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10-10749
CITY OF.ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 10749 ANNUALFIRE PROTECTION 'MAINTENANCE 7 T.m, '_,$.toy_' t7 Permit Number: 10749 Address: 7910 GALL BLVD Permit Type: FIRE PROTECTION N MAINT Yp ENANC . ZEPHYRHILLS, FL. Class of Work: FIRE - PROTECTION MAINTENAN eE Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: :Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 35- 25 -21- 0010 - 00700 -0000 lmprov. Cost: te; a Date Issued: 7 /21/2010 Name: PRIMERICA GROUP ONE Total Fees: 25.00 Address: 3629 MADACA LANE Amount Paid: 25.00 TAMPA FL 33618 Date Paid: 7/21/2010 Phone: (813)933 -0629 Work Desc: FPM- SPRINKLER ANNUAL- STAPLES ::2 -7717.2146ETZWIlifinam-im, 25 6 9512-- Z I l 1 F - A A 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." iffr! 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 . 10 l(fq 813- 780 -0020 City of Zephyrhills Fire i Fax- 813 -780 -0021 Permit Application Date Received ( I Phone Contact for Perm it 1813 11630 1 10303 I Owner's Name I Zephyr Commons, LLC I Owner's Phone N umber I Owner's Address 1 3629 Madaca Ln. Tampa FL 33618 Fee Simple Titleholder Name Titleholder Phone N umber Fee Simple Titleholder Address Job Address Lot # Staples 1889 - 7910 Gall Blvd 14 Sub Division Zephyr Commons Phase 1 Parcel # 1 35.25.21.0130.00000.0140 n Bio-Hazard Waste S torage - ANNUAL n Fumigation Tent Comm Exhaust Kitchen Hood /D uct n Hazardous Material (Tier II or RQ Facility) ANNUAL El Controlled Burn n Hood Installation E Emergency Generator < 30 kw n LP /Natural Gas - Install ation Emergency Generator> 30 kw n LP /Natural Gas - ANNUAL Sale © Fire Protection M aintenance - ANNUAL n Places of Assembly-ANNUAL © ry 'Semi' Oa Other Sprinkler ❑ ❑ )9 n Recreational Burn Fire Alarm El ❑ ❑ ❑ I ( n Sparklers Hood Cleaning n ❑ ❑ ❑ I 1 n Sprinkler System Installations Hood Suppression E ❑ ❑ ❑ I 1 [ Standpipes (Sprinkler Sys) n Fire Alarm Installation n Torch Roofing/Tar Kettle Fire Pumps n Waste Tire Storage ANNUAL El Fire Works n Flammable Appl ication- ANNUAL 1150 I Valuation of Project n Fuel Tanks n Other: I Contractor Company Wayne Automatic Fire Sprinklers, Inc. I Signature / Registered X / N I Fee Current 1 X/ N I Address 13226 Cherry Palm Drive, Tampa FL 33619 I License # I DIM ((..0 ono 1 A Oc rb I ELECTRICIAN Company Signature Registered Y / N I Fee Current I Y/ N I Address I License # I PLUMBER Company Signature Registered Y/ N I Fee Current I Y/ N I Address I I License # I MECHANICAL Company Signature Registered Y/ N I Fee Current I Y/ N I Address I I License # OTHER Company I Signature Registered Y/ N J Fee Current I Y/ N I Address I I License # Directions: Fill out appiic ation ccmplctely. 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 )