HomeMy WebLinkAbout11-12079 CITY OF ZEPHYRHILLS
5335 - 8TH STREET �
' (si3) �so-oo20 12079
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12079 Address: 7909 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:
Improv. Cost:
Date Issued: 6/30/2011 Name: RUBY TUESDAY RESTAURANT
Total Fees: 25.00 Address: 7909 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/30/2011 Phone:
Work Desc: FPM- HOOD CLEAN QUARTERLY- RUBY TUESDAY
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A inal
Chapter 633, Florida Statutes, authorizes the City to charge and collect user fees to pay for the costs of fire
prevention and protection related activides 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."
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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
e�saaaoo2o City of Zephyrhilis Fire �` Zb [� Fax-813-780-0021
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. Permit Application
Date Received ���� „ . Phone Co�tact for Pertnit `,� �,, .
Owners Name ��� � 5 Ow�er's Phone Number �� ��
Owner'sAddress 7 � 9 C94, // l��v
Fee Simple TiUeholder Name Titlehotder Pho�e Number r�� ��
Fee Simple 7itiehotder Address
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Job Add2ss / Qd �! � 1� ` G Lot # �
Sub Division Parcel #
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� Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier 11 or RQ Facility) ANNUAL
� Controlled Bum � Hood Installation
a Emergency Generator < 30 kw � LP/Natural Gas-Installation
� Emergency Generator > 30 kw Q LP/Natural Gas-ANNUAL Sale
a Fire ProteCtion Maintenance - ANNIfAL a Places of Assembly-ANNUAL
�y emi �n er
Sprinkler � ❑ ❑ ❑ � � Recreational Bum
Fire Alarm � ❑ ❑ ❑ � � Sparklers
Hood Cleaning �❑ ❑ ❑ � w�'C � Sprinkler System Installations
Hood Suppression � ❑ ❑ ❑ � Standpipes (5prinkler Sys)
� Fire Alarm Installation � Torch RoofinglTar Kettle
Fire Pumps � Waste Tire Storage ANNUAL
Fire Works
Flammable Application- ANNlIAL Valuation of Project
Fuei Tanks
Q Other�
_ . . . ... � .. :.�x. -. . _ ,. _ . , . .. . . �;M .-. , �, . .. - . � T _.. -
Contractor / Company -a.� ,�.t
Signature Registered c�/ N Fee Curcent �ffi/ N
Address ) /ha l � �' 3 �/ �icense #
ELECTRICIAN Company
Signature Registered Y/ N Fee Current Y 1 N
Address License #
PLUMBER Company
Signature Registered Y 1 N Fee Cument Y I N
Address LiCense #
MECHANICAL Company
5ignature Registered Y/ N Fee Current Y/ N
Address License #
OTHER Company
Signeture Registered Y/ N Fee CurreM Y/ N
Address License #
Directions: . . _ , _ _ .
Fill out appiication completeiy.
Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner)
If over $2500, a Notice of Commencement is required (Mechanical work over $5000)
Supply two (2) sets of drawings with applicable documentation
Allow 10-14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (http://appraiser.pasCOgov.com)