HomeMy WebLinkAbout11-11639 . CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020 11639
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11639 Address: 7909 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:
Improv. Cost:
Date Issued: 3/15/2011 Name: RUBY TUESDAY RESTAURANT
Total Fees: 25.00 Address: 7909 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/15/2011 Phone:
Work Desc: FPM- HOOD CLEAN QUARTERLY- RUBY TUESDAY
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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
wsts 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 activiry 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
si�-��p-oo2o City of Zephyrhilis Fire
Fax-813-780-0021
Permit Application
Date Received Phone Contact for Permit
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Owner's Name '�e s�y Owner's Phone tJumber � t /S�'? I J� �
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Owners Address
Fee Simple Titleholder Name TiUehplder Phone Number �� ��
Fee Simple TiUeholder Address J�--�.�.�J
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Job Address � I u ��
� Lot #
Sub Division
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Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct a Hazardous Material (Tier il or RQ Facility) ANNUAL
� Controlled Bum a Hood Instailation
� Emergency Generator < 30 kw � LP/Naturat Gas-tnstallation
� Emergency Generator > 30 kw � LP/Natural Gas-ANNUAL Sate
Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL
❑ � emi � er �
Sprinkler ❑ ❑ O � Recreational Bum G�
Fire Alarm � ❑ ❑ ❑ � Sparklers :`�, 1 l � � ✓
Hood Clea�ing � ❑ ❑ ❑ T
� � Sprinkler System Installations '
Hood Suppression ❑ ❑ ❑ � Standpipes {Sprinkler Sys)
� Fire Alarm Installation � Torch RoofingfTar Kettfe
Fire Pumps � Waste Tire Storage ANNUAL
Fire Works
Flammable Application- ANNUAL
� �� Valua6on of Project
Fuel Tanks
Q Other:
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Cornractor �'" � -
ti��a�at
Signature Company � n
R89istered Y N Fee Current N
Address /n 0.
3�a ' License #
ELECTRIClAN
Signature Company
Registered Y/ N Fee Current Y/ N
Address
License #
PLUMBER
Signature Company
Reyistered Y! N Fee currern Y/ N
Address
License #
MECHANICAL
Signature Company
Registered Y/ N Fee Current Y/ N
Address �
License #
OtHER
Signature Company
Registered Y/ N Fee Current Y/ N
Address
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License #
Directions: . .. . . . , � . . �_ £. , , .,.� .��� �; �.���< .
Fill out application completely p �� r* �,{,� Y ��� ��� y �
Owner & Contracto� sign back of appticatlon, notarized (pr, cppy of signetl contract uvith ovmer)
If over $2500, a Notice of Commencemerrt is required (Mechanical woric over $5000)
Supply iwo (2) sets of drawings with appliqble documentation
Ailow 10-14 days for review after gubmittal date. Parcel #- obtained from Pro
peAy Tax Notice (http://appraiser.pascogov.com)