HomeMy WebLinkAbout11-12535 � CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(si3) �so-oo20 12535
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12535 Address: 5017 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: 11-26-21-0010-20800-0010
Improv. Cost:
Date Issued: 11/15/2011 Name: HUFFMAN CARLYLE & BARBARA
Total Fees: 25.00 Address: PO BOX 251
Amount Paid: 25.00 CRYSTAL SPRINGS, FL 33524
Date Paid: 11/15/2011 Phone: (813 783-8098
Work Desc: FPM-SEMI ANNUAL HOOD CLEANING FOR BARB'S RESTAURANT
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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
B r °eo-oozo City of.Zephyrhills Fir:e� FaX-s�3-�ao-oo2i
Pennit Application
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Parcel #
�ub Division �i
� Bio-Hazard Wasta Storege - ANNUAL a Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct a Hazardous Material �er II or RQ Facility) ANNUAL
� Controlled Bum a Hood installation
� Emergency Generetor < 30 kw a LP/Natutal Gas-Installation
� Emergency Gene2tor > 30 kw � LPlNatural Gas-ANNUAL Sale
� Fire Protection Maintenance - ANNUAL a Places of Assembly-ANNUAL
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5prinkier � ❑ ❑ � � Recreational Bum � �� -� �
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Fire Alarm O ❑ O Sparlclers �
Hood Cleaning � ❑ J� �� � Sprinkler System Installations �/
Hood Suppression � ❑ ❑ � � � Standpipes (Sprinkler Sys) /
� Fire Alarm Installation � Torch RoofingfTar Kettle
a Fire Pumps � Waste Tire 5torage ANNUAL
� Fire Worics
a Flammable Application- ANNUAL Valuation of Project
a Fuef Tanks
a Other:
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�ontractor ° ' Company -
5ignature ���� � Registered Y/ N Fee Curtent 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 Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
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)