HomeMy WebLinkAbout11-11779 CITY OF ZEPHYRHILLS /
� 5335 - 8TH STREET .�
(si3) �so-oozo 11779
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11779 Address: 6834 GALL BLVD STE 101
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: 02-26-21-0010-02400-0010
Improv. Cost:
Date Issued: 4/14/2011 Name: ZEPHYR PLACE LLC
Total Fees: 25.00 Address: 2220 34TH ST S
Amount Paid: 25.00 ST PETERSBURG FL 33711
Date Paid: 4/14/2011 Phone: (727)504-0256
Work Desc: FPM- FIRE ALARM ANNUAL- CI CI PIZZA
� (�)�
" ,�
. �
�
ina
Chapter 633, Florida Statutes, authorizes the City to charge and coliect 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 A7TORNEY 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
a��-7a= �02o City of Zephyrhills�Fir��� Fax-a�a-�ao-oaz�
Pertnit Application '
)ate Received � - Phone Contact for Permit � T �
:��:s���-r.�:n::��c�;;��:>a a...<..�,..��:� ��:�+a+aa.�e.���� �snr� �..,..,....�.....,...,.�. . .,... _...__�_
hvners Name �' � , � /� � �� Ovmer's Phone Number C;�L�.L.—J �.S�J
�wners Address �j ,� ���- \ � �i � e. i ,� � I � � � '
=ee Simple TiUeholder Name Titleholder Phone Number �� ��
=ee Simple Titleholder Address
�''xi.."s � - �a. ��i�F
Job Address �� � yy. '� Lot # �
5ub Division Parcel #
'�'�'ha�i�+ •! 1 �l��iJ+'%Y�'�'�7a.f
a Bio-Hazard Waste 5torage - ANNUAL � Fumigallon Tent
� Comm Exhaust FGtchen HoodlDuct � Hazardous Material (Tier II �r RQ Facility} ANNUAL
� ConVol{ed Bum � Hood Installadon
� Emergency Generator < 30 kw � LP/NatureY Gas-Installation
Emergency Generator> 30 kw a LPlNatural Gas-ANNUAL 5ale
Fire Protection MaiMenance -ANNUAL � Places of Assembly-ANNUAL
�y emi �"7n ' er
Sprinkler � ❑ ❑ ❑ � � Recreational Bum n ��
Rre Alartn O ❑ �`] � � Sparklers �� �
Hood Cleaning � ❑ p /❑ � � Sprinkler System installatlons �
Hood Suppression �❑ p O�� � Standpipes (Sprinkler 5ys)
Q Fire Alartn Instaliation � Torch RoofinglTar KetUe
Fire Pumps � Wasts Tire 5torage ANNUAL
Fire Works �
Flammable Application-ANNUAL r��� Valuation of Project
Fuef Tanks
� Other:
�� �����
Contractor -
Comparry _.,'�ertl �.��.�_�"�anw �t
Signature ' Regiffiered Y N • Fee Current N
Address � � \ � �] - '� - � � , c . ' - License # 4 j i5 • v
ELECTRICIAN Campany �
5lgnature Registered Y/ N Fee Curtent Y/ 1�
Address License #
PLUMBER Company
5ignature Registered Y/ N Fee Current Y/ N
Address Licensa #
MECHANICAL Company
Signature Registered Y I N Fee Current Y/ N
Address License #
OTHER
Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
T',lw�'i • . x�x,ez..,.._...�d_a+arwaa,z-����irw_ _.,��_,-....,...,�..._..�aa.w�s.a..,.,�..is3�lf�mn>au�a,�ettkn� .:-,�b.E:_:�';
Directions: —�:-�-°°°-i5
Fill out applicatlon completaly.
Owner 8 Contractor sign back of appiiptior�, notarized (Or, copy of stgnad contrect with owner)
If nver 5250D, a Notice of Commencement is required {Mechanica! work over 35000)
Suppiy two (2) sets af drawings with applicabie dacumentatio�
Allaw 10-14 days for review after suhmittal date. Parcet #- obtained from Property Tax Notice (http:/lappraiser.pascogov.00m)