HomeMy WebLinkAbout11-12497 �
CITY OF ZEPHYRHILLS �
- � 5335 - 8TH STREET
(si3) �so-oo20 12497
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12497 Address: 7254 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: 35-25-21-0010-08800-0000
Improv. Cost:
Date Issued: 11/01/2011 Name: TOWNVIEW RETAIL LLC
Total Fees: 25.00 Address: 725 CONSHOHOCKEN STATE RD
Amount Paid: 25.00 BALA CYNWYD, PA 190042102
Date Paid: 11/01/2011 Phone:
Work Desc: FPM- HOOD CLEAN QUARTERLY- CHINA WOK
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Chapter 633, Florida Statutes, authorizes the City to charge and collect user fees to pay for the oosts of fire
prevention and protection related activities such as inspecfions, 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 Ciry 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
813 City of.Zephyrhills�Fire FaX-s�a-�ao-oo2�
- Permit Application
late Received T �� �� Q T��� Phone Contact for Permit � J [�
:�a�::a^...a�,:x.; xra�_x�.::x...,..x.�.._,..�... - - -- � -- =�..:�:m�. �--�.�, __....---
)wners Name � �j�L Q �/��U �i / Owners Phone Number !� �3 J�S / .3 S�
)wner's Addres�' +s / �t� ��1�"I�fi' �L_ 3 367�
ee Simple Titleholder Name Titleholder Phone Number �� �
ee Simple Titleholder Address
��t.� �� �� �;s_s..�� { - — - ���;-;�.
ob Address �'�7��/�� W vI� 7��7 l�rL` �LVLJ. Lot # �
�ub Division Parcel #
� - �::
� Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent
Q Comm Exhaust Kitchen Hood/Duct a Hazardous Material �er II or RQ Facility) ANNUAL
a Controlled Bum � Hood Installation
a Emerc�ency Generetor < 30 kw a LP/Natural Gas-Installation ✓/�/
� Emergency Generator > 30 kw � LP/Natural Gas-ANNUAL Sale �� `�
� Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL � I
�y em� �n er
Sprinkler � � ❑ ❑ � � Recreational Bum
Fire Alarm � O ❑ O� � Spar{clers
Hood Cleaning ��J � ❑� � Sprinkler System Instal�ations
Hood Suppression � ❑ ❑ ❑ � � Standpipes (Sprinkler Sys)
� Fire Alartn Installation � Torch Roofing(Tar Kettle
Q Fire Pumps �. Waste Tire Storage ANNUAL
� Fire Worics
� Flammable Application- ANNUAL Valuafion of Project
� Fuef Tanks
� Other:
�ontractor Company � � �S � �G-
5ignature � �� Registered Y/ N Fee Curtent Y/ N
Address License #
ELECTRICIAN Company
5ignature Registered Y/ N Fee Current Y/ N
Address
License #
P�UMBER Company
Signature Registered Y/ N Fee Current Y/ N
Address
License #
MECHANICAL Company
Signature Registered Y/ N Fee Current Y/ N
Add2ss
License #
OTHER Company
Signature Registered Y/ N Fee Current Y/ N
Add2ss License #
Directions:
Fill out application completely.
Owner & Contractor sign back of applicatio�, notarized (Or, copy of signed contract with owner)
If over 52500, a Notice of Comme�cement is required (Mechanical work over $5000)
Supply two (2) sets of drawings with applicable documentation
AIIow 10-14 days for review after submittal date. Parcel #- ohtained from Property Tax Notice (http:!/appraiser.pascogov.com)