HomeMy WebLinkAbout12-13044 CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oozo 13044
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13044 Address: 7425 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: 34-25-21-0000-00300-0000
Improv. Cost:
Date Issued: 5/07/2012 Name: ZEPHYRHILLS PLAZA LLC
Total Fees: 25.00 Address: 7425 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/07/2012 Phone:
Work Desc: FPM-ANNUAL FIRE SPRINKLER FOR BEALLS STORE 30
� 5.
�
t
�'��
�P'
ina
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
813-780-0020 City of Zephyrhills Fire Fax-813-780-0021
Permit Application
Date Received Phone Contact for Perm it $�3 63� 0303
Owner's Name Zephyrhilis Plaza LLC Owner's Phone N umber C� � �
Owner's Address 236 Commercial Way, Spring Hill FL 34606-1995
Fee Simple Titleholder Name TiUeholder Phone N umber C� � �
Fee Simple Titleholder Address
JobAddress 7425 Gall Blvd., Zephyrhills FL 33541-4311 (BEALLS STORE 30) �ot# �
Sub Division ephyrhills Commons Parce�# 34-25-21-0160-00000-0010
� Bio-Hazard Waste S torage-ANNUAL � Fumigation Tent
a Comm Exhaust Kitchen Hood/D uct � Hazardous Material(Tier II or RQ Fac;ility)ANNUAL
� Controlled Burn Hood Installation ,,
� Emergency Generator<30 kw � LP/Natural Gas-Install ation /''�� ��
u Emergency Generator>30 kw � �.Fi�va[urai:;.,a-ANHi1i,L Sa�e � `'� ✓
�X Fire Protection M aintenance-ANNUAL � Places of Assembly-ANNUAL •.,,�_,,,,�..-�/
❑ ry emi �n er ❑
Sprinkler X ❑ ❑ 251 Recreational Burn
Fire Alarm � ❑ ❑ ❑ � � Sparklers
Hood Cleaning � ❑ p ❑ � � Sprinkler System Installations
Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys)
� Fire Alarm Installation � Torch Roofing/T ar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
� Fire Works
� Flammable Appl ication-ANNUAL �j0 -1 Valuation of Project
Fuel Tanks
Q Other•
Contractor Company ayne U Ofl'18 IC If@ pnn @fS, f1C.
Signature Registered �'(/N Fee Current �/N
Address 226 Cher Palm Drive Tam a FL 33619 License# 0 9 8 4 6 6 0 0 012 0 0 8
ELECTRICIAN Company
Signature Registered Y/I� Fee Current �(/I�
Address
License#
PLUMBER
Company
Signature Registared Y/N Fee Current Y/N
Address � �� �� License#
MECHANICAL Company
Signature Registered Y/N Fee Current Y/N
Address
License#
OTHER
Com pany
Signature Registered Y/N Fee Current Y/N
Address
License#
Directions:
Fill out applic ation com pletely
Owner&Contractor sign back o f application,notarized(Or,copy of signed contract with ow ner)
If over$2500,a Notice of C ommencement 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 )