HomeMy WebLinkAbout10-11107 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 11107
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ANNUAL FIRE PROTECTION MAINTENANCE
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Permit Number: 11107 Address: 5130 GALL BLVD
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE - PROTECTION MAINTENAN •E Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11- 26 -21- 0010 - 07000 -0012
Improv. Cost:
Date Issued: 11/01/2010 Name: LUPTON
Total Fees: 25.00 Address: 5130 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/01/2010 Phone:
Work Desc: FPM- HOOD CLEAN QUARTERLY- LUPTONS
Hoe. M - - I E L IR PE - MI F 25.0
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F=EA P qN Final
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."
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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
OCT/28/2009/WED 10:45 AM ZEPHYRHILLS BUILDING FAX No, 813 P. 001/001
siFao-Gozo City of.ZophyrhIllsflre '# / 0 7 Fax-810-780-0021
•Perrrilt Application
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Oats Received • • . • . • Phone Contact for Permit glitella IMPIII AsWir
Owner's Name - Ike rtikL5 . •• Ovirter's Phone Number _ • 1 1,,c 1 1 1 / D
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Owner's Address • •
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Fee Simple Titleholder Name . 1 Titleholder Phone Number • 1 •
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Fee Simple Address
Job Addres s ' 5130 a L L 81v• , ._
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Sub Division '
' •• , = Blo-Hazard Waste Storage - ANNUAL . , • '. .. • ' ' ''. . . = , Fumigation Tent . ,, ' • ,
= Comm Xilaust Kitchen Hood/Ouct • - . . ' i 1 Ma terial.ffier II or IRO' Facillty)ANNUAL , _ •
In ", Controlled Bum . Li Hood Installation • • . ' • •
• El • Emergency Generator < 30 kw ' ' • ' • . • 1 . LP/Natural Gas-installation
• 7 Emergency Generator > 30 It ' • .. • .., • • n' . LP/Natural Gas-ANNUAL Sate i• • • • ' .
• 1::: . Fire Protection Maintenance -ANNUAL " • • - El Places of Aassembly-ANNUAL • . ". '
Sprinkler . 7. Cl , .0 • - in EMI ReCrestional Bum •, • • ' • •
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Fire Alarm • • , El in: in 0 110111 • , ni Sparklers
...Hood Cleanin3) • 0 0 1 1 7. Sprinkler Sys Installations . • . . ' .
• Hood Suppreastan LI 0 • 0 0 ----- 7 StandpIpai (Sprinkler Sys) • '
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= Fire Alarm Installation ' . , ' -, ' • El 'Torch Roofing/Mr Keittli . . • • .
= Fire Pumps - ' • • = Waste The Storage ANNUAL * . . • •
1 ...... Flammable Application- ANNUAL • . ' • . ' • . . 111.11.1111.1.1 • Valuation of Project
Fuel Tanks .
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Other • • • .
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' • ' • Cony / 04) zd'I3-9`7" 2 5 v
1 Contractor A 6,6 c7e _....4 ..._.___ 3 ",. e....at • . . .
Signature Ragiotarsel Y-/ N • 1 Fee Current 1 Y/ N j
Addms ri Me ir Xei&W i lAWer ill° Hiiii a rja vam ilini - License # • - - I • • ,
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LEGsiTtICIAN 4 • .
. Company '
Signature 1 , Registered Y / N 1 Fee Current J Y / N
Address 1- - ,- License #. . . • • I . , ,
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PLUMB R . . . Company • ' •
Signature . . .. . ‘ Registered ' Y / N 1 Fee Current I Y / N 1
Address r .
1 . , License # • ' . 1 • • .
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MECHANICAL
• • Company
Signature . • .
Registered 'Y / N 1 Fee Current I Y/N I
Address 1 __
• • • - , license # LL...„.. • _1
OTHER - T ,
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Signature ' Registered Y / N 1. . Fee Current 1 Y / N 1 ,
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Address , License #
Directions:
Fill autapplicatIon completely. . • •
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Owner & Convector sign hack of application, notarized (Or, copy of signed contract with owner)
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If over $2500, a Notice of Commencement Is required (Mechani ®1 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 (fittp://appralser.pascogcei.com) . .
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