HomeMy WebLinkAbout11-12365 CITY OF ZEPHYRHILLS
5335 - STH STREET
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ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12365 Address: 7340 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: 35-25-21-0010-0880-0000
Improv. Cost:
Date Issued: 9/19/2011 Name: TOWNVIEW RETAIL LLC
Total Fees: 25.00 Address: 725 CONSHOHOCKEN SR
Amount Paid: 25.00 BALA CYNWYD PA 19004
Date Paid: 9/19/2011 Phone:
Work Desc: FPM-ANNUAL FIRE SPRINKLER
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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 Acrnmpany 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
a�s-�ao-oo2o City of Zephyrhills Fire Fax-813-780-0021
Permit Application
Date Received 9/19/11 Phone Contact for Permit 813 621 1357
owner's Name TOWNVIEW RETAIL LLC Owner' Phone Number ���
Owner'sAddress 725 CONSHOHOCKEN STATE ROAD, BALA CYNWYD, PA 19004-2102
Fee Simple Titleholder Name Titleholder Phone Number �� �
Fee Simple Titleholder Address
JobAddress 7340 GALL BLVD, ZEPHYRHILLS, FL �ot# �
sub Division CITY OF ZEPHYRHILLS parcel # 35-25-21-0010-0880-0000
� Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen HoodlDuct � Hazardous Material (Tier II or RQ Facility) ANNUAL
� Controlled Burn � Hood Installation
� Emergency Generator < 30 kw � LP/Natural Gas-Installation
� Emergency Generator > 30 kw � LP/Natural Gas-ANNUAL Sale
a Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL -- -- __.
r y emi � er �
Sprinkler � ❑ ❑ � B � Recreational Burn
Fire Alarm � � ❑ ❑ � � Sparklers /� l� �j,�
Hood Cleaning � O ❑ ❑� � Sprinkler System Instal tions �/
Hood Suppression � ❑ ❑ ❑ � � Standpipes (Sprinkler Sys) f
� Fire Alarm Installation � Torch Roofing/Tar Kettle � /��,� r>`—
� Fire Pumps � Waste Tire Storage ANNUAL
� Fire Works
� Flammable Application- ANNUAL $25.QQ Valuation of Project
� Fuel Tanks
Q Other�
Contractor Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
ELECTRICIAN Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
PLUMBER Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
MECHANICAL Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
OTHER JERRY T. BARROW ompany RODAN FIRE SPRINKLERS, INC.
Signature Regis ed Y/ N Fee Current Y/ N
Address 2 N H T. TA P 1 �icense # 4 2 11
Directions:
Fill out application completely
Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner)
If over $2500, 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)