HomeMy WebLinkAbout11-11879 � CITY OF ZEPHYRHILLS �
5335 - 8TH STREET
, �sis� �so-oo20 11879
ANNUAL FIRE PROTECTION MAINTENANCE i
PERMIT IN��RMAT�ON �. N ��1�' �il�►T14N
Permit Number: 11879 ; Address: 5017 GALL BLVD
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL. ,
Ciass of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section: '�
Square Feet: Subdivision: CITY OF ZEPHYRHILLS I
Est. Value: Parcel Number: 11-26-21-0010-20800-0010
Improv. Cost: ' �
Date Issued: 5/17/2011 Name: HUFFMAN CARLYLE & BARBARA
Total Fees: 25.00 Address: PO BOX 251
Amount Paid: 25.00 CRYSTAL SPRINGS, FL 33524
Date Paid: 5/17/2011 Phone: (813)783-8098
Work Desc: FPM-SEMI ANNUAL HOOD CLEANING FOR BARB'S RESTAURANT
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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."
�
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
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� City of.Zephyrhills�Fir.e FaX-aiaaso-oo2�
M 7 Permit Application
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L ��� �� � Owners Phone Number ��� '��� • ��
)wner's Name
)wner's Address 71 �• ��'` ��� T��� �L 336'7�
Titleholder Phone Number � C� �
ee Simple Titleholder Name
ee Simple Titleholder Address - " a«�'�.
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ob Address �
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�ub Division ���/ �/ ,�� �"'�D• Parcel # ,,, Y � ;
� Bio-Hazarci Waste Storage - ANNUAL � Fumigation Tent
a Comm Exhaust Kitchen Hood/Duct � Hazardous Matetial �er II or RQ Facility) ANNUAL
� Controlled Bum � Hood Installation
� Emergency Generator < 30 kw � LP/Natural Gas-Installation
� � LP/Natu21 Gas-ANNUAL Sale �`
Emergency Generetor > 30 kw
a Fire Protection Maintenance - ANNUA� � Places of Assembly-ANNUAL
y em� n er �
5prinkler � � � � � � Recreational Bum i� /� �
0 � 0 �� j!�
Fire Alarm ❑ O ❑ 5parklers
Hood Cleaning
� � � ❑ � a 5prinkler System Instal�ation �
Hood Suppression � ❑ � �� a Standpipes (Sprinkler Sys)
� Fire Alartn Installation � Torch RoofinglTar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
a Fire Works
a Flammable Application- ANNUAL Valuation of Project
a Fue( Tanks
a Other
�ontractor � Company �
5ignature - '!i� """ Registered Y/ N Fee Current Y/ N
Address License #
ELECTRICIAN Company
Signature Registered Y/�1 Fee Current Y/ N
Address License #
PLUMBER Company
Signature Registered Y/ N _ Fee Current Y/ N
Address License #
MECHANICAL Company
Signature Registered Y/ f�l Fee Current Y! N
Address License #
OTHER Company
Signature Registered l� /�) Fee Current Y/(�l
Address License #
Directions: �
Fill out application completely.
Owner & Contractor sign back of application, notarized (Or, copy of signed conGact with ov�mer)
If over 52500, a Notice of Comme�cement is required (Mechanical work over $5000)
Supply iwo (2) sets of drawings with applicable documentation
Allow 10-14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (http:/lappra�ser.pascogov.com)