HomeMy WebLinkAbout11-12632 CITY OF ZEPHYRHILLS
, - 5335 - 8TH STREET .�
(si3) �so-oozo 12632
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12632 Address: 37915 EILAND 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: 03-26-21-0010-06400-0031
Improv. Cost:
Date Issued: 12/16/2011 Name: GOLDEN PANDA
Total Fees: 25.00 Address: 37915 EILAND BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 12/16/2011 Phone:
Work Desc: FPM- HOOD CLEAN QUARTERLY- GOLDEN PANDA
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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 A7TORNEY BEFORE RECORDING YOUR NOTICE
OF COMMENCEMENT."
4
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
8t3-78D-oo2o Clty of.Zephyrhills�Fi�e FaX-8�3-780-0021
Permit Application
�ate Received � �pC, � ! Phone Contact for Pertnit ����� Q �� _�
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)wners Name •, j iC.,. ��y Ow�ers Phone Num6er G3 � �S . 933'
)wners Address � , ,fJV C.lV � v� �
ee Simple Titleholder Name Titleholder Phone Number ����
ee Simple Titleholder Address
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ob Address OLL��i � � �/� $L , Lot # �
�ub Division Parcel #
� Bio-Hazard Waste Storage - ANNUAL � FumigaGon Tent
� Comm Exhaust Kitchen Hood/Duct a Hazardous Material (Ter II or RQ Facilily) ANNUAL
a Contrnlled Bum � Nood Installation
� Emergency Generator < 30 kw � LP/Natural Gas-Installation
� Emergency Generetor> 30 kw a LP/NaWral Gas-ANNUAL Sale
� Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL
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Sprinkler � O D ❑ a Recreational Bum �_ j��/
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Fire Alartn � ❑ ❑ � � � 5parklers t
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Hood Cleaning �{! � �� � Sprinkler System Installations
Hood Suppression � ❑ ❑ O � � Standpipes (Sprinkler Sys)
� Fire Alartn Installation � Torch Roofing(Tar Kettle
� Fire Pumps � �Naste Tire Storage ANNUAL
� Fire Works
� Flammable Applica6on- ANNUAL � Valuation of Project
� Fuel Tanks
a Other: .
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:ontractor Company /v
Signature Registered Y/ N Fee Current Y/ N
Address License #
ELECTRICIAN Company
Signature Registered Y/ N Fee Current Y/ N
Address License �
PLU MB Ef2 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 �' / I�l Fee Current 1' / N
Address �icense #
Directions: - - - - �� �� - - -- �_� �
Fill out application completely
Owner 8 Contrdctor sign 6ack of application, notarized (Or, copy ot signed conVact with owner)
If over 52500, a Notice of Commencement is required (Mechanical woiic 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 (httpJlappraiser.pascogov.com)