HomeMy WebLinkAbout11-11873 CITY OF ZEPHYRHILLS
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, ' S335 - 8TH STREET
(si3) �so-oozo 11873
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11873 Address: 7631 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: 34-25-21-0110-00000-0010
Improv. Cost:
Date Issued: 5/16/2011 Name: SUPER WAL-MART
Total Fees: 25.00 Address: 7631 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/16/2011 Phone: (479)204-1063
Work Desc: FPM- SUPPRESSION SEMI- WALMART BAKERY
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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 $100.00, whichever is greater. All
work shall be perFormed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE
OF COMMENCEMENT."
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P IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
813780-0020 City ofZephyrhills'Fir�- Fax-s��-�so-ooz�
, -- Permit Application _ _.
Date Received - Phorte C�c onta ff r Pertnit
Ovmers Name Ce, �' r Owraers Phone Nr�mber � �
Owner's Address � �st�/� �fl/�L� �C .� �j/ �fs .��',$'�
Fee, Simpie Titleholder Name Titlefibider Phone Numbar ����
Fee Simple Titleholder Address �
Job Address Lot #
Sub Division • Par�cel #
a BiaHazarcl y Waste Storage - ANNUAL a Furrdgatlon Tent.
� Comm Exhaust KitcMen tiood/puct � HazaMous Matedaal (Tfer II or FiQ Facliity) ANNUAE
� Controiled Bum � Hood InstallaUon
a Emergency Generator < 30 kw � LP/Natural Gas-Installation
� Emergency Generetor > 30 kw ,� LP/Naturel Gas-AMNUAL Sale
� Ffre ProtecUon Maintenance - ANNtlAL � Plac�es of Assembly-ANNUAL
�y emi ��n er
- Spflnkler � ❑ ❑ O � � RecreaUonai Bum
Fire Alartn � O ❑ �"� � Sparlclers
Hood Cleaning � D ❑, ❑ � Sprinkler8ystem installations
Hood Suppression � ❑ � ❑ � Standpipes (Sprinkler Sys)
Fire Aiarm Installation � Toroh Rooflng/Tar Kettle
Flre Pumps . � W�ste Tire Storage ANNUAL
Fire Works
Flammable AppHcation- ANNUAL � Valuation of Project
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Fuel 7anks
Q Other:
Contractor Company �irc
Sfgnature Registered Y N Fee C' nt Y/ N
Address � ' License #
ELECTRICIAN � - Company
Signature ' Registered Y/ N Fee Current Y/ N
Address • License #
PLUMBER Company
Signature Registered Y/ N �ea Current Y/ N
Address License #
MECHANICAL Company
Signature Registered Y/ N Fee Current Y/ N
Address Llcense #
OTHER Company
Signature Registered Y/ N Fee Curreht Y/ N
Address � License #
Directions:
FlII out applicaUon completely.
Owner 8 Contractor sign back of applicatfon, notarized (Or, copy of signed conVact with owner)
If over $2500, a Nodce of Commencement is required.(Mechanical wotk over $5000)
Supply two (2) sets of drawings with applicable documentation
Allow 10-14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (httpJ/appreiser.pascogov.com)