HomeMy WebLinkAbout11-11912 CITY OF ZEPHYRHILLS
- 5335 - 8TH STREET ,/
(sis) �so-oo20 11912
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11912 Address: 5931 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: 10-26-21-0020-00000-0050
Improv. Cost:
Date Issued: 5/27/2011 Name: ACCENT
Total Fees: 25.00 Address: 5931 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/27/2011 Phone:
Work Desc: FPM- SUPPRESSION ANNUAL- ACCENT
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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
a,.�-,u+,-�v�v Ctty af Zephyrhills Fire � Fax-8137840021
' Psrmit Application !
Date Rsceived �� �----� D 6
, ti � � � Phone Corrtact fior Permit � t-1'� � j
Owners Name O�nne�s Fhone f�lttrtrber � ��
C rs Address . �j �W � � ��� L ���
Fee SimpSe �it}eho{der �dame TlYI2��QT P{1pS5E �k�S1�2T �� 1 I
Fee Simpie TrtlaholderAcldress
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JobAddress ���/ � jV , j�'�i( I�l>,/]� '�}}`�(j-�-{�!J � Gj� 3.�-�'1z Lot# ��
Sub Division p �
� B+o-Ha2ard Waste Starage - AIdNUfiL �#��azardotss Materiai {Tiet !t or RQ Facflity) AA3NUAL
� Comm bchausl 1C�ichen F}oadlDud �}iood lnstaiialion
� C � ° �� � � LP/Natural Gas-Instaliation
� Enzergencq Generator <3p Ic�y � LPMatural Gas-ANNUAL Sale
� Emergency Generaio.r > 30 kw � places of Assembly-A�IIVUAL
� Fire Protection I�fairrtenance -qN}�iUAL � Recreational Bum �
� �' � r � i
Sprinkier � ❑ ❑ ❑ � � Sparklers � �
Fir� Alarm � ❑ C] L7 �� � sprinkler System Installations
Hood Cleaning ❑ ❑ ❑� � Standpipes jSpnnkler Sys)
Ha�dSuppressian ❑ /,�1 ) p � Tarch Roofing/Tar Kettfe
� Firc� .41arm instaTtation (" � VVaste Tire Storage ANNUAL
� Fire Pumps
� Fire VUorks
� FiammabtQ A�plica#ion-Af�tNiJ�1L ����� valuation of Project
� � �uel Tanks
� Other
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Contractor
Sigrrature ' Comparry �t7�j�t�"(�.1�� IN . �
Registeied ' N J Fee Current N
Address I,�M�I 31ST �ni��LT tJ , T f��l�d'SJ�-L Pl, �3 �.� Licertse �
ELECTf21CIAN
Com}rany '
Sigmature Reg'vsfiered Y I N Fee Current Y/ N
Address
Licer,se #
PLUMBER � ���
Signature Regis�red �' / N Fee Currerrt `( / N
Addrer,s
License #
MECNANICAL
Signature
Cam�rry
Regist�red Y 1 N Fee current Y/ N
Address
L�ense #
OTHER J� ���
Signature j
Registered Y I 1�1 Fee Current Y/ j�1
Addre.:s
L.i�ense �
Directions.
FiU out appficatian compie#eiy
{,irner & Cot�irador sic,� bacic of app{catian, noi�arized jOr, copy o# signed conhad with otimerj
)fi over $2500, a NQiice of Commencemeni is required (i�;echanical rvorac over $5aL1�j
Supply iwo (2) se#s of drawinc�s w9th a�pficable documen�tivn
, Afbw � 0.14 days far review aFte� submittal date. Parcei �- obtained from Property Tax Atotice J/a raiser.
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