HomeMy WebLinkAbout10-11200 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 11200
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11200 Address: 6329 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: 03- 26 -21- 0020 - 00000 -0010
Improv. Cost:
Date Issued: 11/23/2010 Name: KAUFMAN GROUP ENTERPRISES
Total Fees: 25.00 Address: 6329 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/23/2010 Phone:
Work Desc: FPM- ANNUAL FIRE ALARM - KAUFMAN GROUP
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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." ariP
.i
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
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' g- 813- 7dB -0o2U City of ZephyrhillsFire.- Fax -813 -780 -0021
Permit Application
late Received • - Phone Contact for Permit I II
;ter J -- « ,
)wner's Name II . , LK__ (N r 1.) t — Y1 : Owner's Phone Number I 11 11
)wner's Address ` (‘ A � > 3 � c.■ \ ` ` J . , .e, �,• , `1 S .J `� i / 7
:ee Simple Titleholder Name 1 .1 Titleholder i1 older Phone Number ( 1 I
:es Simple Titleholder Address
Job Address I C M CA Lot #
Sub Division 0_, + . , p 2,e . . I Parcel # 1(. 3 ) - ---,./ 00,k -- ccCxjo -061 L
n Bio-Hazard Waste Storage - ANNUAL ED Fumigation Tent
ED Comm Exhaust Kitchen Hood/Duct n Hazardous Material (Tier II or RO Facility) ANNUAL
LJ Controlled Burn rI Hood Installation
E l Emergency Generator < 30 kw LP /Natural Gas - Installation
Emergency Generator> 30 kw n LP /Natural Gas - ANNUAL Sale
•
Fire Protection Maintenance - ANNUAL n Places of Assembly- ANNUAL
I )Semi) ®'tuner
Sprinkler ❑ ❑ ❑ I� Recreational Bum
Fire Alarm ❑ ❑1 I I ED Sparklers
Hood Cleaning ❑ ❑ / I I Sprinkler System Installations
Hood Suppression jJ ❑ ❑ ❑ I . I El Standpipes (Sprinkler Sys)
ED Fire Alarm Installation = Torch .Roofing/Tar Kettle
Fire Pumps a Waste Tire Storage ANNUAL
Fire Works •
Flammable Application- ANNUAL 1 1 Valuation of Project
Fuel Tanks
Q Other. 1
Contractor \ _ 1111 Company IA ; • •., ,, - - .G %tit __f C•
Signature J \ • Registered IRVALIII Fee Current fS N
Address 3 . • - . - 1,-, r _ License # I S F (DE) 10 H l I
ELECTRICIAN - Company
Signature Registered Y/ N I Fee Current I Y/ N J
Address 1 ` License # I I
PLUMBER Company
Signature Registered Y/ N F ee Current Y 1 N
Address I 1 License* I
MECHANICAL Company
Signature Registered Y / N ] Fee Current I Y/ N I
Address I I License # I
OTHER Company
Signature Registered Y / N Fee Current Y / N
Address I Lice #
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 -14 days for review after submittal date. Parcel # - obtained from Property Tax Notice (http:1 /appraiser.pascogov.com)
. .