HomeMy WebLinkAbout12-12716 r �
CITY OF ZEPHYRHILLS
5335-8TH STREET
(sis)�so-oo20 12716
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12716 Address: 7348 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: 35-25-21-0010-08800-0000
Improv. Cost:
Date Issued: 1/23/2012 Name: TOWNVIEW RETAIL LLC
Total Fees: 25.00 Address: 725 CONSHOHOCKEN STATE RD
Amount Paid: 25.00 BALA CYNWYD PA 190042102
Date Paid: 1/23/2012 Phone: (610)667-5800
Work Desc: FPM- SPRINKLER QUARTERLY- TOWNVIEW
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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."
�.,
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
s�3-�ao-oo2o City of Zephyrhills Fire Fax-813-780-0021
Permit Application
Date Received � Phone Contact for Permit 813 621 1357
owner's Name TOWNVIEW RETAIL LLC Owner's Pnone Number 610 667 5800
owner's,4ddress 725 CONSHOHOCKEN STATE ROAD, BALA CYNWYD, PA 19004-2102
Fee Simple Titleholder Name Titleholder Phone Number C� � �
Fee Simple Titleholder Address
JobAddress 7348 GALL BLVD, ZEPHYRHILLS, FL �ot# �
Sub�ivision CITY OF ZEPHYRHILLS Parce�#
� Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL
� Controlled Burn � Hood Installation
� Emergency Generator<30 kw � LP/Natural Gas-Installation
� Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale
� Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL
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Sprinkler � � ❑ ❑ B � Recreational Burn
Fire Alarm � ❑ ❑ ❑ � � Sparklers
Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Instaliations
Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys)
� Fire Alarm Installation � Torch Roofing/Tar Kettle
� � Fire Pumps � Waste Tire Storage ANNUAL
� Fire Works
� Flammable Application-ANNUAL $25.QQ Valuation of Project
Fuel Tanks
Q Other�
Contractor Company
Signature Registered Y/N Fee Current 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 JEFFERY D. BURNHAM Company RODAN FIRE SPRINKLERS, INC.
Signature �`` �'`� Registered Y/N Fee Current Y/N
Address 2 1 N. 7 T T. TA PA FL 1 �icense# 1 1 0120
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)