HomeMy WebLinkAbout10-10920 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10920
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 10920 Address: 5217 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 - 16600 -0010
Improv. Cost: , CORP y�
Date Issued: 9/13/2010 Name: PEEPLES FAMILY O INC
Total Fees: 25.00 Address: PO BOX 1058
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/13/2010 Phone: (813)782 -2989
Work Desc: FPM - ANNAUL FIRE ALARM FOR PEEPLES FAMILY CORP
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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." �r
P .4 ". 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
X13 /2008 /SUN 04:13 PM ZEPHYRHILLS BUILDING FAX No. 813-780 -0021 P. 002
813- 780 -0020 Clty ofZephyrhIUsFit - •• Fax- 813 - 780-0021
Permit Application .
Date Received • �_ � •_•- :Phone •Contact•for Permit
Owner's Name ) ?C. Q P Ve S. ■4 L1 Co( P I Owners Phone Number 1 J • 1 11 .)
Ownere Address • L 5 2l 1 c All a\va ? -4.PhY 4 hAS, FL• '6354Z . (
Fee Simple Titleholder Name • L 1 Titleholder Phone Number I • 11 II I l
Fee Simple'fltleholder Address I
Job Address 1. .5 l"1 G j( 31vd 2 FL' 33542... '• I Lot # . I • . 1 • Sub Division I Parcel # j
1
n Elio - Hazard Waste Storage - .ANNUAL ' .' Q Fumigation Tent .
0 . Comm Exhaust Kitchen Hood/Duct . I_.J Hazardous Material (Tier II or RQ Facility) ANNUAL .. •
❑ Controlled Bum• 1 ---- i Hood Installation •
❑ Emergency Generator 30 kw LP/Natural Gas - Installation qi �
. 1 - 1 Emergency Generetor> 80 kw J . • . .. . ❑ LP /Natural / atural Gas•ANNUAL 0 / a C
gET Fire Protection Maintenance - ANNUAL E:1 Places of Aeeambiy N
-ANU
Sprinkler ❑ Q O .0 ❑ Recreationallgum. D / 6
• Fire Alarm ' El 0 O r ❑ ' ❑ Sparklers C C` '
- .
Hood Cleaning ❑ O O 0 Spnnkler'System Installations •
• • Hood Suppression ❑ O O O Standpipes (Sprinkler Sys)
' • 1l Fire Alarm Installation • . • • • l l Torch Roofing/Tar Kettle
R . Fire Pumps • . • • • • • . ❑ Waste Tire Storage ANNUAL .. .. , •
Fire Works . • .. . . • . •
R Flammable Application- ANNUAL .I 1 Valuation of Project • Fuel Tanks
0 Other.
Contractor . Company 1 •Signature , • _ Registered [ Y/ N j Fee Current 1 Y / N 1 •
Address 1 1 • ._ Ucense #.. I 1 . -
ELECTRICIAN • . . • • Company 1
Signature _ • Registered Y / N Fee Current 1 Y / N
Address I 1 .. License # I 1
•
PLUMBER . • • • • • 'Company 1
•
Signature • • • • Registered I Y / N 1 Fee Current 1 Y / N ( .
Address 1 • 1 License # 1 1 . • •
MECHANICAL' Company . '
Signature . Registered [ Y / N ( Fee Current 1 Y• / N 1 '
Address 1 ' 1 • Ucense # . • • 1
OTHER `,� O
Company Mvc tn o S6C rt +`� ru
Signature e--‘1•94.,/ ' - H" • , ' Registered Y / N _1 Fee Current 1 Y / N
.Address _'�.�:,.. • _ • Ueense# 1
• • irectlons:
Fill out application completely. • •
Owner & Contractor sign beck of application, notarized (Or, copy of signed contract with owner) •
Prover 52500, a Notice of Commencemem le requlred.(MechanIceI work over 36000) • •
Supply two (2) sets of drawings with applicable documentation . • •
Allow 10 days for review after submittal date.' Parcel # -.obtained from Property Tax Notice (httpJ /appreieer.pascogov.com) . •
•
RECEIVED 07 13 -'09 15:56 FROM- ' 8137800021 TO- Devcon Security P002/002