HomeMy WebLinkAbout12-13068 CITY OF ZEPHYRHILLS
. 5335-8TH STREEf �
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ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13068 Address: 6329 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: 03-26-21-0020-00000-0010
Improv. Cost:
Date Issued: 5/11/2012 Name: KAUFMAN GROUP ENTERPRISES
Total Fees: 25.00 Address: 6329 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/11/2012 Phone:
Work Desc: FPM-ANNUAL SPRINKLER- KAUFMAN EYE INSTITUTE
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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$100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECO IN Y R NOTICE
OF COMMENCEMENT." '
PERMIT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
s��-�so-oo2o c:ny ot tepnym�iis rire FaX-s��-�so-oo2�
, , . Permit Application
Date Received � . ,. ,. ``_, Phone Contact for Perrr►it � � �
Owners Name ' Ownars Phone Number �3 ' `/j� (rc�
o�,er$nda�s 3a c,c,l �1 rn��i Is � 335�
Fee Simple Titleholder Name Titleholder Phone Numbar � � �
Fee Simple Tideholder Address
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"'...F:: v'r :.�.- .':.�'..; s2-?'�''�'-" .wQ;,- ab�:.
Job Address �030. � (� 1%y�( l (5 ',.��- �3J'"�"' Lot# �
Sub Diviaion per�e�#
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'd1��27�;'�:2 i.a.R'�d�:.,-.k�GiP.u4�t..4't-ri.?n, . �,. _ . , v fi' ..
� Bio-Hazard Waste S�rage-ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Materiai(Tier II or RQ Facilfty)ANNUAL
� Controiled Bum � Hood Installatlon
� Emargency Generator<3p�r � LPMatural Gas-InstallaUon
� Emergency Ganerator>30 kw � LPMatural Gas-ANNUAL Sale
� Fre Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL,
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Sprinkler � ❑ ❑ � � Recreadonal Bum � � �
Flr+s Alartn � O � O � � Sparlclers �� �
Hood Cleaning � ❑ ❑ ❑ � � Sprinkler Systam InstallaUons
Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys)
� Fre Alartn installatlon � Torch RoofinglTar Kettle
Fire Pumps � Waste Tire Storage ANNUAL
Fire Works
Flammable Application-ANNUAL Valuation Of ProjeCt
Fuel Tanks
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CoMractor ComP�Y O F�I r� _C�" � 1�
Signature Registered Fea Curre� N
Addresa J '� - � '� � � License# p
ELECTRICIAN ���y
s�gnature Registered Y/N Fee current Y/N
Address License#
PLUMBER �m�m
Sig"eture Registered Y/N Fee Cumant Y/N
Address LiCenae#
MECHANI ���
Slgnawre Registered Y/N Fse cumant Y/N
�� Lfoanae#
OTHER ��rn
�9"e�re ��stered Y/N Fae CurreM Y/N
�^� License#
Directioos: .. . . .. ..... „ . .. , .. . ., .. ,.... _ , ..._. .� • _... . �:,.�-az�aesa,,.•r�a � ,._4..;.,..,�.�-.........,._ .m. ,..� ,. � . ._ ..
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FlII out application canpletely.
Owner�Contractor aign back of appiicatlon.rrota�ized(Or,coPY of signed cornract with ownar)
If over s2500,a Nofloe of Commencement is requirod(Mschanical work over 55000)
S�PP�Y two(2)aets of drawfngs wfth applicebla documerrtation
Allow 10-14 days for revfew after submiqal date. Paroel#-obtained from Property Tax Notke(httpJ/appraiser.pascogov.com)