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HomeMy WebLinkAbout10-10603 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 10603 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 10603 Address: 5637 GALL BLVD Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL. Class of Work: FIRE - PROTECTION MAINTENANCE Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11- 26 -21- 0010 - 05800 -0010 Improv. Cost: m. rAkg < - : R ,a , ..3� ;: t Date Issued: 6/16/2010 Name: ADV A PARTS Total Fees: 25.00 Address: 5637 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/16/2010 Phone: (863)294 - 3445 Work Desc: FPM - QUARTERLY HOOD CLEANING FOR CHINA WOK UNIV - E - VI d /b ZL• H Fl - E - - MI FE 25.00 fic Fl - A PAN ina 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." .!2 -r■02Y 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 813-780-0020 ,e7. 7 n,� City of Zephyrhills "Fire Fax - 813-780 -0021 l / / . Permit Application C } Date Received / 6; /� D /© Phone Contact for Permit ( ?(3 ...c9-3 J / 3S7 L T1 .2LO -HO IRA/7i T/7 i3 -5 . 93.5 Owner's Name /�� BOX Owner's Phone Number Owner's Address P.0. O/� g 73g /79,/i/99 r -z 33 674 Fee Simple Titleholder Name Titleholder Phone Number Fee Simple Titleholder Address 1 I ,101111.0P"' .�, ; _ ;�W � - .iz.,4,.'� .� M. t'. �� mac•. � , .:az .,.�� r ;- .a�„.�:r`":a., �:�.• af"a� is Job Address / , ; / " _.. / _ 1 Lot # Sub Division rol Parcel # f'u ^.. r r:w i,�Wit. �?6s�,✓?.z,aas -,* -,�, „_ -..- '— `w»w.- , .r=�r a - ..c.e:a, ; «- 'ra- .,.mss a .rs,zsri.c�«r: - ....,e +ewr��, _-'e i6 ?J h Bio-Hazard Waste Storage - ANNUAL I I Fumigation Tent n Comm Exhaust Kitchen Hood /Duct r Hazardous Material (Tier II or RQ Facility) ANNUAL I Controlled Bum n Hood Installation I Emergency Generator < 30 kw ( LP /Natural Gas - Installation I Emergency Generator> 30 kw ( ( LP /Natural Gas - ANNUAL Sale --- .- -- -- ------- I I Fire Protection Maintenance - ANNUAL I Places of Assembly- ANNUAL ~ N IUt"yI Ibemi) Uther Sprinkler n ❑ ❑ ❑ I I Recreational Bum f Fire Alarm ❑ ❑ ❑ I • 1 l I Sparklers ; / 0 6 0 ' Hood Cleaning l ID 1 1 I I Sprinkler System Install ions Hood Suppression El ❑ ❑ ❑ I • .I I I Standpipes (Sprinkler Sy Fire Alarm Installation I ( Torch Roofing/Tar Kettle k , IF Fire Pumps Waste Tire Storage ANNUAL C n Fire Works I Flammable Application- ANNUAL I I Valuation of Project I Fuel Tanks I Other: I I Contractor , Company 16(//' /V /e ic /Ccs I Signature u Registered Y / N 1 Fe e Current Y / N I Address I I License # I ELECTRICIAN Company I Signature Registered Y/ N I Fee Current I Y/ N J Address I I License # I I PLUMBER Company I Signature Registered Y / N I Fee Current 1 Y / N 1 Address I 1 License # I MECHANICAL Company Signature Registered Y / N 1 Fee Current I Y / N J Address I I License # 1 OTHER Company I Signature Registered Y/ N 1 Fee Current I Y/ N I 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 (httpj /appraiser.pascogov.com)