HomeMy WebLinkAbout11-11616 , ° _ CITY OF ZEPHYRHILLS �
5335 - 8TH STREET
(si3) �so-oozo 11616
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11616 Address: 5506 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: 11-26-21-0010-05700-0256
Improv. Cost:
Date Issued: 3/09/2011 Name: PHIL MOOK ENT.INC
Total Fees: 25.00 Address: 1108 W BRANDON BLVD
Amount Paid: 25.00 BRANDON FL 33511
Date Paid: 3/09/2011 Phone:
Work Desc: FPM- HOOD CLEAN - KFC
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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 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."
�..
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
a��-�aaoo2o City of Zephyrhills Fire Fax-813-780-0021
Permit Application
Date Received �� � Phone ConFact for Pertnit (?j �� ) � O
Owner's Name C h r h►( S Owner�s Phone Number � 3 7�'o� 35Da`
o�,�rg o�a� �S� lv Gfr II a � � d " Z h � h � 1 s� L 3��
Fee Simple TiUeholder Name Titleholder Phone Number �� � U
Fee Simple Titleholder Address
Job Address � I`� �� (3 � J lJ► � Ze h r l� I ls 3 4a y q Lot # �
Sub Division Parcel #
a Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent
a Comm Exhaust Kitchen Hood/Dud � Hazardous Material (Tier II or RQ Faality) ANNUAL
CoMrolled Bum � Hood Insfailation
� Emergency Generator < 30 kw � LPMatural Gas-Installation
� Emergency Generator > 30 kw � LPMaturai Gas-ANNUAL Sale
� Fire Protection Maintenance - ANNUAL a Places of AssemWy-ANNUAL
4�ed,� I� c( � � � j
Sprinkler � ❑ ❑ ❑ � � R��b� Bum ' � ` / / � � �
� Fire!�►i° � ❑ ❑ ❑ �x %
_ �� ❑ Sparkiers � I
� /� � I � I tiood Cleaning � � ❑ ❑ ❑ � � Sprinkler System InsNallations
'/� ;{, � �PPressi� Y�'1 � ❑ ❑ � � StandPiPes (Spri�kler SYs)
` 1 6 � `�c�
� Fire Alartn Installation � 3^-�� �, � Torch Roofinglfar Kettle
Fire Pum l' l< <u
� a Waste Tire Storage ANNUAL
Fire Works
Flammable Application- ANNUAL
Valuation of Project
Fuel Tanks
Q Other:
Contractor 1,` l , Company
Signature w a'1 n� V j g � L `
Registered Y/ N Fee Current Y/ N
Address � o 'Z
License #
ELECTRICIAN ���
Signature Registered Y J 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 appliption completely
Owner & ConVactor sign back of application, notarized (Or, oopy of signed contra�t with owner�
If over 52500, a Notice of Commencement is required (Mechanical work over $5000)
SupplY lwo (2) sets of drawings with appliqble documentabon
Allow 1a14 days for review after submittal date. Parcel #- obtained irom Property Tvc Notioe (http://appraiser.pascogov.com)
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C�ty of Zephyrhills
�2�4 • Licenses and Permits �C �p�� 3/8/2011 10984
VIGIL INC H � D � 25.00
FO BOX 273787, TAMPA, FLA 33688 �UST C
PHYSICAL: 9538 LAZy LANE UNTI G 13, TAMPA,
0903 Checking Bank KP� �p�I�
25.00