HomeMy WebLinkAbout10-10665 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10665
ANNUAL FIRE PROTECTION MAINTENANCE
at 177177-717 °7 0 � pg
Permit Number: 10665 Address: 7431 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:
Improv. Cost: AMNPAIkit T 7F6777:57112
Date Issued: 7/01/2010 Name: TRACTOR SUPPLY COMPANY
Total Fees: 25.00 Address: 7431 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33541
Date Paid: 7/01/2010 Phone:
Work Desc: FPM - QUARTERLY FIRE SPRINKLER FOR TRACTOR SUPPLY
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FIRE PERMIT FEES 25.00
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FIRE AC EP AN inal
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."
Jrirvy
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 City of Zephyrhills Fire Fax- 813 - 780 -0021
Permit Application
Date Received I 1 Phone Contact for Permit I 2} I q.y .z I I( q a 3
Owner's Name Eli= ,/ / �� Owner's Phone Number 17
f 3 17 (a 1 1 4,50 0
Owner's Address 7 64 Pia 2e 1 �/ / /S' , ( 3 Y5f ( I
Fee Simple Titleholder Name / / Titleholder Phone Number
I
Fee Simple Titleholder Address I
Job Address
Fi Lot � ��/���� � � � Lat # I l
Sub Division
Parcel #
rI Bio- Hazard Waste Storage - ANNUAL (i Hazardous Material (Tier II or RQ Facility) ANNUAL
0 Comm Exhaust Kitchen Hood /Duct n Hood Installation
a Controlled Burn I-I LP /Natural Gas - Installation
a Emergency Generator < 30 kw pi LP /Natural Gas - ANNUAL Sale
n Emergency Generator> 30 kw I I Places of Assembly-ANNUAL
I CI Fire Protection Maintenance - ANNUAL 1 I Recreational Burn
F5791 ISemil Flit
Sprinkler I)` t y ❑ ❑ I I Sparklers tr .-
Fire Alarm 7 ❑ ❑ ❑ ( I I ( Gn
Sprinkler System Installation � ((/
Hood Cleaning ❑ ❑ ❑ I I 1 Standpipes (Sprinkler Sys)
Hood Suppression El ❑ ❑ ❑ I I E Torch Roofing /Tar Kettle
n Fire Alarm Installation I} Waste Tire Storage ANNUAL
El Fire Pumps
IT Fire Works
7 Flammable Application- ANNUAL I
❑ Valuation of Project
Fuei Tanks
ri Other: I
Contractor I Company n . T
Signature /� .So 4. 07
Registered Y/ N Fee Current I Y / N I
Address 35 31 1$1e4,54-o „e, I License # I Q2 35 A SOOO I a oo z
ELECTRICIAN I I Company I
Signature Registered Y / N ,I Fee Current Y/ N I
Address I I License # I
PLUMBER I I Company I
Signature Registered Y / N I Fee Current I Y/ N I
Address
1 License #
MECHANICALI
Signature 1 Company I
1 Registered Y/ N j Fee Current I Y/ N I
Address I I License # I
OTHER I Company
Signature Registered Y/ N j Fee Current I Y/ N I I
Address I I License #
Directions:
Fit 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: / /appraiser.pascogov.com)