HomeMy WebLinkAbout11-11906 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
� (813) 780-0020 11906
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11906 Address: 5935 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: 10-26-21-0020-00000-0050
Improv. Cost:
Date Issued: 5/24/2011 Name: JOHN-MARY ENTERPRISES LTD
Total Fees: 25.00 Address: 5935 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL 3542
Date Paid: 5/24/2011 Phone:
Work Desc: FPM- SPRINKLER ANNUAL - BUDDY'S HOME FURNITURE
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Chapter 633, Florida Statutes, authorizes the City to charge and wllect user fees to pay for the wsts 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 pertormed 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 Otfice - 813-780-0041
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'� � Permit Application
0 �47 4�7
Date Received Phone Contact for Pertnit � f
Owner's Name ���'' � 5t'r0 Owners Phone Number �� � �� a'�Fja-
o�,ers Aaa� `�' o��. !? 0 7 a `i'czmp�z. FL 3365�
Fee Simple Titleholder Name Titleholder Phone Number ���
Fee Simple TiUeholder Address
Job Address ���J �Tt�'.,� ("�j ( Vd� .cx./i41 Y'�'i I f j;� FL 3 3� Lot # �
Sub Division Par�el #
a Bio-Hazard Waste Storege - ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen Hoad/Duct � Hazardous Material (Tfer II or RQ Facility) ANNUAL
� Controlled Bum Q Hood Installation
Q Emergency Generator < 30 kw � LPiNatural Gas-Installation
� Emergency Generator > 3U kw � LP/Natural Gas-ANNUAL Sale
Fire ProtecUon Maintenance - ANNUAL � Places of Assembly-ANNUAL J � n�
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Sprinkler a ❑ ❑ � � Recreational Bum � � �
Fre Alartn � ❑ ❑ ❑ � Q Spaeklers
Hood Cleaning �❑ � O� � Sprinkler System Insiallations
Hood Suppression � ❑ ❑ ❑ � � Standpipes (Sprinkler Sys)
� Fire Alartn Installation a Toroh Roofing/Tar Ketde
Fre Pumps � Waste Tire Storege ANNUAL
Fire Worlcs
Flammable Applicatlon- ANNUAL � a� 5. "=' Valua�lon of ProjeCt
Fuei Tanks
Q Other.
Contractor Comparry X- ! r� �� �^
signawre � J � Registered N Fee CuRent N
Address IOpr �' � L License# /o c�-OOd � $
ELECTRICIAN Company
Signature Registered Y/ N Fee Curterrt Y/ N
Address License #
PLUMBER Company
Signature Registered Y/ N Fee Current Y/ N
Address Ucense #
MECHANI Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
OTHER Company
Signature Registered Y/ N Fee Current Y/ N
Address Ucense #
Directions:
Fill out application completely.
Owner & Contractor aign back of application, notarized (Or, copy of signed contract with owner)
If over $2500, a Notice of Commencemerrt is requfred (Mechanical wurk over a5000)
Supply tvw (2) sets of drawings with applicable dxumentation
Allow 10-14 days for review after submktal date. Parcel #- obtained from Property Tax Notice (httpJ/appraiser.pascogov.com)