HomeMy WebLinkAbout11-12546 CITY OF ZEPHYRHILLS t
5335 - 8TH STREET
(si3) �so-oozo 12546
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12546 Address: 6329 GAL� 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: 03-26-21-0020-00000-0010
Improv. Cost:
Date Issued: 11/18/2011 Name: KAUFMAN GROUP ENTERPRISES
Total Fees: 25.00 Address: 6329 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/18/2011 Phone:
Work Desc: FPM-ANNUAL FIRE ALARM FOR KAUFMAN
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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 pertormed 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
aia-7ao-oo2o City of Zephyrhills�Fir�• Fax-sts-7ao-ooz�
Permit Application
)ate Received - Phone Contactfor Permit _ _ _ _�
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hvners Name �� "� � � et'5 Phone Number
�wnePs Address � .�[� �c:� ` 1 { � � , ( � ` � � } � �
=ee Simple TiUeholder Name Titleholder Phone Number
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=ee Simple Titleholder Address ;�.����.c
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Job Address 1n" �—
Sub Division \ � /1 � I Parcel # �J � "�: ' �� - G � °�L� "v �' G � - � � 1 E '�
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a Bio-Hazard Wasie 5torage - ANNUAL � Fumigallan Tent
� Comm Exhaust Kitchen HoodlDuct � Haze►dous Matedal (Tier li or RQ Faciliiy} AtJNUAL
� Controlled Bum a Hood Installatlon
� Emergenay Generator < 30 kw � LP/Naturel Gas-Installation ,
Emergency Generetor> 30 kw � LPINatural Gas-ANNUAL Sale
Firs Protectlon Mairrtenance -ANNUAL � Places of Assembly-ANNUAL ���.,
�y emi � er � /h'�
Sprinkler � ❑ O ❑ Recreadonal Bum l�
Fre Alartn ❑ ❑ � 5parklers _
Hood Cleaning � ❑ O ❑� � Sprinkier System insta{latlons
Hood Suppression � d ❑ O� � StartdplPes (Sprinkler Sys}
� Fire Alarm Installa8on a Tarch RoofinglTar Kettle
Fire Pumps � Waste Tire Storage ANNUAL
Fire Wo�lcs '
FlammableApplication-ANNUAL Valuation of Project
Fue( Tanks
� Other:
' ConUaotor � Comparry -�`� •`- ���-�!��
Signature ' Registereil Y N Fee Current N
Address ,, \ - ' � Lice�e # � b 1 t7
ELECTRICIAN Company
5lgnature Registered Y I N Fee Current Y/ N
Address Ucense #
PLUMBER � Comoany
5ignature Registered Y/ N Fee Curtent Y/ N
AddrBSS License #
MECHANICAI Company
Signature Registered Y I N Fee Current Y J N
Address License #
OTHER CompOny
Stgnature Registered Y/ N Fee Curtent Y/ N
Address License #
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D3rections:
Fill aut application completely.
Owner 8 Contractor sign bacic of application, notarized (Or, copy of slgned contraci with owner}
If over 52500, a Notice of Commencement is required (Meehanical work over 35000) .
Supply two (2) sets of drawings with applicable documentation
Allow 10-14 days for review after submittaV date. Parcal #- abtained from P�operty Tax NoUce (http:!lappraiser.pascogov.com)