HomeMy WebLinkAbout12-12858 _ CITY OF ZEPHYRHILLS /
5335-8TH STREET f
(si3)�so-oo20 12858
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12858 Address: 37915 EILAND 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: 03-26-21-0010-06400-0031
Improv. Cost:
Date Issued: 7/30/2012 Name: GOLDEN PANDA
Total Fees: 25.00 Address: 37915 EILAND BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/07/2012 Phone:
Work Desc: FPM- HOOD CLEAN SEMI- GOLDEN PANDA
a
�
� / �
'1-
�1
ma
Chapter 633, Florida Statubes,authorizes the City to charge and oollect user fees bo pay for the costs of fire
prevention and protec�ion related activities such as inspections,plan review,administrative f+ees,and other
costs related bo the aforementloned.
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 commerciai 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 aaordance 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 RECO IN Y R NOTICE
OF COMMENCEMENT." '
PERMIT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
8 1 3-7 80.002D City of.Zephyrhills�Fir.e FaX-ai�-�ao-ooz�
` Permit Application
late Received � �0/\ ' Phone Contact for Pertnit 3 [=—L=�-1 �3�
a�a:��::�.,:�wr_�_r��,.::........�..,.,...�.w_,.:.....n.-,...- ....�._-�ans2� - �s�, . .� .�. _ ---. -._._s,d,tv. .
)wner's Name L���L Q �fO�Z y�Tf-1 Owners Phone Number �l � ST'� . �3�!
)wners Address � Q, � /��O T�/%/77 � �J v /
ee Simple Titleholder Name Titieholder Phone Number � � �
ee Simple Titleholder Address e�
�x -t,�"�.� �. - ���>.
�' �ob Address ' �����, ���
�ub Division Parcel#
aBio-Hazard Waste Storege-ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material�er II or R(1 Facility)ANNUAL
aControlled Bum � Hood Installation
� Emergency Generator<30 kw a LP/Natural Gas-Installation
� Emergency Generator>30 kw � LP/Naturai Gas-ANNUAL Sale
� Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL
r y emi �n er
5prinkler � O ❑ ❑ � Recreational Bum
Fire Alarm � O ❑ ❑ � � Sparklers
Hood Cleaning � ❑ � ❑ � a Sprinkler System Installations
Hood Suppression � ❑ ❑ ❑ � a Standpipes(Sp�nkler Sys)
� Fire Alatm Installation � Torch Roofingffar Kettle
a Fire Pumps a Waste Tire Storage ANNUAL
� Fire Works
� Flammable Application-ANNUAL —� Valuation of Project
� Fuel Tanks
a Other:
:.ontractor Compa�y /�// �Q.S� ��
5ignature � Registered l�/N Fee Current Y!N
Address License#
ELECTRICIAN Company
Signature Registered �'/N Fee Current �'/nl
Address License#
PLUMBER Company
Signature Registered Y/N Fee Current Y/N
Address License#
MECHANICAL Company
Signature Registered Y/N Fee Curtent Y/N
Address License#
OTHER Company
Signature Registered Y/N Fee Current Y/N
Add2ss License#
Directions:
Fill out application complstely
Owner&Contractor sign back of application,notarized(Or,copy of signed con[ract 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(httpJ/appraiser.pascogov.com)