HomeMy WebLinkAbout10-10597 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10597
ANNUAL FIRE PROTECTION MAINTENANCE
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Permit Number: 10597 Address: 7301 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: 34- 25 -21- 0080 - 00000 -0060
Improv. Cost: �
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Date Issued: 6/15/2010 Name: SAN ANTONIO CF CREDIT UNION
Total Fees: 25.00 Address: 7301 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/15/2010 Phone: (813)782 -8200
Work Desc: FPM - ANNUAL FIRE ALARM FOR SAN ANTONIO CF CREDIT UNION
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FIR A - ANCE 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."
AMY
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 -, C ,
lotiv ! City of Zephyrhills Firs Fax - 813 - 780 - 0021
A , , Permit Application
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)ate Received • - Phone Contact for Permit
. ,. . - , ..:� _:...;.< .:.... . ......a .,- .,..wa. ...,.....�...... u_
)wner's Name ril r • r Owner's Phone Number
)wners Address 1 1 1.0 1 &d B 1 t) Z e_elAir k. �Ls \--1 3 3 5 y a.
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:es Simple Titleholder Name {{ 1 Titleholder Phone Number
:ee Simple Titleholder Address I
-..
Job Address I Lot #
r Parcel # - d5 • XI tY - c400a - 00(0 a
Sub Division .n - '"��......�a.�.`,.:
n Blo-Hazard Waste Storage - ANNUAL Ei Fumigation Tent
El Comm Exhaust Kitchen Hood/Duct n Hazardous Material (Tier II or RQ Facility) ANNUAL
ED Controlled Burn ri Hood Installation
n Emergency Generator < 30 kw n LP /Natural Gas - Installation , c.___ :!: y / 1 7 '
n LP/Natural Gas - ANNUAL Sal / /
Emergency 30 kw
Fire Protection on Maintenance ance - ANNUAL n Places of Assembly -ANNUA r
�; Isemr1 raj timer __
Sprinkler 0 ❑ ❑ ❑ n Recreational Bum 11"..' w /�
Fire Alarm ❑ ❑ %I I Ei Sparklers /
Hood Cleaning ❑ ❑ ❑ ❑ 1 1 n Sprinkler System Installations
Hood Suppression [J ❑ ❑ 0 I 1 n Standpipes (Sprinkler Sys)
0 Fire Alarm Installation n Torch Roofing/Tar Kettle
R Fire Pumps n Waste Tire Storage ANNUAL • Fire Works
Flammable Application- ANNUAL J Valuation of Project
Fuel Tanks
fl Other: 1
Contractor Company O ,5
S '
Signature j ���Z�'L'A
) s � ' Registered maw Fee Current ir
Address I • 'P . lialtr ;l• - License # I p F ( C) ( 0 Li i 1
ELECTRICIAN Company
Signature Registered Y/ N Fee Current Y i N
Address 1 I License # 1 1
PLUMBER Company
Signature Registered Y / N Fee Current Y / N
Address I ( License # I
MECHANICAL Company
Signature Registered Y/ N I Fee Current I Y / N 1
Address I I License # I I
OTHER Company
Signature Registered _ Y / N Fee Current Y / N
Address 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 : /lappraiser.Pascogov.com)