HomeMy WebLinkAbout10-10548 CITY OF:ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10548
•
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 10548 Address: 7250 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: 35- 25 -21- 0010 - 07200 -0000
Improv. Cost:, #^
Date Issued: 6/03/2010 � Name: C■L INCOME FUND IV LTD
Total Fees: 25.00 Address: 1155 PERIMETER CENTER W #700
Amount Paid: 25.00 ATLANTA GA 30338 -5440
Date Paid: 6/03/2010 Phone:
Work Desc: FPM- HOOD CLEAN SEMI- PAPA JOHNS
R& L L N L IRE P - M F ES 25.00
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I A E - AN 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." Mr
14-
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 ofZephyrhills Fire it ( 0548 Fax -813- 780-0021
Permit Application v
Date Received •
Phone Contact for Permit I I i I
Owner's Name I v' 0 , Z) \A. W\ 5 .
� /►� � � � /� I Owner's Phone Number � 1 ', 1 rj I 1 \\ C 3I
Owners Address l l�„ � l} lJ Cs..\,,� � \vCx 7.4 V ■AiZ‘A,lk[; `
Fee Simple Titleholder Name I I Titleholder Phone Number I 1 1 1 J
Fee Simple Titleholder Address I
max i s tommasmazonsamignammwr
Job Address
I Lot # I
Sub Division I
maisarmassisse
Parcel #
n Bio-Hazard Waste Storage - ANNUAL n Fumigation Tent
(i Hazardous Material (Tier II or RQ Facility) ANNUAL
n Comm Exhaust Kitchen Hood/Duct
n Controlled Bum I Hood Installation
I:=1 Emergency Generator < 30 kw n LP/Natural Gas - Installation
n Emergency Generator> 30 kw n LP/Natural Gas - ANNUAL Sale
n Fire Protection Maintenance - ANNUAL
f 1
• Places of Assembly-ANNUAL
. I� La;a 'semi! ®I timer I
Sprinkler ❑ ❑ ❑
❑ Recreational Bum
Fire Alarm ❑ ❑ ❑ 1 1 Sparklers
Hood Cleaning El El El I I Sprinkler System Installations
Hood Suppression ❑
E I Standpipes (Sprinkler Sys)
Fire Alarm Installation
ri Torch Roofing/Tar Kettle
Fire Pumps
Fire Works Waste Tire Storage ANNUAL
Flammable Application- ANNUAL
Fuel Tanks I I Valuation of Project
ill • i er•.
Contractor
Signature ny IM
Address �� N i Y / N Fee Current Y / N
ELECTRICIA a— License #
Signature Company
Address Registered Y / N Fee anent Y / N
PLUMBER License #
Signature Company
Address Registered Y / N Fee Current Y / N
MECHANICAL License #
Signature Company
Address Registered Y / N Fee Current MEI
OTHER License*
Signature Cony
Address Registered Y / N Fee Current MUM
Directions: License #
art aPPilCation completely. - .. �.. .. ,
Owner & Contractor sign back of application, notarized (Or , copy of signed contract with owner)
If over $2500, a Notice of Commencement is required.(Mecfanical 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 (httpJ /appraiser.pascogov.com)