HomeMy WebLinkAbout11-11767 !
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
. . (sis) �so-oo20 11767
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11767 Address: 6329 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: 03-26-21-0020-00000-0010
Improv. Cost:
Date Issued: 4/14/2011 Name: KAUFMAN GROUP ENTERPRISES
Total Fees: 25.00 Address: 6329 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/14/2011 Phone:
Work Desc: FPM- SPRINKLER ANNUAL- KAUFMAN EYE
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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
PERMTT 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��-�so-oozo c:iry or cepnym�us r�re FaX-a��-�ao-ooz�
Permit Application
Date Received = Phone Contact for Pertnit � r� �
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Owners Name i Owners Phone Number p� 3 � (P �
Owner's Address (p 3 ( �,t° �'�,� t v ��
Fee Simple Tftleholder Name TiUeholder Phone Number ���
Fee Simple TiGaholder Address
Job Address �O �J,�� (� V C�. . � rh i 1 I 5 �,l.._ 3�� o� Lot # �
Sub Division p #
� Bio-Hazard Waste Storage - ANNUAL � Fumigatlon Tent
� Comm Exhaust Kitchen Hood/Duct a Hazardous Material (Tier II or RQ Facility) ANNUAL
Controlied Bum � Hood Installatlon
� Emergency Generator < 3p � a LPMatural Gas-Installation
� Emergency Generator> 30 kw � LPMatural Gas-ANNUAL Sale
a Fire Protection Maintenance - ANNUAL a Places of Assembly-ANNUAL
� mi (AnT� r
Sprinkler � ❑ p � � � ��tional Bum �
Fire Alarm � ❑ O ❑ � � Sparklers ��
Hood Cleaning ❑ ❑ � S rinkler I �
❑ � � p System Installations
Nood Suppression �❑ ❑ ❑� a Standpipes (Sprinkler Sys)
a Fire Alartn Installation � Torch RoofinglTar Ketde
Fire Pumps � Waste Tire Storage ANNUAL
Fire Works
Flammable Application-ANNUAL o[,�� Valuation of Project
Fuel Tanks
0 on,er
Contractor Company
Signature Registered Y/ N Fee Current Y/ N
Address t D`�Y� ' t0 �, License #
ELECTRICIAN �
Signature � Registered Y/ N Fee Cument Y/ N
Address License #
PLUMBER ��
Signature Registered Y/ N Fee Curtant Y/ N
Address Llcense #
MECHANIC ���
Signature Registered Y/ N Fee Current Y/ N
Address ����� #
OTHER �
Signature Registered Y/ N Fee Current Y/ N
Address License #
Directions:
Ffll out appNcation completely.
Owner & Contractor sign back of applicatlon, notarized (Or, copy of signed contract with owner)
If over $2500, a Notice of CommencemeM is roquirnd (Mechanical work over $5000)
Supply two (2) sets of drawings with applicable dxumet�tation
Allow 10-14 days for review after submittal date. Parc:el #- obtained from Properly Tax Notice (httpJ/appraiser.pascogov.com)