HomeMy WebLinkAbout11-11649 CITY OF ZEPHYRHILLS -
5335 - 8TH STREET
(si3) �so-oo20 11649
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11649 Address: 6930 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: 02-26-21-0010-00800-0050
Improv. Cost:
Date Issued: 3/17/2011 Name: COMMUNITY NATIONAL BANK
Total Fees: 25.00 Address: 6930 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/17/2011 Phone: (813)783-8122
Work Desc: FPM- FIRE ALARM ANNUAL- COMMUNITY NATIONAL BANK
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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."
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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
s��-7ao-oo2o City of Zephyfiills�Fir� Fax-813-780-0021
Permit Application
)ate Received - Phona Contact for Pertnit
;�w�a:.� �.,,:...... R.....,.,..�,..,.,�.�.:�,�.,.,..W.�..�„.,,��
)wners Name Owne�s Phone Number �� �� [��
�wners Address 3 �
=ee Simple TiUeholder Name Titleholder Phone Number � C
=ee SimpleTdleholderAddress
Job Address � Gc. -�� Lat # C
Sub Division � � .� Parcel # .. (� U ' Of) '(X�,Sv
. �����+�.
� Blo-Hazard Waste 5iocage - ANNIlAL � FumigaUon Tent
� Comm Exhaust Iatchen HoodlDuct � Hazardous Mats�lal ('fler li or RQ Facility} ANNUAL
� ConVo{led Bum a Hood Instatlatlon
� Emargency Genertor < 30 kw � LP/Natural Gas-Installadon
Emergency Generato�> 30 kw � LPMaGUaI Gas-ANNUAL Sale
Flre Protectlon MaiMenance - ANNUAL � Places of Assembly-ANNUAt � ^
�y em� � ar (A
Sprinkler �❑ O ❑� a Recreatlonal Bum j� ` �
Rre Alartn O ❑ � � � Sparklers
Hood Cleaning ❑ ❑ ❑� a Sprinkter System installations
Hood Supptession �❑ ❑ O� � Standpipas (SprinWer Sys)
Q Fire Alarm Installa8on � Torch. Roofing/Tar Kettle
Fire Pumps � Waate llre 5torage ANNUAL
Fire Wotks �
Flammable ApplicaUon-ANNUAL r Valuation of Project
Fuei Tanks
Q Other:
ConVactor c �.�_ �
Compsrry � � = � ru�n�G' � . �.
Signatura ' Registereil Y N Fee Current N
Addross 1 � L'ICense # b� 1�'j
ELECTRtC1AN
Comparry
Signatura ftegtstered Y/ N Fes Current Y 1 t�i —
Address License #
PLUMBER '
Company
Signature Reglstered Y/ N Fae Curtent Y/ N
Address
License #
MECHANiCAL
Company
Signature Registered Y/ N Fee Curtent Y/ NT —w
Address
License #
OTHER Company
5lgnature Registered Y/ N Fee Current Y/ N
Address Lic #
Directions: --i '� 3 � ° ""� ` '--- �
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FII aut applfca0o� completely.
Owner 8 Contraetor sign bacic of applicatior�, notarized (Or, copy of slgned contract with owner)
If bver 5250D, a Notice of Commencement is required (Mechanipl work over 35000)
Supply two (2) sets of drawings with epplicsble dacumerdation �
Aliow 10-14 days for revfew after suhmittal date. Parcel #- obtained frora Property Tax NoBcs (http:/lappraiser.pascogov.00m)