HomeMy WebLinkAbout10-10755 CITY OF ZEPHYRHILLS
5335 - 8111 STREET
(813) 780-0020 10755
ANNUAL FIRE PROTECTION MAINTENANCE
E' m _ ,. e'W a ' '< ate : 7 7; ;
Permit Number: 10755 Address: 7422 GALL BLVD
PermitType: 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: 35- 25 -21- 0010 - 07200 -0011
Improv. Cost: , z5 7:7 , ,s: .
Date Issued: 7/23/2010 Name: K -MART
Total Fees: 50.00 Address: 7422 GALL BLVD
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 7/23/2010 Phone:
Work Desc: FPM - ANNUAL FIRE SPRINKLER & ANNUAL FIRE ALARM FOR K -MART
I- A RAL R�U' L L IA IR P =MI E 50.00
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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 f l". IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 NOTICE REQt1IRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813- 780 -0041
813 - 780 -0020 City of Zephyrhills Fire Fax - 813-750.0021
P ermit Application
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Date Received Phone Contact for Permit
Owner's Name rrE Uq I /4,0 t'..Qf2Rc)R,PQ flO n M
V.) Owner's Phone Number 1 8-0 h53 15
Owner's Address 01(47 1 5 S :Ina 1,J,.S -�( tlC_, 1 ll uk, GJ
aIfa. —r Mn 6 a Q c�S a t Z
Fee Simple Titleholder Name R. Sse- 11 - L - cri Titleholder Phone Number L N . 0 S3 Ist.4L4L
Fee Simple Titleholder Address 2 - (4) 1 5 S tn3 �S..rtak �[ n a o� 00-...52- —T R 5 �
Job Address K m 3'1b — 1 1 -1 22_ c Nu.. VI yr ?_.e.ph� (h l is q-1 2S'Cfft I
Sub Division Parcel # 1
n Bio- Hazard Waste Storage - ANNUAL 1 1 Hazardous Material (Tier II or RQ Facility) ANNUAL
Comm Exhaust Kitchen Hood /Duct n Hood Installation
n Controlled Burn n LP/Natural Gas - Installation
a Emergency Generator < 30 kw n LP /Natural Gas - ANNUAL Sale
1 I Emergency Generator > 30 kw n Places of Assembly - ANNUAL 4/9 7
n Fire Protection Maintenance - ANNUAL n Recreational Burn
1Qtrly1 jsemi1 yj Maw
Sprinkler ❑ ❑ Ir. LJ Sparklers
Fire Alarm ❑ ❑ M I I 1 Sprinkler System Installation
Hood Cleaning n ❑ ❑ ❑0 I I ri Standpipes (Sprinkler Sys)
Hood Suppression E ❑ ❑ ❑ I 1 U Torch Roofing/Tar Kettle
El Fire Alarm Installation I I Waste Tire Storage ANNUAL
n Fire Pumps
n Fire Works
ED Flammable Application- ANNUAL
1 I Valuation of Project
Fuel Tanks
n Other'
•
A i'l' 1
Contractor ( may � 'L(q r Company a A Ifs.) C�OR�Q ¢
O .�T1,Cot. I
Signature Registered n / N f Fee Current 1 Y/ N I
Address I
I License # ( I
ELECTRICIAN Company
Signature Registered Y/ N I Fee Current 1 Y / N I
Address I
I License # I
PLUMBER Company
Signature Registered Y/ N . 1 Fee Current I Y/ N I
Address I I License # I
MECHANICAL
Company I
Signature Registered Y / N I Fee Current 1 Y/ N I
Address I
1 License # I I
OTHER Company I
Signature Registered Y / N J Fee Current I Y/ N 1
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 - days for review after submittal date Parcel # - obtained from Property Tax Notice (http./ /appraiser pascogov com)