HomeMy WebLinkAbout11-11510 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(si3) �so-oo20 11510
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11510 Address: 5048 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: 1 1-26-21-0000-01400-0000
Improv. Cost:
Date Issued: 2/15/2011 Name: CUMBERLAND FARMS (NAK MOM)
Total Fees: 25.00 Address: 777 DEHAM ST
Amount Paid: 25.00 CANTON, MASS
Date Paid: 2/15/2011 Phone:
Work Desc: FPM- SEMI HOOD CLEAN- HOLE N ONE DONUT
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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."
�..
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
8�3-�so-oo2o City of_Zephyrhills Fir.e Fax-et3-�e0-oo21
• Permit Application
�ate Received �/`� �'�� �/�/ Phone Contact for Pertnit�_���"��(�'�'1
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)wner's Name � C��/c i,�� Owners Phone Number (� �� �,r Y
)wner's Address . (/i 7�15 ���{;"� J � �
ee Simple Titleholder Name Titleholder Phone Number �� ��
ee Simple Tii�eholder Address
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ob Address � � („ "� ��. Lot #
�ub Division Parcel #
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a Bio-Hazard Waste Storege - ANNUAL a Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material �er II or RQ Facility) ANNUAL
a Controlled Bum � Hood installation
a Emergency Generetor < 30 kw a LP/Natural Gas-Installation �(�
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Emergency Ge�erator > 30 kw � LP/Natural Gas-ANNUAL Sale
� Fire Protection Maintenance - ANNUAL a Places of Assembly-ANNUAL �
r y emi � er �
Sprinkler � ❑ O ❑ � � Recreational8um
Fire Alarm � ❑ ❑ ❑ � � Sparklers
Hood Cleaning ❑ � ❑ � �
Sprinkler System Installations
Hood Suppression ❑ ❑ O�� � Standpipes (Sprinkler Sys)
� Fire Alarm Installa6on � Torch RoofinglTar KettJe
� Fire Pumps � Waste Tire Storage ANNUAL
a Fire Works
Fiammable Appiication- ANNUAL
�--, Valuation of Project
� Fuel Tanks
� Other:
�ontractor � Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
ELECTRICIAN Company
Signature Registered Y/ N Fee Curreni Y/ N
Address
License #
PLUMBER Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
MECHANICAL Company
-- ••• - - ..,.�
Address � — �
License #
OTHER
Signature Company
Registered Y/ N Fee Current Y/ N
Address � •
License #
Directio�s:
FII out application completely.
Owner & Contractor sign back of application, notarized (Or, copy of signed cont2ct with owner)
If over $2500, a Notice of Commencement is required (Mechanical work over $5000)
Supply iwo (2) sets of drawings with applicable documentation
Allow 10-14 days for review aRer submittal date. Parcel #- ohtained from Property Tax Notice h://a
( ttp ppraiser.pascogov.com)