HomeMy WebLinkAbout11-11540 ,. CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(si3) �so-oozo 11540
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11540 Address: 5327 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: 11-26-21-0010-13300-0010
Improv. Cost:
Date Issued: 2/23/2011 Name: THE COUNTRY KITCHEN ON 301
Total Fees: 50.00 Address: 5327 GALL BLVD
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/23/2011 Phone:
Work Desc: FPM-SEMI SUPPRESSION/HOOD- COUNTRY KITCHEN 301
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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
, sis-; ao-oo2o City of.Zephyrhiils Fire Fax-813780-0021
�Permit Application
Date Received Phon
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Owner's Name � ��e Owners Phone Number ��� � � ? �'-�_
Owner's Address S 3 (',�GL �L (�` �� l��t l/S /�c-
Fee Simple Titieholder Name TiUeholder Phone Number �� �� �
Fee SimpleTitteholder Address
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Job Address �
Lot #
Sub Division Parcel #
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� Bio-Hazard Waste Storage -ANNUAL � Fumigation?ent
� Comm F�chaust Kitchen Hood/Duct � Hazardous Material (Tier il or RQ Facility) ANNUAL
� Controlled 8um � Hood Instaliation
� Emergency Generator < 30 kw � LP/Natural Gas-Installation
� Emergency Generator> 30 kw � LP/Natural Gas-ANNUAL Sale
� Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL
� emi � er
Sprinkler � ❑ ❑ ❑ � � Recreationai Bum
Fire Alartn � ❑ ❑ ❑ � � 5parklers
Hood Cleaning ❑ J,8( ❑� � Sprinkler System Installations
Hood Suppression ❑ � ❑ � � Standpipes (5prinkler Sys)
� Fire Aiartn Installation � Torch Roofing/Tar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
� Fire Works
� Flammable Application- ANNUAL Valuation of Project
Fuel Tanks
Q Other:
�;
Contractor Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
ELECTRICIAN Company
Signature I Registered Y/ N Fee Current Y/ N
Address License #
PLUMBER Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
MECHANICA Company
Signature Registered Y/ N Fee Current Y/ N
Address
License #
OTHER Company Cv N /'
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Signature Registered N Fee Current / N
Address License # � �
Directions:
Fill out application completely.
Owner & Contractor sign back of application, noWrized (Or, copy of signed contract with owner)
If over $2500, a Notice of Commencement is required (Mechanical work over $5000)
Supply 1wo (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)