HomeMy WebLinkAbout12-13035 CITY OF ZEPHYRHILLS ✓
5335-8TH STREET
(813)780-0020 13035
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13035 Address: 7340 GALL BLVD
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 35-25-21-0010-0880-0000
Improv. Cost:
Date Issued: 5/03/2012 Name: TOWNVIEW RETAIL LLC
Total Fees: 25.00 Address: 725 CONSHOHOCKEN SR
Amount Paid: 25.00 BALA CYNWYD PA 19004
Date Paid: 5/03/2012 Phone:
Work Desc: FPM-QUARTERLY FIRE SPRINKLER FOR 7340 GALL BLVD TOWNVIEW RETAIL LLC
�
� (�
/\
��
�
,
ina
Chapter 633, Florida Statutes,authorizes the City to charge and wllect 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 shail 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
813-780-0020 City pf Zephyrhills Fire Fax-813-780-0021
Permit Application
Date Received � Phone Contact for Permit 813 621 1357
Owner's Name TOWNVIEW RETAIL L�C Owner's Phone Number � � �
owner's Address 725 CONSHOHOCKEN STATE ROAD, BALA CYNWYD, PA 19004-2102
Fee Simple Titleholder Name Titleholder Phone Number � � �
Fee Simple Titleholder Address
r . - . S .� .. . . @GS",-�:E.�. :.,& , ..4 ..,�Jy � .
:i.
JobAddress 7340 GALL BLVD, ZEPHYRHILLS, FL �ot# �
sub oivision CITY OF ZEPHYRHILLS Parcel# 35-25-21-0010-0880-0000
a Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent t
� 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
� Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale!�
� Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUA� � !✓
ry emi �n er / � %) � :
t v
Sprinkler � � ❑ ❑ � Recreational Burn �
Fire Alarm � ❑ ❑ ❑ � � Sparklers ` �
Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Instaliations
Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys)
� Fire Alarm Installation � Torch Roofing/Tar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
� Fire Works
aFlammable Application-ANNUAL $25.QQ Valuation of Project
Fuel Tanks
Q Other
, . , -. . ,•� , „ . , _ , . . . �;.�,: �..�4 ,-,?.. ,. -.�:°�:.
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 Current Y/N
Address N T F 1 License# 1 1 2
Directions
Fill out appiication 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 two(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)