HomeMy WebLinkAbout11-11505 CITY OF ZEPHYRHILLS -
5335 - 8TH STREET
• (si3) �so-oozo 11505
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11505 Address: 5538 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: 11-26-21-0010-05700-0250
Improv. Cost:
Date Issued: 2/14/2011 Name: WELLESLEY DEVELOPMENT CORP
Total Fees: 25.00 Address: 34619 SR 54 W
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/14/2011 Phone:
Work Desc: FPM-QUARTERLY HOOD CLEANING FOR LITTLE CAESAR'S
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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 pertormed 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 OfFce - 813-780-0041
��saao-oo2o City of Zephyrhilis Fire Fax-813-780-0021
Permit Application
Date Received � (�
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Owner's Name — G c°r �-/� ""S'� '.:-.�...; ° / L.:_G � J
✓ JJ Owners Phone Number //�
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Owner's Address O ��.c.� ��`.J /�d� T�.- �� � 3�
Fee Simple Titleholder Name TiUeholder Phone Number C� C�
Fee Simple Titleholder Address
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Job Address � /" / � Lot # C�
Sub Division r � � � ���'��
Paroel #
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� Bio-Hazard Waste Storage - ANNUAL a Fumigation Tent ¢ y h �
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL
� Controlled Bum Hood Installation
� Emergency Generator < 30 kw � LP/Natural Gas-Instailation
� Emergency Generator > 30 kw � LP/Natural Gas-ANNUAL Sa
� Fire Protection Maintenance - ANNUAL � Places of Assembly-AN AL �
❑ r y emi �n er � ) � �
Sprinkler ❑ ❑ ❑ Recreational Bum � / �
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Fire Alarm ❑ ❑ ❑ � a Sparklers
Hood Cleaning ✓� I� ❑ ❑� � Sprinkler System Inst tions
Hood Suppression � ❑ ❑ ❑ � � Standpipes (Sprinkler Sys) �--- "
� Fire Alarm Installation � Toroh RoofinglTar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
� Fire Works
� Flammabie Application- ANNUAL Valuation of Project
� Fuel Tanks
Q Other:
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Contractor r,� :�._ °,a. ��::.r��z ��� ,. „:-r,. _.� .. �.. •
� Company
Signature OL.—� Registered / N Fee Current Y/ N
Address
License #
ELECTRICIAN
Company
Signature � Registered Y/ N Fee Current Y/ N
Address
License #
PLUMBER
Signature
Company
Registered Y/ N Fee current Y/ N
Address
License #
MECHANICAL
Company
Signature Registered Y/ N Fee Current Y/ N
Address
License #
OTHER
Company
Signature Registered Y/ N Fee Current Y/ N
Address
> . _ License # "�
Directions: .- °_ •�- � . . .� .
Fill out application completely �' 7" � - R.
Owner & Contractor sign back of application, notarized (Or, copy of signed contrect 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://appraiser.pascogov.com)
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SUNTRUST BANK
1-800-78�-8787
Date� Feb 17, 2011 Advice D-939799 Acct: 175✓569000000108
rhe folbwirrg deposited check(s) were
retumed to SunTrust unpaid. The amounf
of the check(s) has been deducted from SEQ # ITEM AMOUNT
your account.
003994 25.00
Service Charge Total: Analysis
CITY OF ZEPHYRHILLS
GENERALFUND
5335 8TH ST 1 Item charged totaling s25.00
ZEPHYRHILLS FL 33542-4312
A�dvice Total :2S.OQ
�:40 2 3 3 3 i 98�: 000 569000000 i08M �'00009 39 799�'
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0 2/17/2D11 ��"- -----_____-..---�_,�.�,�_.
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3994 a -------
This is a LEGAL COPY of your o A TAMPA dAlf ppESS{�Rte wAgH�
G►eck. You can use it the same n,� — �D 611 1YINpN�fiBpppKTip,_ � �• INC 5244
�� u would use the original � M�ESLEYCFIAPEI, F��14 �����
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RETURN REASON-A `' � ,,.. �4
NOT SUFFICIENT FUNDS � o �'�"� f d� ����r �---. ..
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4�:06 3 100 2 7?�; 2 290 3 2 28 3 3 20p 5 244 �'000000 2 500�'
Jacqueline Bbges
To: Kerry Barnett
Subject: bad check from hood cleaner
Kerry Wednesday last week we had a returned check from A Tampa Bay Pressure Washing inc. check # 5244 for hood
clean little ceasars permit #11505 , 5538 Gall blvd.
The gentlemen said he would come by Friday 25 to make check good he has not shown up . I phoned Monday 28 he
said would come by Monday 28 still no show. Could you give this guy a call about this bad check .
His phone number is 813-991-0123.
Thank you
Jackie Boges
Code Support Specialist
ext. 3513
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