HomeMy WebLinkAbout11-11768 CITY OF ZEPHYRHILLS
� 5335 - 8TH STREET
(s13) �so-oo20 11768
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11768 Address: 6733 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. Vatue: Parcel Number: 03-26-21-0010-03200-0020
Improv. Cost:
Date Issued: 4/14/2011 Name: MAHOOTCHI, AHAD (MD)
Total Fees: 25.00 Address: 6733 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/14/2011 Phone:
Work Desc: FPM- FIRE ALARM ANNUAL- MAHOOTCHI
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Chapter 633, Florida Statutes, authorizes the City to charge and wllect 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
s�?-7ao-oozo City of Zephyrhiils�Fir� Fax-813-780-0021
Permit Appiication
late Received - Phone Contact for Permit
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3wner's Name � �' � Owl�e['s Phone Number � 3
hvners Address
'ee Simpls TiUeholder Name �'r`� �� Titlaholder Phone Number C� ��
°ee SimpieTiUaholderAddress
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Job Add2ss �, � �'� (� . � S Lat # C
Sub Division ' � Parcei # d,�j v�p • � - (JO/V � (.� �a�j�j '�(�(3
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� Bio-Hazard Waste Siorage - ANNUAL � Fumiga8on Tent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Matedat (lier II or RQ Facllity) ANNUAL
� Controllsd Bum � Hood Installatlon
� Emargency Generatar < 30 kw � LPlNaturel Gas-InstallaBon
Emergency Generator> 30 kw � LP/NaWral Gas-ANNUAL Sale
Firs Pruteatlon Maintenance - ANNUAL � Places of Assembiy-ANNUAL
� emi � r
5prinkler � ❑ ❑ ❑ � a Reorea8onal Bum /) ��
Rre Alartn � ❑ ❑ � � � Sparklers \ �' �
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Haod Cleaning O O ❑� � SprinklerSystem Insiallations
Haod Suppression �❑ p ❑� a Standpipes (Sprinkler Sys)
Q Fro Alartn InstallaUon � Torcfi RaoiinglTar Kettle
Fire Pumps � Waste Tfra 5torage ANNUAL
Fire Wotks •
Flammabla Applicabon-ANNUAL
Valuatiort of Project
Fuei Tanks
� Oth@f:
ConUactor Comparry '� . ,G y e�
Signature - • Registerad . Y N Fee Cuttent N�
Addross ► � license # � b � �'j
ELECTRICIAN
Comperry
5ignature Regtstered Y/ N Fee Current Y I I�)
Address
Ucense �!
PLUMBER —
Company
Signature Reglstered Y/ N Fee Curtent Y/ N
Address Llcensa #
MECHANICAL
Company
Signature Registered Y/ N Fee Current Y/ N
Address
License #
OTHER Company
Signatuce
Regiatered Y/ N Fee Current Y/ N
Address
LI #
Directions: � �_�
Ftl aut applicatlon completely.
Owner 8 Contractor slgn back of appiicatlor�, notarfized (Or, aopy of signad �ontract with ownar)
lf over $250D, a Notice of Commencement Es requlred (Mechanip! work over �SODO)
Supply iwo (2) sets of drawings with applicable documernation �
Aliow 10-14 days for raview aiter submitfal date. Parcel #- obtained from Property Tax Notice (http:Uappraiser.pascogov.00m)
SPECIALTY ELECTRONIC SYSTEMS �N�. 018377
CITY OF ZE:PHYRHILLS/ PERMITS 4/11/2011
25 Ofi
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