HomeMy WebLinkAbout11-11581 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
�si3) �so-oozo 11581
ANNUAL FIRE PROTECTION MAINTENANCE
,�.; .. ,, . �-, ��
Permit Number: 11581 Address: 7631 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: 34-25-21-0110-00000-0010
Improv. Cost:
Date Issued: 3/02/2011 Name: SUPER WAL-MART
Total Fees: 25.00 Address: 7631 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/02/2011 Phone: (479)2041063
Work Desc: FPM-QUARTERLY FIRE SPRINKLER FOR WALMART #0706
, ��
, _� �
.i I
��
.� �
ina
Chapber 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
oosts related to the aforementioned.
Complete Plans, Specifications and Fee Must Aaompany 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 ope�ation 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 ATrORNEY 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
��.,-,..�-....�.. �.iiy vi �cN�ry��nua i nc ren-oio-io�-vuci
Permit Application
Date Received � Z�� Phone Contact for Pertnit � Z� 6 f� � Q s��
Owner's Name /�L /� �% � ,�j Owner's Phone Number �� � �
Owner's Address
Fee Simple Titleholder Name Titleholder Phone Number �� �� C�
Fee Simple Titleholder Address
Job Address ` �
Lot #
Sub Division Parcel #
� Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent
Q Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL
� Controlled Bum � Hood Installation
� Emergency Generator < 30 kw � LP/Natural Gas-Installatlon
� Emergency Generator > 30 kw � LP/Natural Gas-ANNUAL Sale �__.-_____
� Fire Protection Maintenance - ANNUAL a Places of Assembly-ANNUAL
� � emi �n er ❑ �
Sprinkler ❑ ❑ Recreational Bum g �
Fire Alartn � ❑ ❑ ❑ � � Sparklers I�
Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installatio �`
Hood Suppression � ❑ ❑ ❑� a Standpipes (Sprinkler Sys)
� Fire Alarm Instaliation � Toroh Roofing/Tar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
� Fire Works
� Flammable Application- ANNUAL Valuation of Project
� Fuel Tanks
Q Other:
. , ' t . , _.. . ' .. _. . .ar.. �'P;:«. ., a _. ..
Contractor Company
Signature Registered Y/ Fee Current Y/ N
Address License #
ELECTRICIAN Company
Signature L Registered Y/ N Fee Current Y/ N
Address License #
PLUMBER Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
MECHANICAL Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
OTHER
Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
Directions: " ' ` ` " .
Fill out application completely.
Owner 8 Contractor sign back of application, notarized (Or, copy of signed contract with owner)
If over $2500, a Notice of Commencement is required (Mechanical wo�lc over $5000)
Supply two (2) sets of drewings with applicable documentation
Allow 10-14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (http://appraiser.pascogov.com)