HomeMy WebLinkAbout11-12275 �- CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(sis) �so-oo20 12275
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12275 Address: 5014 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: 11-26-21-0010-20700-OOAO
Improv. Cost:
Date Issued: 8/18/2011 Name: CHATTERBOX CAFE
Total Fees: 25.00 Address: 5014 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/18/2011 Phone:
Work Desc: FPM-SEMI ANNUAL HOOD CLEANING FOR CHATTERBOX CAFE
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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."
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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
e�3-780-0020 � _ � ��l ( City ofZephyrhills�Fir:e Fax-eis-�so-oo2i
� , Permit Application
late Received � �� � o D � L-- - Phone Contact for Pertnit � r�� C%'J-�! �
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)wners Address � � � ��/ � �✓ �( ��/ "� � J � V /
ee Simple Titleholder Name Titleholder Phone Number �� ��
ee Simple Titteholder Address
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� Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent
a Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL
a Controlled Bum a Hood Installation
� Emergency Generetor < 30 kw � a LP/Natural Gas-Installation
a Emergency Generator > 30 kw � LP/Nawrel Gas-ANNUAL Sale
� Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL
r y emi � er � '
Spri�kler � ❑ O ❑� a Recreational Bum i �
Fire A�artn � ❑ ❑ ❑ � a Sparklers ��'�
Hood Cleaning �❑ E:3� ❑� � Sprinkler System Installafions ��
Hood Suppression � ❑ ❑ ❑ � � Standpipes (Sprinkler Sys]
� Fire AIaRn Installation � Torch RoofinglTar KettJe
� Fire Pumps � �Naste Tire Storage ANNUAL
a Fire Worlcs
a Fiammahle Application- ANNUAL Va�Uafi0fl Of PfOJECt
a Fuef Tanks
� Other:
- ��+ � �,
: ontractor / Company
Signature CJ�'� Registered Y/ N Fee Current Y/ N
Address License #
ELECTRICIAN Company
Signature Registerad l� / N Fee Current Y/ N
Address License �
PLUMBER Company
Signature Registered Y/ N Fee CuRent Y/ N
Address License #
MECHANICAL � Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
OTHER Company
Signature Registered �' / N Fee Current Y/ N
Address License #
Directions:
' - - - - - �s�.,� - - �
Fill ou[ application completely
Owner 8 Contractor sign back of application, notarized (Or, copy of signed contract with owner)
If over 52500, 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)