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� C�TY OF ZEPHYRHILLS
5335 - 8TH S7'REET �
� (813) 780-0020
ANNUAL FIRE PROTECTIpN MAINTENANCE 11514
Permit Number: 11514
Permit Type: FIRE PROTECTION MAINTENANC Address: 7921 GALL BLVD
Class of Work: FIRE-PROTECTION MAINTENAN E Township• EPHYRH e:
Proposed Use: COMMERCIAL 9 Book:
Square Feet: Lot(s): Block: Section:
Est. Value: Subdivision: CITY OF ZEPHYRHILLS
Improv. Cost: Parcel Number: 34-25-21-0010-00100-0010
Date Issued: 2/16/2011
Total Fees: 25.00 Name: LOWES HOME CENTER
Amount Paid: 25.00 Address: 7921 GALL BLVD
Date Paid: 2/16/2011 ZEPHYRHILLS, FL. 33542
Work Desc: FPM-ANNUAL FIRE SPRINKLER FOR LOWES HOME CENTER
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Chapter 633, Florida Statutes� authorizes �e �ity to charge and collect �ser fees to
prevention and protection related activities such as ins PaY for the costs of fire
costs related to the aforementioned. ��ons, plan review, administrative fees, and other
Complete Plans, Specifications and Fee Must Accom n A lication. Commencement of work without written
the Fire Department's Fire Marshal or r uired � y pp
inspection shall be charged double � ���� or opening up for commercial activity without an a a pproval of
permit fee per day of operation or a minimum of $100.00, whichever i sgreate � Ail
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NO
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR CE OF
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCI IMPROVEMENTS
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDINNG, CONSULT
OF COMMENCEMENT." G YOUR NOTICE
�..
PERMIT EXPIRES IN 30 DAYS WI'1'HOUT APPROVED INSPECTIp�y OFFICER
CALL FOR INSPECTIp�y - g HOUR NOTICE REQUIRED
ZEPHYRHiLLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
8 13-780-0020
City of Zephyrhills Fire
i� �l� ` �� Permit Application Fax-813-780-0021
Date Received
Phone Contact for Perm it 813 630 0303
Owner's Name Lowes Home Center Inc
O Box 1000, # 1854 Attn Tax Dept 1 ETA, Mooresville, NC 28115-1000 ber ���'I
Owner's Address L_�
Fee Simple Titleholder N�me �
Fee Simple Titleholder Address Titleholder Phone N umber �� �
Job Address 7921 Gall Blvd , Zephyrhills, FL 33541
Sub Division Zephyrhills Colony Company �ot# �
Parce� # 34-25-21-0010-00100-0010
� Bio-Hazard Waste S torage - ANNUAL �
� Comm Exhaust Kitchen Hood/D uct Fumigation Tent
� � Hazardous Material (Tier II or RQ Facility) ANNUAL
Controlled Burn �
� Emergency Generator < 30 kw Hood installation
� Emergency Generator > 30 kw � �P�Natural Gas-Install ation
�X `ire Pro!ecticr M ai^tenanca ANNUAL � LP/Natural Gas-ANNUAL Sale
� °loc�s c� f AiVNUAL '- - "`�
�Y emi �n ef �� Y-
Sprinkler � � � � ❑
❑ Recreational Burn
Fire Alarm � � � � ❑ �
❑ � Sparklers � ��
Hood Cleaning � � � ❑ • �
Sprinkler System Installations f
Hood Suppression ❑ � � � � ❑ � �
� Standpipes (Sprinkler Sys)
Fire Alarm installation �
� Torch Roofing/Tar Kettle �'----
Fire Pumps �
� Fire Works Waste Tire Storage ANNUA�
� FlammableApplication-ANNUAL
� Fuel Tanks 50 Valuation of Project
Q Other
Contractor �
Signature r. �/ Company ayne U 01T18 IC If2 pnn @fS, IIC.
Address 226 Cher Palm Drive Tam a FL 33619 Registered yC / N Fee Current � � N
ELECTRICIAN License# 09846600012008
S ig natu re Com pany
Address Registered Y/ nJ Fee Current �( / N
PLUMBER License #
Signature Company
P.ddress Registered Y/ N Fee Current
Y/N
MECHANICAL License # r
Signature Company
Address Registered Y/ N Fee Current Y/ nJ
OTHER License # �
Signature Company
Address Registered Y/�I Fee Current Y/ N
Directions: License # �
Fill out applic ation com pletely
Owner & Contractor sign back o f appl ication, notarized (Or, copy of signed contract with ow ner)
If over $2500, a Notice of C ommencement is required (Mechanical work over $5000)
Supply tvao (2) sets of drawings with applicable documentation
Allow 10-14 days for review aRer submittal date. Parcel #- obtained from Property Tax Notice htt //a
� p: ppraiser.pascogov.com )