HomeMy WebLinkAbout11-12566 CITY OF ZEPHYRHILLS
5335 - 8TH STREET �
. (813) 780-0020 12566
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12566 Address: 7631 GALL 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: 34-25-21-0110-00000-0010
Improv. Cost:
Date Issued: 11/28/2011 Name: SUPER WAL-MART
Total Fees: 25.00 Address: 7631 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/28/2011 Phone: (479)204-1063
Work Desc: FPM- SUPPRESSION SEMI- BAKERY WALMART
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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
oosts 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."
a..
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
813-780-0020 City ofZephyrhills'Fir�s� Fex-s���aaoo2� .
Permit Rpplication . _.
Date Rec ived �-.y, - - Phone Cor�tact for PermR
Owners Name Q. � Q �i Ct.•�jf..� 1� : Owner's Phone Number .� ��
Owners Address � „�� " f".s�` �tv`� 3.�S��t�
Fee, Simple Titlehold�r Name Titleholder Phone Numbar �� �
Fee Simple TlUeholder Address �
Job Address �� � { �� �- ��� ` � Lot #
Sub Division • Parcel #
a BlaHazar�Waste Stor�ge - ANNUAL � FumtgaUon Tent
� Cortttn Fxhaust Kitchen Hocd/Duct a Hazardous Matedal (Tfer II or RQ Facility) ANNUpL
� Controlled Bum � Hood Installation
g Emargeney Generator <�0 kw � LP/Natural Gas-Instatlatlon
Emergency Generator > 30 kw ,� LP/Natural.Gas-AMNUAL Sale
� Ffre Protection Maintenance - ANNtlAL � Places of Assembly-RNNUAL
�y emi ��n er � � �
Sprinkler � ❑ O ❑ � � Recreatlonal Bum �
Fire Alartn � ❑ ❑ ❑ � Sparklers l
Hood Cleaning � ❑ O ❑ g Sprinkler System Installations
Hood Suppresslon � O � ❑� � Standpipes (Sprinkler Sys)
Flre Alamr InstallaUon � Torch Rooflng/Tar Kettle
Fire Pumps . � W�ste Tire Storage ANNUAL
Fire Works
Flammable AppNcation- ANIVUAL , Valuation of Project
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Fuel 'fanks
Q Other:
Contractor Company — t
Signature Registered / Fee uRent Y/
Address �'37 Llcense #
ELECTRICIAN � Company
Signature ' Registered Y./ N Fee Current Y/ N
Address • License #
PLUMBER Company
Signature Registered Y/ N �ee Currerrt 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:
FlII out applicaUon completely. �
Owner & Contractor sign back of applicatfon, notarized (Or, copy of aigned contract with owner)
If over 52500, a Notice of Commencement is required.(Mechanical work over $5000)
Suppiy two (2) sets of drawings with applicable documentation
Allow 10-14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (http:/lappraiser.pascogov.com)