HomeMy WebLinkAbout11-11911 CITY OF ZEPHYRHILLS �
5335 - 8TH STREET
. _ �si3) �so-oozo 11911
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11911 Address: 5130 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: 11-26-21-0010-07000-0012
Improv. Cost:
Date Issued: 5/27/2011 Name: LUPTON
Total Fees: 25.00 Address: 5130 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/27/2011 Phone:
Work Desc: FPM- HOOD QUARTERLY- LUPTONS
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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 A7TORNEY 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
s1�7saoo2o City of.Zephyrhills Fire Fax-613-780-0021
�Permit Appiication
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Date Received Phone Contaot for Pertnit ~ �
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Owner's Name Owner's Phane Numbar �. �
Owners Address
Fee Simple Titlehoider Name Titlehalder Phone Number �.� �
Fee SimpleTiUeholder Address
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` JobAddress � � � a-� /l � J Lot# �
Sub Division Parcel #
^ � BiaHazardWasteStorage-ANNUAL � Fumigation?ent
� Comm Exhaust Kitchen Hood/Duct � Hazardaus Material (Tier II or R4 Faailiiy) ANNUAL
� Controiled Bum � Hood instgilatian
� Emergency Generator < 30 kw � LPfNatural Gas-Installation
� Emergency Generator> 30 kw � LP/Natuca3 Gas-ANNUAL 5ale
� Fire Protpction Maintenance - ANNUAL � Places of Assembfy-ANNUAL // � I�f ��
.�r y emi �n er ,� f �
5orinkler � ❑ ❑ C7 � � Recraetional Bum
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Fire Alartn � � ❑ ❑� a Sparklers
Q�i/j%� � Hood Claaning f�; ❑ ❑� � Sprinkler System Instaflations
Hood Suppression �❑ � ❑� � Standpipes (5prinkler Sys)
� F?re Alarm Instailation � Torch RoofinglTar Kettle
� F�re Pumps � Waste Tire Storage ANNUAL
F+re Warlcs
Flammat�ie Application ANNUAL � � Valuation of Project
Fuel Tanics
Q Other.
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Contrector Campany
Signature Registered Y/ N Fee Current Y/ N
Address t License #
ELECTRICIAN rj Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
PLUMBER Company
5ignature Registered Y/ N Fee Current Y/ N
Addrass License #
MECHANICAL Company
Signature Registered Y/ N Fee Current Y/(�!
Address License #
OTHER Company
Sianature Registerad Y/ N Fee Current Y/ N
Address License #
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Directions:
FII out application compietely.
Owner & Contrector sign back af appfication, notarized (Or, copy of signed contract with owner)
If over $2500, a Notice of Commencement fs required (Mechanical work over $5000)
Supply two (2) sets of drawings with applicable documantation
Allow 10-'14 days for review after submittal date. Parcel #- obtai�ed from Prnperty Tax Notice (http:/lappreiser.pascogov.com)
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