HomeMy WebLinkAbout11-11565 CITY OF ZEPHYRHILLS /
5335 - STH STREET �
�si3) �so-oo20 11565
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11565 Address: 7306 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: 35-25-21-0010-08800-0000
Improv. Cost:
Date Issued: 2/25/2011 Name: TOWNVIEW RETAIL LLC
Total Fees: 25.00 Address: 725 CONSHOHOCKEN STATE RD
Amount Paid: 25.00 BALA CYNWYD, PA 190042102
Date Paid: 2/25/2011 Phone:
Work Desc: FPM- FIRE SPRINKLER QUARTERLY- TOWNVIEW RETAIL
AN I L , I . I I 5.
, � �
i � �I
� �
inal
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 performed 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."
i
i �
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
313-7c "-� CityofZephyrhilis Fir ran-o�o-�ov-vv��
_ . Permit Applica±ion _ _ _.
Dat° Received � —� Phone Con�act for Pertnit $13 �(iZ i ��J,� '
; ����.a�.��.��,,.<_:W .�..� .w.KU:....,.�,_:_._.... �X��s���s.�t:;@�-->�� � �:.�.._,_ • �:.._._ -• .._.._� -- -� - .:. :..� ._ �.M
Own=_r's Name l l�l�/ 1C.�1nJ R.�%'�F1C.. L,(,G Ownels Phone Number �� �
OwnstsAddress Z� �j �1 L�Ll. l� N � a 9od�Iz.�oZ
r'ee Simpl=_ Titleholder Name Titleholder Phon= Number �� ���
F�e Simple Titlsfiolder Address
_� . ,...�-`s;� �s.'�E"t`?="';K�k€ = : .�. i .�-'-.`"�r`',�ir.'?Y<''r' ° -� ° °a� 4 :?�'�..^.:��w;�I`��.y,n_-`�°�:a�:�';x�'_i :
Job Address ' / �Jf7L � (��'ZC I��.J� • LC.S �'- • Lot # C�
Sub Division �'�( Z(� Parcel � �• Z j� L, • �� ' m 6
- ���
z � Bio-Hazard Wast= Storege -ANNUAL � Fumigation Tent
� Comm Exhaust 4Citch=n HoodlDuct � Hazardous Material (Tier I� or RQ Facility) AtJNUAL
� Controlled Bum a Hood lnstallation
� Emergency Generator < 30 kw � LPlNatural Gas-Installation
� Emeroency Generator> 30 kw � LP/Natural Gas-ANNUAL Sale
� Fire Protection Maintenance - ANNUAL � Places of Assembiy-ANNUAL
tr y emi Qn ar �.
Sprinkler C� ❑ ❑ � Recreatioral Bum / � ���
/ I Fire Alarm � ❑ ❑ � � Sparkiers �
Hood Cleaning � ❑ � O� a SprinklQr System (nstallations
Hood Suppression � ❑ ❑ O�� � Standpipes (Sprinkler Sys)
� Fire Alartn installation � Torch Roofing/Tar Kettle
Fire Pumps � Waste Tire Storega ANNUAL
Fire Works
Flammable Application- ANNUAL 2 S, bU Valuation of Project
Fuei Tanks
Q Other:
Contractor Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
ELECTRICIAN Company
Signature Registered 1' /�I Fee Current l� / N
Address License #
PLUM9ER Company
Signature Registered Y/ N Fes CuRent Y/ N
Address License #
MECHANICAL Company
Signature Registered l� / N Fee Current Y/ N
Add2ss License #
oTH�R T Company (Z� f�rl F!/t�' �f11 !'�K.
Signature Registered / N Fea Current L / N
Address 1 d� S"`. �C.. i License n � �) �'
.�..-.��._.,., - a.x..Y- •�:�.,n.. - -- �...�.. ...-� . v..�, _..�._ - - - �_�.._.,�.>.�_�...,,s �j�:��
; Directions:
FIl ottt application completely.
Owner & Con!ractor si�n back of aoplication, no:arized (Or, copy of signed contrect with owner)
If over S2500, a Notice of Commencement is required {Mechanical work over 95000)
Supply two (2) s=;s of drewings with appiicable documentation
Aifow 10-14 days for review aft=r submittal date. Paroel r- obtained from Property Tax No;ice (��ttoJ/a��aiser ;�ascogov.com)