HomeMy WebLinkAbout10-10729 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10729
ANNUAL FIRE PROTECTION MAINTENANCE
' ;fir.:. -: .: m - _ .,.. 3 .n , .: ,.�.. . �. A
Permit Number: 10729 Address: 5420 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 -12100
Improv. Cost: ,200 4114 Vim'
Date Issued: 7/15/2010 Name: STANLAKE YE FAMILY LP
Total Fees: 25.00 Address: 464 W DUARTE RD #B
Amount Paid: 25.00 ARCADIA CA 91007
Date Paid: 7/15/2010 Phone:
Work Desc: FPM- FIRE ALARM ANNUAL- ZEPHYRHILLS BUFFET
^' :. 7
S- IAL LE ` • 4 TEM . IN R = - 25.00
O
FIR A - A 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."
Ai
P � IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTIONf - S HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813 - 780 -0041
813 -780 -0020 City of Zephyrhi ls'Fiie 4' of 7A Fax- 813 -780 -0021
Permit Application
late Received
- Phone Contact for Permit
lwners Name 2 6 ■ (I S. (+ Owner's Phone Number I i 5/ 1 k '3z-/
)wner's Address E L - . () < '7 �ti \
:es Simple Titleholder Name 1 1 Titleholder Phone Number I 1 ,
=ee Simple Titleholder Address I 3
.. .. . , _ kt« -. . _ VAR 9,.
Job Address S 'A a. c ( . r . k 1 ` t) • , Lot #
Sub Division I Parcel # . I
n Bb- Hazard Waste Storage - ANNUAL Fumigation Tent
ED Comm Exhaust Kitchen Hood/Duct n Hazardous Material (Tier II or RQ Facility) ANNUAL
E Controlled Burn Ej Hood Installation
I - I Emergency Generator < 30 kw 1 LP /Natural Gas - Installation
Emergency Generator> 30 kw [ LP /Natural Gas - ANNUAL Sale
Fire Protection Maintenance - ANNUAL I Places of Assembly- ANNUAL
=To waja mu ether
Sprinkler 0 0 ❑ ❑ n Recreational Bum
Fire Alarm n ❑ ❑ (4 , 1 Sparklers
Hood Cleaning ❑ ❑ ❑ I I 1 I Sprinkler System Installations
Hood Suppression El ❑ ❑ ❑ I ` n Standpipes (Sprinkler Sys)
El Fire Alarm Installation n Torch RoofinglTar Kettle
R Wast Fire Pumps
e Tire Storage ANNUAL
Fire Works
Flammable Application- ANNUAL ' Valuation of Project
Fuel Tanks
Q Other I
Contractor ` Company ' hl , L
Signature , Registered maul Fe= Current
Address Waelnr, t o u7 s , „run, r i r I License # I_ 100 b t 6 Li (..e I
ELECTRICIAN 3 3 ` a. Company
Signature Registered Y / N Fee Current Y / N
Address I License # I
PLUMBER Company
Signature Registered Y / N Fee Current Y / N
Address I' I License # - I
MECHANICAL Company
Signature Registered Y/ N 1 Fee Current 1 Y/ N I
Address I I License # I
OTHER Company
Signature Registered Y/ N 1 Fee Current I Y/ N I
Address I 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://appraiser.pascogov.com)