HomeMy WebLinkAbout11-11915 CITY OF ZEPHYRHILLS �
, 5335 - 8TH STREET
' �si3) �so-oo20 11915
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11915 Address: 5317 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: 11-26-21-0010-13300-0090
Improv. Cost:
Date Issued: 5/27/2011 Name: CLOCK FAMILY RESTAURANT
Total Fees: 25.00 Address: 5317 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/27/2011 Phone: (813)788-2511
Work Desc: FPM- HOOD CLEAN QUARTERLY- CLOCK FAMILY
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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 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."
a..
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��-�eo-oo2o City ofZephyfiillsFirs, FaX-a�3-�so-oo2� _
Permit Application - _ -
Date Received Ptwne cor�act for Pennit -
Owners Name � Owners Phone Number �[_�� �� Z�� 1
Owners Address 3 11�� � �� l �
Fee Simple Titleholder Name � � �� �� �� �
Fee Simple"fitleholder Address
Job Address Lot # �
Sub Divisfon ��� #
� Bio-Hazard Waste Storage - ANNUAL Q Fumigation TeM
Q �� �� K .�� �� Q Flazardous Matsrial (Tfer II or RQ Facility) ANNUAL
� ControNed Bum � Hood Installatlo�
� ��, � < 30 � � LP/Nat�xal Gas-Insfailation
� Emer9encY Ge�erator> 30 kw � LPMahaal Gas-ANNUAL Sals �
Q Ftrs Protection Mai�ance - ANNUAL � Plac�s of Assembly-ANNUAL
� �� �
Sprinkter � ❑ � ❑ �� � Re�reationai Bum � �
Fire Alarm �❑ ❑ ❑ S�� J�' I�
Hoad Geaning � ❑ ❑� � Sprit�icler System Instailations �� �
Hood S�pression � � ❑ ❑�� � S� � S
� �� �� �� a Toroh Roofingffar Kettle
�� P � � Waste Tue Stiorege ANNUAL
Fine Works
��� �;��� q�,q,��q� Valuation of Project
Fuel Tanks
er.
Contractor � • ��Y
5 ��� Registe�ed Y/ N Fee curr�rc Y/ N
Address '� LiCense #
ELECTRIC CO �m -
Si9natwe Fteytstered Y/ N Fee C�.arent Y/ N
Address Licxnse #
PLUMBER � - - —
�ignati,re � _ � � Y! N .�!�r�8'�'� L , Y� 1N
Add�ess License # �
MECHANICAL ���Y
5� Rey;ste�ea Y/ N Fee current Y/ N
p�� License #
oTM� ��"�'
5 � 9 � Rey;s�d Y/ N Fee cuRent Y/ N
q�� License #
Ditections:
Fiil out application car�letety.
Owner & CoMractor sign back of aippliqtlon. rwtaraed (Or. copy of signed contract wifh owner)
If over 52500. a NoUce oF C,orrmers�mant is re4uired.(Mec�anical work over 5500U)
S,�,py two (2) sets oF drawin9s with appGcawe doc�ane�Son
Allow 10-14 days tor review after subrrrottal dabe. Parcel #- obtained from PropeRy Tax Notice (httP��PPraiser.pascogov.com)