HomeMy WebLinkAbout11-12307 ,--�
CITY OF ZEPHYRHILLS �
5335 - 8TH STREET
. - . (ais) �so-oozo 12307
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12307 Address: 37915 EILAND BLVD
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Biock: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 03-26-21-0010-06400-0031
Improv. Cost:
Date Issued: 8/30/2011 Name: GOLDEN PANDA
Total Fees: 25.00 Address: 37915 EILAND BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/30/2011 Phone:
Work Desc: FPM- HOOD CLEAN QUARTERLY- GOLDEN PANDA
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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."
�..
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
913-780-002o ity o Zephyrhills Fire
Faz-813-780-0021
Permit Application
)ate Received R - �'(,1 � (J(� �- / Phone Contact for Permit �L /� ��f � 35 ,
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)wners Name �.C� / � � Owners Phone Number � � � �7� • / ��
)wners Address `�: tr'� � /� � � / � �� � � / �
ee Simple Titleholder Name Titleholder Phone Number �� �
ee Simple Titleholder Address
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ob Address L--IJ�� j/ J ��/ ' I J ��/ L�/ `� ��- �` Lot # �
�ub Division Parcel #
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� Bio-Hazard Waste Storage - ANNUAL a Fumigation Tent
a Comm Exhaust Kitchen Hood/Duct a Hazardous Material (Tier 11 or RQ Facility� ANNUAL
� Controlled Bum � Hood Instailafion
a Emergency Generator < 30 kw " � LP/Natural Gas-Installation
� Emergency Generatur > 30 kw � LP/Naturel Gas-ANNUAL Sale
� Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL ���
r y emi �n er � �
5pri�kler � O ❑ ❑ � � Recreationai 8um
Fire Alarm � ❑ � � � a Sparklers
Hood Cleaning � �]° O ❑� a Sprinkler System Installa6ons
Hood Suppression � ❑ ❑ D� � Standpipes (Sprinkler Sys)
a Fire Alartn Installation � Torch RoofingfTar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
� Fire Works
� Flammable Application- ANNUAL Valuation of Project
� Fuel Tanks
� Other: _
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: ontractor _ _ /� Company L
SignaWre �''�+i"�-� � Registered Y/ N Fee Current ` Y/ N
Address License #
ELECTRICIAN Company
Signature Registered 1' / N Fee Current Y/ nl
Address License #
PLUMBER Company
Signatu�e Registered Y/ N Fee Current Y/ N
Address �— — I �icense # �— —�
MECHANICAL Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
OTHER Company
Signature Registered Y/ nl Fee Current Y/ N
Address License #
Directio�s:
RII ou[ application completely.
Owner 8 Contractor sign back of application, nota�zed (Or, copy of signed contrect with owner)
If over $2500, a Notice of Commencement is required (Mechanical work over 55000)
Supply Mro (2) sets of drawings with applicable documentation
Allow 10-14 days for review afler submittal date. Parcel #- obtained from PropeRy Tax Notice (http:!lappraiser.pascogov.com)