HomeMy WebLinkAbout11-11954 CITY OF ZEPHYRHILLS
5335 - 8TH STREET _ �•'"
(sis) �so-oo20 11954
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11954 Address: 5050 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: 11-2 6-21-0000-01400-0000
Improv. Cost:
Date Issued: 6/06/2011 Name: DOMINOS PIZZA
Total Fees: 25.00 Address: 5050 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/06/2011 Phone:
Work Desc: FPM- HOOD SEMI- DOMINO PIZZA
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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."
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PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION OFFICER
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal OfFce - 813-780-0041
ei3-7so-o02o City ofZephyrhills Fir:e� Fax-e�3-�ao-oo2�
� Pe�nit Application
late Received � Phone Con ��� �
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)wners Name �, LQ ��/4 l"� Owners Phone Number � 1 f �, �5
)wners Address / * � � �/�/l / �J� � �/�� L 3 �
ee Simple Titieholder Name Titleholder Phone Number �� �
ee Simple Titleholder Address
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ob Address �C/ /- / �/V (/ ,S L- G� I / �O�D C,��� � � (�D �
Lot #
�ub Oivision Parcel #
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� Bio-Hazard Waste Storage - ANNUAL � Fumiga6on Tent
a Comm Exhaust Kltchen Hood/Duct � Hazardous Material (Tier II or RQ Faciliiy) ANNUAL
a Controlled Bum a Hood Installation
a Emergency Generator < 30 kw a LP/Natural Gas-Installation
a Emergency Generator > 30 kw a LP/Naturel Gas-ANNUAL Sale
� Fire Protection Maintenance - ANNUAL � P{aces cf Assembly-ANNUAL
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5prinkler � ❑ ❑ ❑ Recreational Bum
Fire Alartn � ❑ ❑ O � � Sparlclers � `j �
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Hood Cleaning O � O C_C� a Sprinkler 5ystem Installations �I I
Hood Suppression � ❑ ❑ ❑� a Standpipes (5prinkler Sys)
� Fire AIaRn Installation � Torch Roofing/Tar Kettle
� Fire Pumps a Waste Tire Storage ANNUAL
a Fire Works
Flammable Application- ANNUAL
Valuation of Project
a Fue( Tanks
a Other:
: ontractor � Lz / Company � G� _ -
Signature �y� '" �
Registered Y/ N Fee Current / N
Address License #
ELECTRIGIAN Company
Signature Registered Y/(�l Fee Current Y/ M
Address
License JF
PLUMBER Compa�y
Signature Registered Y/ N Fee Current Y/ N
Address License # -,
MECHANICAL Company
Signature Registered Y/ N Fee Current Y/ N
Address
License #
OTHER
Company
Signature
Registered �' / N Fee Current 1' / N
Address
_ License #
Directions: ' - - -
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Fill out application completely
Owner 8 Contractor sign back of application, notarized (Or, copy of signed contract with ovmer)
tf over $2500, a Notice of Commencement is required (Mechanical work over 55000)
Supply two (2) sets of d2wings with applicable documentation
Allow 10-14 days for review after submittal date. Parcel #- obtained from PropeRy Tax Notice (http://appraiser.pascogov.com)