HomeMy WebLinkAbout11-11509 CITY OF ZEPHYRHILLS
5335 - 8TFi STREET
(si3) �so-oo20 11509
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11509 Address: 5014 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: 11-26-21-0010-20700-OOAO
Improv. Cost:
Date Issued: 2/15/2011 Name: CHATTERBOX CAFE
Total Fees: 25.00 Address: 5014 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/15/2011 Phone:
Work Desc: FPM- SEMI HOOD CLEAN- CHATTERBOX CAFE
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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 Ciry 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 INSPEC7ION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
s�3aaaoo2o City of.Zephyrhills Fir:e ��/ �� Fax
' Pe it Application
�ate Received '"'�T �y� L- ��//� Phone Contact for Permit�� �'�"�'(
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�wner's Name �� s� Z7'(f Owners Phone Number
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�wner's Address � �. �x �i'7( ,;�T 33G'
ee Simple Titleholder Name Titleholder Phone Number �� �
=ee Simple Titiehoider Address
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Job Address /r C ��T Gj"�j � � ��UD • Lot# ��
Sub Division Parcel #
a Bio-Hazard Waste Storege - ANNUAL a Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Materiai (Tier II or RQ Facility) ANNUAL
� Controlled Bum � Hood Installation
� Emergency Generetor < 30 kw � LP/Natural Gas-Installation
� Emergency Generator > 30 kw � LPlNatural Gas-ANNUAL Sale
� Fire Protection Maintenance - ANNUAL a Places of Assembly-ANNUAL
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Sprinkler � O ❑ ❑ � � Recreational Bum
Fire Alarm � ❑ O O�� � Sparklers
Hood Cleaning � ❑ � ❑� � Sprinkler System Installations
Hood Suppression � ❑ ❑ ❑� a Standpipes (Sprinkler Sys)
a Fire Alartn Installation � Torch Roofing/Tar Kettle
� Fire Pumps � Waste Tire 5torage ANNUAL
� Fire Works
� Flammable Application- ANNUAL �— Valuation of Project
Q Fuei Tanks
� Other•
Contractor �,��.,� Company
Signature �' '����� Registered Y/ N Fee Current Y/ N
Address
License #
ELECTRICIAN Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
PLUMBER Company
Signature Registe2d 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: '
FIII 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 afler submittal date. Parcel #- obtained from Property Tax Notice (http://app2iser.pascogov.com)