HomeMy WebLinkAbout12-13033 r CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oo20 13033
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13033 Address: 7348 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: 35-25-21-0010-08800-0000
Improv. Cost:
Date Issued: 5/03/2012 Name: TOWNVIEW RETAIL LLC
Total Fees: 25.00 Address: 725 CONSHOHOCKEN STATE RD
Amount Paid: 25.00 BALA CYNWYD PA 190042102
Date Paid: 5/03/2012 Phone: (610)667-5800
Work Desc: FPM-QUARTERLY FIRE SPRINKLER FOR 7348 GALL BLVD TOWNVIEW RETAIL LLC
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Chapter 633, Florida Statutes,authorizes the City to charge and collect user fees to pay for the wsts 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 Acrnmpany 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
a�3-�so-oo2o City of Zephyrhills Fire Fax-813-780-0021
Permit Application
Date Received � Phone Contact for Permit $13 621 1357
owner's rvame TOWNVIEW RETAIL LLC Owner's Phone Number 610 667 5800
Owner's Address 725 CONSHOHOCKEN STATE ROAD, BALA CYNWYD, PA 19004-2102
Fee Simple Titleholder Name Titleholder Phone Number � � �
Fee Simple Titleholder Address
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JobAddress 7348 GALL BLVD, ZEPHYRHILLS, FL �
Lot#
sub Division CITY OF ZEPHYRHILLS Parce�#
a Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent
a Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL
� Controlled Burn � Hood Installation
� Emergency Generator<30 kw � LP/Natural Gas-Installation i
� Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale �C� � �
� � �.
Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL
r y emi �n er � ��,,,,--"
Sprinkler � � ❑ ❑ B � Recreational Burn
Fire Alarm � ❑ ❑ ❑ � � Sparklers
Hood Cleaning � ❑ p ❑ � � Sprinkler System Installations
Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkier Sys)
� Fire Alarm Installation � Torch RoofinglTar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
� Fire Works
� Flammable Application-ANNUAL $25.00 Valuation of Project
aFuel Tanks
QOther:
. . . . , , . ,� . ,.
Contractor Company
Signature Registered Y/N Fee Current Y/N
Address
License#
ELECTRICIAN Company
Signature Registered Y/N Fee Current Y/N
Address License#
PLUMBER Company
Signature Registered Y/N Fee Current Y/N
Address License#
MECHANICAL Company
Signature Registered Y/N Fee Current Y/N
Address License#
OTHER JEFFERY D. BURNHAM Company RODAN FIRE SPRINKLERS, INC
Signature ��'�_ Registered Y/N Fee C:urrent Y/N
Address , 7 , �" � License# 1 1 2
Directions: � �
Fiil out application completely
Owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner)
If over$2500,a Notice of Commencement is required(Mechanical work over$5000)
Supply rivo(2)sets of drawings with applicable documentation
Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov com)