HomeMy WebLinkAbout11-12189 CITY OF ZEPHYRHILLS
. . 5335 - 8TH STREET —
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ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12189 Address: 7254 GALL BLVD
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number:
Improv. Cost:
Date Issued: 8/01/2011 Name: HAUNG, JAMES
Total Fees: 25.00 Address: 7254 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/01/2011 Phone:
Work Desc: FPM- QUARTERLY HOOD CLEAN- CHINA WOK
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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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P IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Offce - 813-780-0041
813-780-0020 Clty ofZephyrhills Fire• i?/� �� Fax-813-780-0021
PeRnit Application '�
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�ate Received • 7 V� / /�. 7 �/ Phone Contact for Pertnit �" ,� ��,_.���
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)wners Name �2 Owners Phone Number LS I J �7 • `�-S/
)wners Address � �• �O/ � % / � �� � '�� ��� � �
ee Simple Titleholder Name Titleholder Phone Number ��� ��
ee Simple Titleholder Address
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ob Address �� � "' L �L1• Lot # �
�ub Division
Parcel #
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a Bio-Hazard Waste Storege - ANNUAL a Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct a Hazatdous Material (Tier II or RQ Facility) ANNUAL
� Controlled Bum � Hood Installa6on
� Emergency Generator < 30 kw � LP/Natural Gas-Installation
� Emergency Generetor > 30 kw � LP/Natural Gas-ANNUAL Sale
a Fre Protection Maintenance - ANNUAL � Places of Assembly-AIvNUAL
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5prinkler � ❑ � � � Recreational Bum
Fire Alarm � ❑ � � � � Sparklers
Hood Cleaning � 4y ❑ ❑ � a 5prinkler System Installations
Hood Suppression � ❑ ❑ � � � Standpipes (Sprinkler Sys)
� Fire Alami Installation � Torch RoofingfTar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
a Fire Worlcs
a FlammableApplication-ANNUAL ValuationofP�oject
� Fuel Tanks
� Other:
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�ontractor � /, Company
Signature "'� Registered Y/ N Fee Curre�t Y/ N
Address License #
ELECTRICIAN Compa�y �
Signature Registered Y/ N Fee Current Y/ N
Address License #
PLUMBER Company
Signature Regis[ered �' / I�I Fee Current Y/ N
Address License #
MECHANICAL Company
Signature Registered Y/(�I Fee Current Y 1 N
Address License i�
OTHER Company
Signature Registered �' / N Fee CuRenl 1' / N
Address License �
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Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized (�r, copy of signed contract with owner)
If over 52500, a Notice of Commencement is required (Mechanical work over 55000)
Supply two (2) sets of drawings with applicable documentation
Allow ta-14 days for review afier submittal date. Parcel #- obtained from Property Tax Notice (http://appraiser.pascogov.com)