HomeMy WebLinkAbout11-11776 CITY OF ZEPHYRHILLS �'
5335 - 8TH STREET
(si3) �so-oozo 11776
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11776 Address: 6042 GALL BLVD
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number:
Improv. Cost:
Date Issued: 4/14/2011 Name: MCDONALD'S
Total Fees: 25.00 Address: 6042 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/14/2011 Phone:
Work Desc: FPM- HOOD CLEANING QUARTERLY- MCDONALDS
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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."
a..
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��-�saoo2o City of Zephyrhills�Fir�- Fax-e�s-�so-oo21
� • Permit Application
�te ��a - Pno�;e c«,�c ra �� 27 2 e 2
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Ovmers Name C�vners Phone Number �3 1��� Q2 Z
o,�rs aaa� D 2 I�� l/ . � rL • 33S /
Fee Simple Titleholder Name Titleholder Phone Number ���
Fee SimpleTitleholderAddress
JobAddress 2�� G�` l 3 3sq 1 Lot# �
Sub Division Patcel #
� Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent �
o Comm Exhaust Kitchen HoodlDuct � Hazardous Material (fier II or RQ Facility) ANNUAL
� Controlled Bum � Hood Installation
� Emergency Generator < 30 kw � LPMaturai Gas-instaliatlon
� Eme►9encY Generator > 30 kw � LPMatural Gas-ANNUAI Sale
� Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL
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Sprinkier � ❑ ❑ p � � Rec:readonal Bum // /
Fire Alartn � O ❑ ❑ � Q Sparklers % / � ( JV
. / � ( �
Hood Cleaning � f� ❑ ❑� � Sprinkier System instalialio�s
Hood Suppression �❑ p ❑� � Standpipes (Sprinkler Sys)
� Rre Alartn Instaliation � Toreh Roofing/Tar Kettle
Fre Pumps � Waste Tire Storage ANNUAL
Fire Works
Flammable Applica6on- ANNUAL Valuation of Project
Fuei Tanks
Q Other.
contractor
Comparry
Signature Registered Y/ N Fee Cumerrt Y/ N
Address � #
ELECTRIC
���Y
signature Registered Y/ N Fee Current Y/ N
Address V�� #
PLUMBER ��
siynature Registered Y/ N Fee Cumerrt Y/ N
Address Vicense #
MECHANICAL ��
S'g"ature Registered Y I N Fee cument Y/ N
Address License #
OTHER �� � C
Signature Registered N Fee currerrt N
Address p x W ucer�se #
Directions: "
FII out application completely.
Owner & ConUacbor sign back of applic�tfon. notsm.ed (Or. copy of signed contract wfth owner)
If over 52500. a Nofice of Cort�rtiencemertt is required (Mechanical wwk aver f r N)
Supply two (2) sets of drawings wfth applicable documer�tation
Allow 10-14 days for review after submittal date. Part:el #- obtained ftom Properly Tax Notice (hUpJ/appraiser,pascogov.com)