HomeMy WebLinkAbout12-12718 CITY OF ZEPHYRHILLS �,.--
5335-8TH STREET
(813)780-0020 12718
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12718 Address: 7340 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 :
Square Feet: Subdivision: CITY OF�ZEPHYRHILLS�
Est. Value: Parcel Number: 35-25-21-0010-0880-0000
Improv. Cost:
Date Issued: 1/23/2012 Name: TOWNVIEW RETAIL LLC
Total Fees: 25.00 Address: 725 CONSHOHOCKEN SR
Amount Paid: 25.00 BALA CYNWYD PA 19004
Date Paid: 1/23/2012 Phone:
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 a
the Fire Department's Fire Marshal or required permits or opening up for commercial activi without an a pProval of
inspection shall be charged double permit fee � pproved final
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."
�
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION OFFICER
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 rvame TOWNVIEW RETAIL LLC r� �� �
Owner's Phone Number L
owner'sAddress 725 CONSHOHOCKEN STATE ROAD, BALA CYNWYD, PA 19004-2102
Fee Simple Titleholder Name �� r—� ��
Titleholder Phone Number I I
Fee Simple Titleholder Address L•—�
JobAddress 7340 GALL BLVD, ZEPHYRHILLS, FL ���
Lot#
subflivision CITY OF ZEPHYRHILLS parce�# 35-25-21-0010-0880-0000
� Bio-Hazard Waste Storage-ANNUAL a
� 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
� r y emi � er ❑
Sprinkler � ❑ ❑ Recreational Burn
Fire Alarm � ❑ ❑ ❑ �� � Sparklers
Hood Cleaning � ❑ ❑ ❑ C� ❑ Sprinkler System Installations
Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys)
� Fire Alarm Installation � Torch Roofing/Tar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
� Fire Works
� Flammable Application-ANNUAL $25.��
� Valuation of Project
Fuel Tanks
Q Other•
�
Contractor � ` �
Signature
Company
Registered Y/N Fee Current Y/N
Address
License#
ELECTRICIAN
Signature Company
Registered Y/N Fee Current Y/N
Address
License#
PLUMBER
Signature Company
Registered Y/N Fee Current Y/N
Address
License#
MECHANICAL
Signature Company
Registered Y/N Fee Current Y/N
Address
License#
OTHER
5i9nature JEFFERY D BURNHAM /�--� /Lr- Company RODAN FIRE SPRINKLERS, INC.
Registered Y/N Fee Current Y/N
Address 2 1 N. 7 TH T. TAMP F 1
License# 1 1 12
�irections:
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)