HomeMy WebLinkAbout11-11777 ° CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(si3) �so-oozo 11777
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11777 Address: 7254 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: HAUNG, JAMES
Total Fees: 25.00 Address: 7254 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/14/2011 Phone:
Work Desc: FPM- HOOD QUARTERLY- CHINA WOK
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Chapter 633, Florida Statutes, authorizes H�e City M 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
813-7b J-0020
City of Zephyrhills �Fir:e FaX-s� �-�ao-oo2�
PeRnit Application
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�ate Received ��.�°-� �,,, ��„�„a� m�;a.- �,�=--�--•_--°^...tv.._..-.
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� �,� •' L �� ���' ��T/-f Owner's Pho�e Number � �3 s�7 � • / �s
)wner's Name f
)wner's Address � ��� � `' " ! �� ^���� �� � �� � �
ee Simple Titleholder Name Titleholder Phone Number ��
ee Simple Titleholder Address - � . � - - �..:e�; ;;�_:
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ob Address ��/ /v�� W �� 7 �` , � ��� � ��' Lot #
Parcel #
�ub Division -��
� Bio-Hazard Waste Storege - ANNUAL a Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material �er 11 or RQ Facility) ANNUAL
a Controlled Bum a Hood Installation
� Emergency Generetor < 30 kw � LPlNatural Gas-Instaliation
� Emergency Gene2tor > 30 kw a LP/i4aturdl Gas-ANNUAL Sale
� Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL
� y emi n er �
❑� 0 � a � �
5pri�kler ❑ ❑ ❑ Recreational Bum � �
Fire Alarm � O ❑ ❑ Sparlclers �
Hood Cleaning � O ❑� a Sprinkler System Installations
� p p � � Standpipes (Sprinkler Sys)
Hood Suppression � �
� Fire Alarm Installation � 7orch RoofingfTar Kettle
� Fire Pumps a\Naste Tire Storege ANNUAL
a Fire Works ��
� Flammable Appiication-ANNUAL Valuation of Project
� Fuei Tanks
a Other:
�ontractor /� , 7 Company / �'' S � G'��
Signature c3`- �� �� Registered Y! N Fee Curtent Y/ N
Address License #
ELECTRICIAN Company
Signature Registered Y/ N Fee Current Y/ N
Address License f#
PLUMBER Company
Signature Registered �' /�1 Fee Current Y/ N
Address License #
MECHANICAL Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
OTHER Company
Signature Registered Y/ nl Fee Current Y! N
Add2ss License #
Directions:
Fill out application completely
Owner & Contractor sign back of application, nota�zed (Or, copy of signed contract with owner)
If over 52500, a Notice of Comme�cement is required (Mechanical work over $5000)
Supply hvo (2) sets of drawings with applicabie documentation
Allow 10-14 days for review aRer submittal date. Parcel #- obtained from Property Tax Notice (httpJ/appra+ser.pascogov.com)