HomeMy WebLinkAbout12-12848 CITY OF ZEPHYRHILLS
5335-8TH STREET
" ' �sis��so-oozo 284$
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12848 Address: 5610 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: 11-26-21-0010-05700-0255
Improv. Cost:
Date issued: 2/27/2012 Name: BURGER KING
Total Fees: 25.00 Address: 5610 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/27/2012 Phone:
Work Desc: FPM- HOOD CLEAN QUARTERLY- BURGER KING
' �i
ma
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 fio 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
�{y ofZephyrhiilsFirs� Fax-a��-7so-oo2� i�
a��-�ao-oozo P���i�� -_�--
- - Pl,orie conmec tor Pem,it
Da19 ReCeived r,�'
o�rs�� .���� � ? D
owners Name . �
Owne�s Address S�I D
Titleholder Phone N�rnber � C� �
Fee Sinnpie Titleholder Neme
Fee SimpleTidehdder A� �
Lot#
,lob Address
Par�el#
Sub Divisia+
� gio-F�ard WasFe 3tarage-ANNUAL � Fumigallon T�t
Q �I�a�us MaEerial(�ier il or RQ Facidty)ANNUAL
Comm Exhaust Kitchen Fiood/Duct
� ConhoNed Bum � Fiood Installation
� Emergency Generator<30 kw � LPiNattxal Gas-InsMailation
� Ert�rgency Gerrerafor>30 kw � LP/�a��UAL Sale _
� Fire Protectlon Mai�-��� � Places of Assembly-AHNUAL
gprinkler � ❑ D ❑ � � �I Bum f -�Vjj��
❑ �7 � S�'� . �� �J�
��ntem, o o ❑ �
� � ❑ � sa�'srs�i�t�o� '
Hood Cleartin9 � � a S��q�(S��r gYs)
Hoad S�pre� D ❑ ❑
� Fire Alartn 1nsYaltation � Toreh Raofin9Rar Kerile
F'ire P�S a Waste Tire S�'aAe ANNUAL
Firs Works
����� Valuation of Project
Fuel Tardcs
er. '
�tO� t " �,�d Y/N r-ee c�arent Y/N
Signahae
r L�' #
p1�f@3✓
ELECTR�C �
Reg;sbered Y/N r-ee current Y/td
Signatw'e
Lice�ue#
Address
PLUMBER �rn
Signature Re�ed Y/N Fee Current Y/N
�� Lic�se#
MECHANICAL �
Si9rehae Regis�red Y/N Fee c.urrent Y 1 N
' I.icense#
Address
OTHER �
Signature �istered Y/N Fee Gment Y!N
Addtess Lkense#
Di�:
FiB out ap�dAion�Y•
Owner&Conhactor sign baek oF appRCation,noRaraed(Or.coPY���d witl'�owner)
ff over 52500.a Aldioe vF C�anrnsr�oemen�is req�ired.(Med�nical wak over S��)
S�P�Y twa{2)sets of drawin9s vdtl�ePPU�ble docuner�ation Tax Nofice(hCP��ePP��-P�9w•�)
A�ow 1 a14 days for revie�w alter aubrnitlal date. Paraei#-obtained from ProP�Y