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Home My WebLink About12-13074 CITY OF ZEPHYRHILLS . ' 5335-8TH STREET / �si3)�so-oozo 13074 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 13074 Address: 5830 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: 11-26-21-0010-01200-0015 Improv. Cost: Date Issued: 5/17/2012 Name: THREE M REV TRST MURPHY JEAN Total Fees: 50.00 Address: 6941 MURPHY RD Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 5/17/2012 Phone: Work Desc: FPM-SUPPRESSION /HOOD CLEAN SEMI- OFF EATEN PATH � � v � � ( �,2-f � 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 a;3-�saoozo City ofZephyrhiltsFire�•- -. �Fax-813-780-0021 Permit Application _ Date Received ' Phone Corrtactfor Pertnit Owner's Name �� /�� s� 4 Owners Phone Number � � � Owner's Address �3d �ll ��1�� Fee SimpleTitleholder Name Titleholder Phone Number � � � Fee Simple TlUeholder Address Job Address Lot# � Sub Division Paroel# � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Factlfty)ANNUAL � Controlled Bum � Hood Instalfation � Emergency Generator<30 kw � LP/Natural Gas-Installation � Emergency Generetor>30 kw � LP/Natural Gas-ANNUAL 5ale � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL. ,t�r y emi �"�]n er Sprinkler � � ❑ ❑ ❑ � Recreational Bum Fire Alarm � ❑ O ❑ C� � 5parklers Hood Cleaning � ❑ ,I�' ❑ � � Sprinkler System Installatlons Hood Suppression � ❑ ❑ ❑ �� Standpipes(Sprinkler Sys) � Fire Atarm tnstallation � Toroh Roofing/Tar Kettle Fire Pumps � Waste Tire Storage ANNUAL. Fire Works Flammable Application-ANNUAL � Valuation of Project Fuel Tanks Q Other: Corrtractor Company � 5ignature Registered N Fee C nt Y/N Address ! License# ELECTRICIAN Company Signature Registered Y/N Fee Current Y/N Address , License# PLUMBER Company _ Signature Rsgistered Y/N Fee Current Y/N Address License# MECHANICAL Company Signature � Registered Y 1 N Fee Curtent Y/N Address License# OTHER Company Signature Registerad Y/N Fee Current Y/N Address License# Directions: FII out applieation completely. Owner 8 Corttractor sign back of application,notarized(Or,copy of signed contrect with owner) ff over$2500,a Notice of Commencement is required.(Mechanical work over$5000) Supply 1wo(2)sets of drawings wRh applicable documentation Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(httpJlappraiser.pascogov.com) n,isasaoo2o City ofZephyfiilis'Fir��-.�=- �Fax-813-7g0-0021 Permit Application _ Date Received - Phone Contacfifor Pertnit Owner's Name 77� � ,,�/ G Owner's Phone Number .� �� Owner's Address O -- 1'�� f/� Fee SimpleTitleholder Name Titleholder Phone Number � C� � Fee Simple Titleholder Address Job Address Lot# � 5ub Division Paroel# � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Faciflty)ANNUAL � Controlled Bum � Hood Instailation � Emergency Generator<30 kw � LP/Naturel Gas-Installation Emergency Generator>30 kw � LPlNatural Gas-ANNUAL Saie / � Fire Protection Maintenance-ANNUAL � Piaces of Assembly-ANNUAL / 3Q ,� �y emi �n er '� � 5prtnkler � � O ❑ ❑ � � Recreational Bum � Fire Alartn � O ❑ ❑ � � Sparklers Hood Cleaning � � ❑ O � � Sprinkler8ystem Installations Hood Suppression � ❑ � O � � Standpipes(Sprinkler Sys) � Fire Alartn Installation � Toroh Roofingffar Kettle Fire Pumps � Waste Tirs 5torage ANNUAL Fire Works Flammable Applicafion-ANNUAL r--, Valuation of Project Fuel Tanks Q Other: Contractor Company � C Signature Registered 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 Currerrt Y/N Address License# MECHANICAL Company Signature Registersd Y/N Fee Curtent Y/N Address License# OTHER Company Signature Registered Y/N Fee Cuneni Y/N Address License# Directions: FII out applieation completely. Owner 8�Corrtrzctor sign back of application,notar¢ed(Or,copy of sfgned contract with owner) If over$250�,a Notice of Commencement is required.(Mechanical worlc over$5000) Supply iwo(2)sets of drawings with applicable documenta6on Allow�0-'14 days for review after submittal date. Parcel#-obtained from Property T�Notice(http:/lappraiser.pascogov.com)