HomeMy WebLinkAbout11-11564 CITY OF ZEPHYRHILLS �
5335 - 8TH STREET
(sis) �so-oozo 11564
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11564 Address: 7340 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): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 35-25-21-0010-0880-0000
Improv. Cost:
Date Issued: 2/25/2011 Name: TOWNVIEW RETAIL LLC
Total Fees: 25.00 Address: 725 CONSHOHOCKEN SR
Amount Paid: 25.00 BALA CYNWYD PA 19004
Date Paid: 2/25/2011 Phone:
Work Desc: FPM- FIRE SPRINKLER QUARTERLY- TOWNVIEW RETAIL
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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 $100.00, whichever is greater. All
work shall be pertormed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE
OF COMMEN CEMENT."
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P IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
i ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
31°-7£D-0^=. ('il�f OfZ �phyrhilis FI!' rax-oi�-rov-vvci
Permit Application --. _ _
Date rZeceiv=d � Phone Con;act ior Pertnit (� GZ � 3$�1
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Owner's Name �l J Cl.t7 C. LLG Ownels Phone Number 4 �� ��
Owne�s Address �7i'S �'t� �'�'77�K-(.sN S 2� (3(kC.A- U� +a`f7� �F L 1 U z
r=e Simple 7itieholder Nams Titleholde� Phone Number ��� �
Fee SimplaTitlsfiolder Address
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Job Address �j�U (y�,L �C.�1� zG..�14'`(2)�'fiC-L-°� lot� ��
5ub Division Paroel � S• Z � O � O
,fi -� r�2r
a Bio-tiazard Wast= Storege -ANNUAL � Fumigation Tent
a Comm Exhaust Kitchen HoodlDuct � Hazardous Materia( (Tier II or RQ Faciliry) ANNUAL
a Controiled Bum � Hood lnstallation
� Emergency Generator < 30 kw a LPlNaturai Gas-Installation
� Emergency Generetor> 30 kw � LP/Naturel Gas-ANNUAl. Sale
� Fira Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL
tr y emi Qn ar ����(�
Sprinkier (� ❑ ❑ � � Recreatiortal Bum ,�
Fire Atarm ❑ ❑ ❑ � � Sparklers
Hood Cleaning � ❑ � ❑� � Sprinkler Sysiem Instalfations
Hood Suppression � ❑ ❑ O� � Standpipes (Sprinkler Sys)
� Fire Alarm Instailation � Tor�h Roofingffar Kettle
Fire Pumps � Waste Tire Sforaga ANNUAL
Fire Works
FlammableApplication-ANNUAL Z� Vafuation of Project
Fuel Tanks
Q Other:
.� - -;:�
Contrector Company
Signature Regfstered Y/ N Fee Current Y/ N
Address License #
ELECTRICIAN Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
PLUMBER Company
Signature Registered Y/ N Fee Current Y/ N
Address Licertse #
MECHANICAL Company
Signature Registered Y! N Fee Current Y/ N
Address License #
OTH�R ,�2.(LY 'T: Company 1A2C..
Signature Registered I�l Fee Current �j/ N
Address ��, p ( License � �} $ C9O � 1 �
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Directior,s: � �
Ffl out application completely.
Owner & Con:2ctor sign back of application, no:ar'tzed (Or, copy of signed contrect with owner)
ff ovsr 52500, a Nofice of Commsncement fs required {Mechanicaf work over 55000)
Supply fivo (2) s=ts of drawings with appficabie documen;ation
Allow 10-14 days for review aft=r submittai date. Paroe! ,=- obtained from Property Tax No,i:.e (htto:/lap�;aiser.pascogov.com)