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Home My WebLink About10-11060 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 11060 ANNUAL FIRE PROTECTION MAINTENANCE ° ,1 �� r,� .,. ate, : �� E. Permit Number: 11060 Address: 7910 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: 35- 25 -21- 0010 - 00700 -0000 Improv. Cost: z , san Date Issued: 10/19/2010 Name: PRIMERICA GROUP ONE Total Fees: 25.00 Address: 3629 MADACA LANE Amount Paid: 25.00 TAMPA FL 33618 Date Paid: 10/19/2010 Phone: (813)933 -0629 Work Desc: FPM- SPRINKLER ANNUAL - STAPLES A" 1 •MA I . _ �K _ 5.10 f t 9 S. - A - N ina 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." oraPP 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 813 - 780 -0020 City of Zephyrhills Fire f 0 t;'6. Fax - 813 -780 -0021 Permit Application Date Received 1 1 Phone Contact for Perm it 1813 1 1630 1 10303 1 Owner's Name I Zephyr Commons, LLC I Owner's Phone N umber I 1 1 I I Owner's Address 3629 Madaca Ln. Tampa FL 33618 Fee Simple Titleholder Name Titleholder Phone N umber I Fee Simple Titleholder Address 1 1 Job Address Staples 1889 - 7910 Gall Blvd Lot # Sub Division Zephyr Commons Phase 1 Parcel # 1 35.25.21.0130.00000.0140 n Bio- Hazard Waste Storage - ANNUAL n Fumigation Tent E Comm Exhaust Kitchen Hood /D uct n Hazardous Material (Tier II or RQ Facility) ANNUAL I - 7 Controlled Burn n Hood Installation n Emergency Generator < 30 kw = LP /Natural Gas - Install ation �bY n Emergency Generator > 30 kw n LP /Natural Gas - ANNUAL Sale S © Fire Protection M aintenance - ANNUAL n Places of Assembly- ANNUAL IQtrlyI (SemiI LW Other Sprinkler © ❑ ❑ gl n Recreational Burn 1 Fire Alarm 0 ❑ ❑ ❑ I 1 n Sparklers Hood Cleaning n ❑ ❑ ❑ I 1 n Sprinkler System Installations Hood Suppression n ❑ ❑ ❑ 1 1 0 Standpipes (Sprinkler Sys) n Fire Alarm Installation 17 Torch Roofing/T ar Kettle ED Fire Pumps n Waste Tire Storage ANNUAL Fire Works 1 � FT 1 Flammable Appl ication- ANNUAL ' 50 I Valuation of Project n Fuel Tanks n Other: I I i Contractor Ci Company Wayne Automatic Fire Sprinklers, Inc. 1 Signature Registered X / N I Fee Current I ) ' / N I Address 13226 Cherry Palm Drive, Tampa FL 33619 1 License # 09846600012008 ELECTRICIAN Company 1 Signature Registered Y / N I Fee Current I Y / N 1 Address I I License # ( 1 PLUMBER Company I Signature Registered Y/ N I Fee Current 1 Y/ N I Address I I License # 1 MECHANICAL Company I Signature Registered Y / N I Fee Current I Y/ N I Address 1 1 License # ( I OTHER Company I Signature Registered Y/ N I Fee Current I Y / N 1 Address 1 I License # I Directions: Fill out applic ation completely. 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 )