directions: - ... :.....:...
Fill out application completely.
Owner & Contractor sign beck of application, notarized (Or, copy of signed contract with owner)
tf over 52500, a Notice of Commencement is required (Mechanical work over 55000)
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: /Jappreiser.pascogov.com)