HomeMy WebLinkAbout11-11576 CITY OF ZEPHYRHILLS
� 5335 - 8TH STREET
(813) 780-0020 11576
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11576 Address: 5963 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: 10-26-21-0020-00000-0021
Improv. Cost:
Date Issued: 3/02/2011 Name: ABC RESTAURANT
Total Fees: 25.00 Address: 5963 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/02/2011 Phone:
Work Desc: FPM- SEMI SUPPRESSION ABC PIZZA
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Chapter 633, Florida Statutes, authorizes the City to charge and collect user f s 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
�1s-7saoozo City of.Zephyrhills Fire Fax-8 1 3-7 8 0.0 0 21
�Permit Application
Date Received Phone Contact for Pertnit �,�����`�
�, ��:�,
Owner's Name � 2 Owners Phone Number � C� � �f
Owner's Address � / 3 G �!
Fee Simple Titleholder Name Titleholder Phone Number � ��
Fee SimpleTitteholderAddress
�.
Job Address 7 � Lot # C
Sub Division Paroel #
k � Bio-Hazard Waste Storage - ANNUAL � Fumigation?ent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL
� Controlled 8um � Hood Installation
� Emergency Generator < 30 kw � LP/Natural Gas-Installation
� Emergency Generator > 30 kw � LPlNatural Gas-ANNUAL Sale /� /
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� Fire Protection Maintenance - ANNUAL � Ptaces of Assembly-ANNUAL
� emi � er
Sprinkler � ❑ O ❑ � Recreationai Bum
Fire Alartn � ❑ ❑ ❑ � � Sparklers
Hood Cleaning ❑ ❑ O� � Sprinkler System Installations
Hood Suppression ❑ � ❑ � � Standpipes (Sprinkler Sys)
� Fire Alartn Installation � Toroh Roofingliar Kettle
� Fire Pumps � Waste Tire 5torage 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 Curtent Y/ N
Address License #
MECHANICAL Company
5ignature Registered L Y/ N Fee Current Y/ N
Address License #
OTHER p��l� ��q,� �ij Q �, D� Company � �� d
Signature Registered Y N Fee Current Y/ N
Address ��%S" / (Je License#
Directions:
Fill out appiication compietely.
Ovmer & Contrector sign back of application, notarized (Or, copy of signed contrect with owner)
If over $2500, a Notice of Commencement is required (Mechanical work over $5000)
Suppiy two (2) sets of drawings with applicable documentation
Allow 10.14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (http:/lappraiser.pascogov.com)
STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF STATE FIRE MARSHAL
TALGAHASSEE, FLORIDA '
FIRE EQUIPMENT DEALER LICENSE
THIS CERTffIES THAT COMMERCIAL FIRE EQUIPMENT CO
]0236 FISHER AVE
TAMPA, FL 33619-
QUALIFIER. BRUCE W VARNADOE
HAS COMPLIED WITH FLORIDA STATUTES AND HAS QUALIF[ED FOR THE TYPE AND CLASS SHOWN HEREON TO SERVICE, REPAIR,
INSTALL OR INSPECT ALL TYPES OF PRE-ENGINEERED F[RE EXTINGUISHING SYSTEMS.
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Chief Financial Officer
01 O1 2010 07 04 Hillsborough 38504200021988 1726440001 12 31 2011
Issue Date Type Class Counry License/Permit Number Application # Expire Date
STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF STATE FIRE MARSHAL
TALLAHASSEE, FLORIDA
FIRE EXTINGUISHER PERMIT ��`„�
THIS CERTIFIES THAT BRUCE W VARNADOE
EMPLOYER. COMMERCIAL FIRE EQUIPMENT CO
10236 FI3HER AVE
TAMPA, FL 33619-
LICENSE NUMBER. 38504200021988 - FIRE EQUIPMENT CLASS D LICENSE
HAS COMPLIED WITH FLORIDA STATUTES AND HAS QUALIFIED FOR THE TYPE AND CLASS SHOWN HEREON TO SERVICE, REPAIR,
INSTALL, INSPECT ALL TYPES OF PRE- ENGINEERED FIRE EXTINGUISHING SYSTEMS
Chief Financial Officer � /� � • r �
ii � 1� �: �'t/�./`�
O1 Ol 2010 09 04 Manatee 39463700021988 1�26440002 12 31 20�1
Issue Date Type Class County License/Permit Number Application # Expire Date