HomeMy WebLinkAbout12-12819 CITY OF ZEPHYRHILLS
5335-8TH STREET
• °' (si3)�so-oozo 12�19
- ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12819 Address: 7909 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: 3425-21-0010-00100-0000
Improv. Cost:
Date Issued: 2/22/2012 Name: RUBY TUESDAY RESTAURANT
Total Fees: 25.00 Address: 7909 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/22/2012 Phone:
Work Desc: FPM- HOOD CLEAN QUARTERLY- RUBY TUESDAY
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Chapter 633, Florida Statutes,authorizes the City to charge and aollect 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 activiry without an approved final
inspection shall be charged double permit fee per day of operation or a minimum of$100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE
OF COMMENCEMENT."
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P IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- Fire Marshal Office-813-780-0041
Feb 16 12 04:27p 813-649-8856 p.1
81�i80-0020 City of Zephyrhills Fire Fax�i3-�Sp..pp2�
Permit Appiication
Date Recaned —f�j—f 12 - - Phorte Cor�aet for Portnit � �.�
Owners Name � V Owners Phona Number � �g3 I�/.S
UmieY's Address D a � L f�
Fee Simpte Tltleholder Name Titleholder Phpna Number � � ��
Fee Simple Titletiolder Address
Job Address Lot� ��
Sub Division �����
QBio-Hamrd Waste Storage-AMNUqL � Fumigetio�Tent
Q Ce►rm Exhaust KiOehen HoodlDud � Hezardo�Material(Tier!I or RQ FaciGty)ANNU/4L
� Cor�t►oled Bum O Hood Insfaration
� Emerpency Generator�90 kw � LPlNawral Ges-Installatiort
QEmcrgcncy Generator�30 kw a LPlNatual Gas-ANNUAlSale
� Fire Protedion Mambenance-ANNUAL Q Places of Assernbly-ANNUAL �y,, /�
�[� ['��J�' � � G�� ��
Sprin!cler C C ❑ � � Recreationa{Bum :� � �
Fire Alarm � G C � � � Sparklen
Hood Cloani
�9 ❑ G C 6�..dC Sprinkkr Sys�em Instal�tions
Hood Supprossion � ❑ C C � Q
SlandpiPes(Sprirdckr 3ys)
aFire Alarm Insfallation a Torch RoofingiTar Kedle
� Fire Pumps a W�e Tire Storape ANNLAL
Fire Works
� F�`�'n1B��'�'tiO"-'0N�' Valuatian of Project
Fuel Tenks
� Other•
Contrac1or � Co�� ,7., G� �`
Signature Replstered Y/N Fee Current Y/N
Address / �J7d C / 0. troonse�R
ELECTRICUIN
Company
si��,at�e Registered Y/N Foe Cunenl Y!N
i0.ddress
License 0
PLUM$ER Cornpany
Sigrmture Registered Y/N Fee Currerrt Y/N
Address Lioense#
WIECHAN ICAL Company
�g��re Registered Y/N Fee Currerrt Y/N
Address Lioense�
OTHER
Company
Signature Rogistered Y/N Fee Currerrt Y/N
Ad�ess
Uwnse 1t
Diroctbns:
F111 out applicaCron wmpletety.
Owner&Cwitractor sign back of app3cation,ratai¢ed(Or,oopy of signed contract Hith owner)
If over 52500,a Notice of Cafn�enCement is requfred(Meehanical work over SSp00)
Suppfy two(2)sets of dravuings v`ith a pplicable docume��on
Allov.�1 O-'I4 days for review aR�r submittal date. Parcel#�-obtairwd trom Property Tax Notiee(Frrpriappraiser.pescogov.00rri)
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