HomeMy WebLinkAbout11-12346 CITY OF ZEPHYRHILLS
- 5335 - 8111 STREET
(813) 780-0020 12346
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12346 Address: 6834 GALL BLVD STE 101
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: 02-26-21-0010-02400-0010
Improv. Cost:
Date Issued: 9/13/2011 Name: ZEPHYR PLACE LLC
Total Fees: 25.00 Address: 2220 34TH ST S
Amount Paid: 25.00 ST PETERSBURG FL 33711
Date Paid: 9/13/2011 Phone: (727)504-0256
Work Desc: FPM- HOOD CLEAN SEMI- CICI PIZZA
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Chapter 633, Florida Statutes, authorizes the City to charge and collect user fees to pay for the wsts of fire
prevention and protection related activities such as inspections, plan review, administrative fees, anc! 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 FINANEING, 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
a�3-78o-oozo City ofZephyrhillsFir�� Fax-a�saso-oo2� :
Permit Application _--
Date Received P�� ��t �� ��
�.��.:�K. ,�.
Ownet's Name � •� Owners Phone Number L '� J�� !U !�t'�
oNmers Ada�ss g 3 l.l 1 ��� ��
Fee Simple TiUeholder Name Titleholder Phone Number � L�! �
Fee SimpleTitleholderAddress
Job Address Lot # �
Sub Division �� #
� Bio-Hazard Waste Storage - ANtNUAL Q Fumigation TeM
a Comm Exhaust lCitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL
� Controlled Bum � Hood Instadation
Q Emergency Generator < 30 kw � LPINaturel Gas-Installation
� Emergency Ger►erator > 30 kw � LPlNatural Gas-ANNUAL Sale
a Fire Pmtection Mairrtenance - ANNUAL � Places of Assembly,ANNUAL ,� -- -
� �� � �
Sp�inkler � ❑ � ❑ � � Recreational Bum '2
Fre Alarm � o ❑ ❑ � � Sparlclers �
�
Hood Geaning ❑ � ❑� � Sprinkler System Installations
Hood Suppressan � ❑ ❑ ❑� a Standpipes (Sprinkler Sys)
� Flre Alartn Installation � Tor�h Roofinglfar Ketde
Rre Pumps � Waste Tire Storage ANNUAL
Rre Works
FlammableApplication-ANNUAL Valuation of Project
Fuel Tanks
er.
Conbactor Comparry
� �
sig�ature r Registered Y/ N Fee currerrt Y/ N
Address '� LiCense #
ELECIRICIA Comparry
Signature Registered Y/ N Fae Current Y/ N
Address V��� #
PLUMBER Company
s�s�� Registered Y/ N Fee Current Y/ N
Address License #
MECHANICAL ��y
Signawre Registered Y/(d Fee Current Y/ N
Address License #
OTHER ���y
S�9�� Registered Y/ N F� Current Y/ N
Address License #
_.W �.._.`__, �_... ..e._----.___ __ _.__ _ __ ___ _
Directrons:
Fill out applicatbn completely.
Owner 8 Contractor sign tsack of aPP�icatbn. notaraed (Or. copy cf signed coMract with ovvner)
If over E2500� a Notice of Commenceme�t is required.(Mechanical work over $5000)
Suppty two (2) sets of drawiru�s witl� appiicable documentatlon
Ailow 1 Q14 days for review after subrtdttal date. Parcel #- obtair�i from Property Ta�c Notice (httpJlappraiser.pascogov.com)