HomeMy WebLinkAbout11-11547 CITY OF ZEPHYRHILLS
5335 - 8TH STREEI' �
(sis) �so-ooZO 11547
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11547 Address: 7431 GALL BLVD
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot s:
Square Feet: � ) Block: Section:
Est. Value: Subdivision: CITY OF ZEPHYRHILLS
Improv. Cost: Parcel Number:
Date Issued: 2/23/2011 Name: TRACTOR SUPPLY COMPANY
Total Fees: 25.00 Address: 7431 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33541
Date Paid: 2/23/2011 Phone:
Work Desc: FPM- ANNUAL FIRE ALARM- TRACTOR SUPPLY
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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 a
the Fire Department's Fire Marshal or required permits or opening up for commercial activity without an a pProval of
inspection shall be charged double permit fee pproved final
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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PERMIT EXPIRES IN 30 DAYS WITIiOUT APPROVED INSPECTIpW OFFICER
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - g13-780-0041
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Permit Application rax-o i o-i ov-vvt i
Date Received
Phone Contact for Pertnit '� � .�
Owner's Name (�,, S�� �� � ��
Owners Phone Number
Owner's Address 7�3 �-� � � r�� Z _ �` � /�
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Fee Simple Titleholder Name �� ^ �
Fee Simple Titleholder Address Titleholder Phone Number
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Job Address � �
Sub Division
Lot # C�
, „ Parcel #
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� Bio-Hazard Waste Storage -ANNUAL ; - '�� " . ' ' '
� � Fumigation Tent
Comm Exhaust Kitchen Hood/Duct � Hazardous Mate�al (Tier II or RQ Facility) ANNUAL
� Controlled Bum
� Hood Installation
Emergency Generator < 30 kw �
� LP/Natural Gas-Installation
Emergency Generator > 30 kw a LP/Natural Gas-ANNUAL Sale
� Fire Protection Maintenance - ANNUAL �
Places of Assembly-ANNUAL
❑ [�f] emi � er ❑
Sprinkler � � � �
� Recreational Bum ry
Fire Alarm � � � �� � � � C ':
❑ Sparklers
Hood Cleaning � � � � ❑
❑ Sprinkler System installations
Hood Suppression p � � ❑
� Standpipes (Sprinkler Sys)
Fire Afartn Installation �
(� Torch Roofinglfar Kettfe
� � Fire Pumps �
� Waste Tire Storage ANNUAL
Fire Works
a Flammable Application- ANNUAL
� Fuel Tanks Vatuation of Project
Q Other:
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Contractor .. , , , , p ,
Signature � �� Company a �� ��
Address
Registered N Fee Curt,ent Y/ N
ELECTRICIAN
License #
Signature Company
Address
Registered Y/ N Fee Current Y/ N
License #
PLUMBER
Signature Company
Address
Registered Y/ N Fee Cument Y/ N
License #
MECHANICAL
Signature Company
Address Registered Y/ N Fee Current Y/ N
OTHER
License # �—
Signature Company
Address Registered Y/ N Fee Current Y/ N
Directions: - License # �
Fill out application completely.
Ovmer & 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 dxumentation
Allow 10-14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (http://appraiser.pascogov.com)