HomeMy WebLinkAbout12-12988 CITY OF ZEPHYRHILLS �.�
5335-8TH STREET 1298$
' " (813)780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12988 Address: 6733 GALL BLVD
Pe�mit 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: 03-26-21-0010-03200-0020
Improv. Cost: Name: MAHOOTCHI, AHAD (MD)
Date Issued: 4/17/2012 Address: 6733 GALL BLVD
Total Fees: 25.00
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/17/2012 Phone:
Work Desc: FPM- FIRE ALARM ANNUAL- SAME DAY SURGERY
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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
sti�-aao-;c�o City of Zephyrhills�Fir��• Fax-813-7R0-OD21
Permit Application
:Received � - Phone Contaetfor P�ertni�I S'7..L Iy�T,��9...�_._
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iers Name ���1'� U (-- � � �wner's Phone Num6er �� �� �
ie�'s Address l.Q � (�G.. � 1� /� -E � � � � �.
Simple TiUeholder Name TiUeholder Pfione Number � � ,3 �� �--
:Simple Titleholder Address
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Address �G•.- �-�--. �,, �, e �ot# �
�Division pJ � �� Parcel# (� .3 ',pZ�O 'v�� • l��/U �U��'C� '(JL�� �
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� Bio-Hazard Waste 5torage-ANNUAL Q FumigaUon Tent
� Comm Exhaust FGtchen Hood/Duct � Hazardous Material(Tler II or RQ Faciliiy)ANNUAL
� ConVo{led 8um � Hood lnstallaUon
� Emergency Generator<30 kw � LP/Naturef Gas-Installation
Emergency Generator>30 kw � LP1Natural Gas-ANNUAL Sale
Fire Protectlon Maintenance-ANNUAL a Places af Assembly-ANNUAL
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Sprinkler � � ❑ ❑ � � Recreational Bum �('�,
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Fre Alarm � p ❑ � � � Sparklers
Hood Cleaning ❑ ❑ ❑ �� � SprinklerSystem Installatlons �
Hood Suppression � ❑ ❑ ❑ C� � Standpipes(Sprinklar Sys)
� Fire Alarm InstaltaUan � Torch RoofinglTar Kettle
Fire Pumps � Waste Tire Storage ANNUAL
Fire Works •
Flammable Appllcatlon-ANNUAL �� � Valuation of Project
Fue(Tanks
Q other:
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ontractor Comparry i • ,� �.y.' �,�
,gnature ' Registered , Y. �I Fee Current N��»
Addrass 1 - ' � Licer�se# ,`"J ty 1 t'�
LECTRICIAN Compeny
ignature Regfstered Y/N Fee Current Y/N
Address License#
LUfNBER
Company
ignature Registered Y/N Fee Current Y/N
Address License#
1ECHANICAL Campany
ignature Registered Y I N Fee Current Y/N
Address
License#
)THER Company
�ignature Ragisterad Y/N Fee Current �(/N
Address License#
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)irections:
�..am.w�xi+�;Y�f.^:�. ..x1u.s� '_ '�.,�'a��v.e•
Fill aut appUcation completely.
Ownar 8 Contractar sign back of application,notarized(Or,copy of slgnad contrect with owmer}
If over�2500,a Notice of Gommencement is required(Mechanicat work over 35000)
Supply two(2)sets of drawings with epplicable documerrtaBon
Allow 10-14 days for rsvisw after submittal date. Parcat#-obtained frorr�Propedy Tax NoUce(http:l/appraisar.pascogov.com)