HomeMy WebLinkAbout12-12834 � '� CITY OF ZEPHYRHILLS �
5335-8TN STREET
(si3)�so-oo20 12834
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12834 Address: 7921 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: 34-25-21-0010-00100-0010
Improv. Cost:
Date Issued: 2/27/2012 Name: LOWES HOME CENTER
Totai Fees: 55.00 Address: 7921 GALL BLVD
Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/27/2012 Phone:
Work Desc: FPM- SPRINKLER ANNUAL- LOWES
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Chapter 633, Florida Statutes,authorizes the City to charge and collect user fees to pay for the oosts 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 pertormed 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
sis-�eo-oo2o City of Zephyrhills Fire Fax-813-780-0021
Permit Application
Date Received Phone Contactfor Permit 813 630 0303
Owner's Name Lowes Home Center Inc Owner's Phone N umber � � �
Owner's Address O Box 1000,# 1854 Attn Tax Dept 1 ETA, Mooresville, NC 28115-1000
Fee Simple TiUeholder Name Titleholder Phone N umber C� � �
Fee Sim ple Titleholder Address
JobAddress 7921 Gall Blvd , Zephyrhills, FL 33541 �ot# C�
Sub Division ephyrhills Colony Company Parcel# 34-25-21-0010-00100-0010
� Bio-Hazard Waste S torage-ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen Hood/D uct a Hazardous Material(Tier II or RQ Facility)ANNUAL
� Controlled Burn � Hood Installation
� Emergency Generator<30 kw � LP/Natural Gas-Install ation
� Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale ///
� Fire Protection M aintenance- ANNUAL � Places of As sembly-ANNUAL ��
ry emi �n er ��
Sprinkler �X ❑ ❑ � � � Recreational Burn �
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Fire Alarm � ❑ ❑ ❑ � � Sparklers
HoodCleaning � ❑ ❑ ❑ � � SprinklerSystem Installations
HoodSuppression � ❑ ❑ ❑ � � Standpipes(SprinklerSys) n ���1 �m
� Fire Alarm Installation � Torch Roofing/T ar Kettle ���-L i�2�
� Fire Pumps � Waste Tire Storage ANNUAL �j
� Fire Works
❑ Flammable Appl ication-ANNUAL rjQ , Valuation of Project
� Fuel Tanks
0 Other
Contractor �" / , Company ayne U OI'T18 IC IP2 pnn @fS, I1C.
Signature N/' Registered �/�I Fee Current �/N
Address 226 Cher Palm Drive, Tam a FL 33619 License# 0 9 8 4 6 6 0 0 012 0 0 8
ELECTRICIAN Company
Signature Registered Y/I� Fee Current Y/N
Address License#
PLUMBER Company �-
Signature Registered Y/N Fee Current �(/N
Address License#
MECHANICAL Company
Signature Registered Y!N Fee Current �(/N
Address License#
OTHER Company �
Signature Registered Y!N Fee Current Y/�I
Address License#
Di recti on s.
Fill out applic ation com pletely
Owner&Contractor sign back o f appl ication,notarized(Or,copy of signed contract with ow ner)
If over$2500,a Notice of C ommencement is required(Mechanical work over$5000)
Supply two(2)sets of drawings with applicable documentation
Allow 10-t4 days for review aiiei submitta!datc. ?ar_e!�-�bfained from Prooertv Tax Notice(http://appraiser.pascogov com )