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10-10637
CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 10637 ANNUAL FIRE PROTECTION MAINTENANCE L. 7 7 7 7.752;71:r7:17:177771Zwil=41163 Permit Number: 10637 Address: 7425 GALL BLVD Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL. Class of Work: FIRE - PROTECTION MAINTENAN Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 34- 25 -21- 0000 - 00300 -0000 Improv. Cost: 777 Date Issued: 6/23/2010 Name: ZEPHYRHILLS PLAZA LLC Total Fees: 25.00 Address: 7425 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/23/2010 Phone: Work Desc: FPM- SPRINKLER ANNUAL- BEALL'S STORE #30 WAY AU • �A C - - - INKL - 1 FI - PE ` 25.00 7Z too A PAN final.,,,r ..�...` 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 81s- 780 -0020 City of Zephyrhills Fire ? Fax -813- 780 -0021 Permit Application 41 (0 o Date Received I Phone Contact for Permit 1813 1 1630 I 10303 I Owner's Name ephyrhills Plaza LLC I Owner's Phone N umber I 1 1 I I Owner's Address 5236 Commercial Way, Springhill FL 34606 Fee Simple Titleholder Name Titleholder Phone N umber I Fee Simple Titleholder Address Job Address Beall's Store # 30 7425 Gall Blvd., Zephyrhills FL 33541 -4311 Lot # 11 Sub Division Zephyrhills Commons Parcel # 134-25-21-0160-00000-0010 I Bio- Hazard Waste Storage - ANNUAL h Fumigation Tent E Comm Exhaust Kitchen Hood /D uct n Hazardous Material (Tier II or RQ Facility) ANNUAL nI Controlled Burn Ii Hood Installation I — I Emergency Generator < 30 kw I LP /Natural Gas - Installation El Emergency Generator > 30 kw I] LP /Natural Gas - ANNUAL Sale © Fire Protection Maintenance - ANNUAL = Places of Assembly- ANNUAL ry 'Semi' GLII MEM Sprinkler © ❑ ❑ l I I Recreationai Burn Fire Alarm 0 ❑ ❑ ❑ 1 1 17 Sparklers Hood Cleaning I] ❑ ❑ ❑ 1 1 I Sprinkler System Installations Hood Suppression 0 ❑ ❑ ❑ I I 7 Standpipes (Sprinkler Sys) 7 Fire Alarm Installation I Torch Roofing/T ar Kettle a Fire Pumps n Waste Tire Storage ANNUAL I - I Fire Works ri M Flammable Application- ANNUAL 50 I Valuation of Project Fuel Tanks n Other: I Contractor Company 1.41 _ 1 ■ 1. m ..MPcric � ,• .4 , , 1).„X„., Signature ( Registered X N Fee Current X / N Address 13226 Cherry Palm Drive, Tampa FL 33619 I License # I/ I ELECTRICIAN Company Signature Registered Y / N I Fee Current I Y/ N I Address I I License # I PLUMBER Company Signature Registered Y/ N J Fee Current I Y/ N I Address I I I I Li�ens a is MECHANICAL Company Signature Registered Y / N I Fee Current 1 Y/ N I Address 1 I License # I OTHER Company I Signature Registered Y / N I Fee Current 1 Y/ N I Address I I License # Directions: Fill out applic ation completely. Owner & Contractor sign back o f application, notarized (Or, copy of signed contract with ow ner) If over $2500, a Notice of C ommencement 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: / /appraiser.pascogov.com )