HomeMy WebLinkAbout11-12327 CITY OF ZEPHYRHILLS �
• 5335 - 8TH STREET 12327
(813)780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12327 Address: 5317 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: 11-26-21-0010-13300-0090
Improv. Cost:
Date Issued: 9/07/2011 Name: CLOCK FAMILY RESTAURANT
Total Fees: 25.00 Address: 5317 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/07/2011 Phone: (813 788-2511
Work Desc: FPM- HOOD CLEAN QUARTERLY- CLOCK RESTURANT
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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 Office - 813-780-0041
City ofZephyrhillsFir�� Fax-e�s-�saoo2� :
a�; �ao-oo2o Permit Application - ---
Phone Co�rtact for Permit �
Date Received
Owners Phone Number . � �� 7.5� �
ow�rs r��►,e .
owr,er5 Ada� � �ie�U � uc.Q • l - �'"
Titlehoider Pho�e Number �� � �
Fee Simple Titleholder Name
Fee Simple TlUeholder Address ` " =—�
Lot #
u
Job Address
Parcei #
Sub Divisfon
� Bio-Hazard Waste Storage - ANNUAL � Fumigatlon Tent
a Hazardous Material Rer il or RQ Facility) ANNUAL
Comm Exhaust Kitchen HoodlDucc �
� Controlled Bum Hood Installation
� Emergency GeneraWr < 30 kw � LPtNahual Gas-Installation
� Emergency Generator> 30 kw Q LPMaturdl Gas-ANNUAL Sale --
� Fire Protection Mairrtenar�e - ANNUAL � Places of AssemblY-ANNUAL
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Sprinkier � ❑ O ❑ Rec.�eational Bum � ��
❑ � � Sparlders .j # i j 2
Fire Alartn ❑ ❑ ❑ ��
Hood Cleaning �. � ❑ Sprinkler System Installatians
Hood Su ression ❑ ❑ ❑ C� � S��pipes (Sprinkier Sys)
Pp �
� Fre Alartn Installatlon a T°rc.h R°°fi�9�Tar Kettle
Fre Pumps � Waste Tira Storage AHNUAL
Fire Works ��
Flammable Application- ANNUAL Valuation of Project
Fuei Tanks
er:
Contractor . Company
Sj9n ` Registered Y/ N Fee Current Y 1 N
Address '� License #
ELECTRIClA ��
Signatura Registered Y/ N Fee Currerrt Y/ N
Address License #
PLUMBER � CO �� Y
Signahxe Registered Y/ N Fee Current Y/ N
Address � _ . __ — Lieense # (
MECHANICAL �
S'g ��� Registered Y/ N Fee Current Y/ N
Address �� #
OTHER ��
signature Registered Y/ N Fee Currerrt Y/ N
Address �� #
Directions:
Fill out epplicatlon completelY.
Owner 8 Corrtrector sign back of application, rwtarized (Or, coPy of sig^ed �°^tract w�h °�r)
tf over $2500, e Notice of Commencement is required (Mechanical work over $5000)
Supply two (2) sets of drawings with appticable doc�une�tation
Allow 10-14 days for review aRer submittal date. Pat�el #- obtained from PropeRy Tax Notice (httP��aPP��.P�Ogov.com}