HomeMy WebLinkAbout12-12942 CITY OF ZEPHYRHILLS �"
5335-8TH 5TREET 12942
� � (813)780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12942 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: 4/02/2012 Name: GOLDEN PANDA
Total Fees: 25.00 Address: 37915 EILAND BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/02/2012 Phone:
Work Desc: FPM- QUARTERLY HOOD CLEAN - GOLDEN PANDA
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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 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 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
GENERAL LIABILITY
.............. .. ........_................
_� ...�P�LIeY��Ail�INBER:. .. . �.�(3itCY a?ERIOiJ'.
�����PR�SS
�C" GFL 1003926 03 81 12/09/2011 12/09/2012
PROPFRTY�CASUALTY 12:01 A.M.S[andard Time at the described location
.............................. .......................................................................................................................
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INSURED'S COPY Date Issued: 03/09/2012
....................................................................................................................................................
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UNIVERSE SERVICES LOIS A SIMMONS
PO BOX 9738 C/O EAGLE INSURANCE AGCY INC
TAMPA FL 33674-9738 10424 N DALE MABRY HIGHWAY
TAMPA FL 33618-4134
Telephone� 813-545-9351 Telephone 813-968-2886
The location of premises is at the above insured address unless otherwise stated below•
2304 POTOMAC MARK PL RUSKIN FL 33570-6323
Fax-813-780-0021
City of.Zephyrhills Fire•
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Parcel# _�:
�ub Divisio�
�� � Fumigation Tent
� Bio-Hazard�Naste Storage-ANNUAL �
� Hazardous Material(Tier II or RQ Facility)ANNUAL �
Comm Exhaust Kitchen Hood/Duct � „�
� Hood Installation //�
Controlled Bum � ��/�
LP/Natutal Gas-Installation � �
aEmergency Generator<30 kw a `p/N3t��r�l Gas-ANNUAL Sale
� Emergency Gene2tor>30 kw � p�aces of Assembly-ANNUAL
� Fire Protection Maintenance-ANN� em' � er
❑ � � � � Recreational8um
Spri�kler �� a
❑ � � � Sparkters
Fire Alarm a
(��' ,_,/ � � � Sprinkler System Installatio�s
Hood Cleaning U 'v �
❑ � � � � Standpipes(5prinkler Sys)
Hood Suppression
a � Torch RoofinglTar Kettle
Fire Alartn I�stallation �
� Waste Tire Storage ANNUAL
Fire Pumps
� Fire Works Vatuation of Project
aFiammable Application-ANNUAL
� Fuel Tanks
a Other- r—
� Company � s "S T fCc
�ontractor Registered Y/N Fee Curtent Y/N
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Signature
License#
Address
Company Y/N
ELECTRICIAN Registered Y/N Fee Current
Signature �
License t�
Address
Company
PLUMBER Registered Y/N Fee Current Y/N
Signature �
License#
Address
Company Y(N
MECHANICAL Fee Current
Registered Y/N
Signature �
License#
Address
OTHER Company
Registered Y/N Fee Current Y!N
S ig nature
License#
Address -
Directions:
FII out application completely.
Owner&Contractor sign hack of application,notarized(Or,copy of signed contract with owner)
If over$2500,a Notice of Comme�cement is required(Mechanical woric over$5D00)
Supply two(2)sets of drawings with applicable documentation caiser_ asco ov.com)
Allow 10-14 days for review afler submittal date. Parcel#-obtained from Property Tax Notice(http:l/app P 9