HomeMy WebLinkAbout10-11326 1 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 11326
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11326 Address: 5118 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 - 07000 -0011
Improv. Cost:
Date Issued: 12/15/2010 Name: FUNG GARDENS
Total Fees: 25.00 Address: 5118 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 12/15/2010 Phone: (813)788 -4586
Work Desc: FPM -SEMI HOOD SUPPRESSION FOR FUNG GARDENS
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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 -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
813 -780 -0020 City of Zephyrhills Fire
Fax - 813- 780 -0021
Permit Application
Date Received I t 2 ( iS l/ p I
Phone Contact for Permit 1 6/3 1 l?& 1 l 4 f /6 9 I
Owner's Name I F✓ a-
f 7' Z 7 1 Owner's Phone Number I ff i I I 4-77 1 IS- 3 Cg I
Owner's Address 1 rj l / q 6 //' /3/!/!l 2 / ,(.l /% ?/ S �`/ 3?
Fee Simple Titleholder Name I ! I I I I I I
Titleholder Phone Number
Fee Simple Titleholder Address I
Job Address I , / cr 11 " /d
i I Lot # I
Sub Division I Parcel # I
17 Bio- Hazard Waste Storage - ANNUAL ri Fumigation Tent
n
ED Comm Exhaust Kitchen Hood /Duct a Hazardous Material (Tier 11 or RQ Facility) ANNUAL
Controlled Bum I Hood Installation
n Emergency Generator < 30 kw = LP /Natural Gas - Installation
n Emergency Generator > 30 kw [] LP /Natural Gas - ANNUAL Sale
(2:1 Fire Protection Maintenance - ANNUAL n Places of Assembly -ANNUA �1
❑ IQtrlyl'Semi) Will 'Other I /I rt9-
6
Sprinkler ❑ ❑ ❑ n /
Recreational Burn u /I/
Fire Alarm n ❑ ❑ ❑ I I J Sparklers
Hood Cleaning El ❑ ❑ ❑ I I n Sprinkler System Installations
Hood Suppression z 1Z1 ❑ 24 ❑ I I n Standpipes (Sprinkler Sys)
17 Fire Alarm Installation I Torch Roofing/Tar Kettle
Fire Pumps = Waste Tire Storage ANNUAL
ED Fire Works
n Flammable Application- ANNUAL I 'Z 0 0 I
E Fuel Tanks Valuation of Project
0 Other: I
Contractor
Signature' rl /.T/— .. Company In InL
Registered I Y/ N � Fee Current I Y/ N I
Address Er 0s i ♦,_ ► i , ,, . 0 - a.,. 3 .... I
� Licens # I
ELECTRICIAN
Signature I I Company
Registered I Y/ N 1 Fee Current I Y/ N J
Address I
1 I
License #
PLUMBER
Signature I Company I
Registered Y/ N 1 Fee Current I Y/ N 1
Address I I I
License # I
.1ECHANICALI I
>ignature Company I
Registered Y/ N 1 Fee Current I Y/ N I
Address I ( I
License # I
)THER
lignature I Company
Registered I Y / N j Fee Current I Y/ N I
Address
iirections:
License # I
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 h //a
( ttP� PPreiser.pascogov.com)
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