HomeMy WebLinkAbout11-11595 � `�� ' CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(si3) �so-oo20 11595
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11595 Address: 6815 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: 03-26-21-0010-01700-0020
Improv. Cost:
Date Issued: 3/04/2011 Name: QUALITY INN
Total Fees: 50.00 Address: 6815 GALL BLVD
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/04/2011 Phone:
Work Desc: FPM-QUARTERLY SPRINKLER & ANNUAL FIRE ALARM FOR QUALITY INN
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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 COMMENCEMENT."
�
P IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECiION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal OfFce - 813-780-0041
a� xa8o-oozo City of Zephyrhills Fire Fax-813-780-0021
Permit Application
Date Received � Phone Contact for Permit �7 � C�
Owners Name ' Owners Phone Number � 71 Zoy��
Owner's Address � �'.,� q �� 1/
Fee Simple Titleholder Name Titleholder Phone Number �� �
Fee Simple Titleholder Address
Job Address gf S � Lot # �
Sub Division Parcel #
a BiaHazarcl Waste Storage - ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facii' NNUAL _\
� Controlled Bum � Hood Installation �
� Emergency Generator < 30 kw � LPlNaturai Gas-Installation �(� �
a Emergency Generator > 30 kw � LP/Natural Gas-ANNUAL le // ��
� Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUA
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Sprinkler � B1 ❑ ❑ � � Recreational Bum � � �`�
Fire Alarm � ❑ ❑ � � � Sparklers � /�/
Hood Cleaning � � ❑ ❑� � Sprinkler System Installations � �)
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Hood Suppression � ❑ ❑ ❑ � � Standpipes (Sprinkler Sys) p(
� Fire Alarm Installation � Toroh Roofing/Tar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
� Fire Works
� FlammableApplication-ANNUAL Valuation of Project
Fuel Tanks
Q Other:
Contractor ''J Company `
Signature !/� Registered 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 License #
MECHANICAL Company
Signature Registered Y/ N Fee Current Y/ N
Address
License #
OTHER
Company
Signature Registered Y/ N Fee Cument Y/ N
Address License #
Directions:
Fill out application completely
Owner & 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 Mro (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)