HomeMy WebLinkAbout12-13076 , � CITY OF ZEPHYRHILLS
5335-8TH STREET
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ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13076 Address: 7631 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: 34-25-21-0110-00000-0010
Improv. Cost:
Date Issued: 5/17/2012 Name: SUPER WAL-MART
Total Fees: 25.00 Address: 7631 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/17/2012 Phone: (479)204-1063
Work Desc: FPM- SUPPRESSION SEMI-WALMART
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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 rnmmercial 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 pertormed in accordance with Ciry 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��-�saoo2o City ofZephyrh111sFic�e��-�:�=... �Fax-813-780-0021
Permit Application _
Date Received ' Phone Contact•for Permit �
Owner's Name — r Owners Phone Number .� �� �
Owner's Address / ¢�/ ��I/�-
Fee Simple?IUahoider Name Titleholder Phone Number � � �
Fee Simple'T'itleholder Address
Job Address Lot# �
Sub Division Paroel#
� Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen HoodlDuct � Hazardous Material(Tier II or IRQ Facility)ANNUAL
� Controlled Bum � Hood Installation
� Emergency Generetor<30 kw � LP/Natu21 Gas-Instaltation
� Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale
� Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL
�y emi �n er � �°��
Sprinkler � � � ❑ O � � Rscreational Bum / U
� �
Fire Alartn � O ❑ ❑ � � 5parklers �
Hood Cleaning � O O O � � 5prinkler8ystem Installations
Hood 5uppression � ❑ � � � � Standpipes(Sprinkler Sys)
� Fre Alartn Instaltation � Toroh Roofing/Tar Kettle
Fire Pumps � Waste Tire 5torage ANNUAL
Fire Works
Flammable Application-ANNUAL � Valuation of Project
Fuef Tanks
Q Other:
Corrtrector ,.��� Company /�/�►'
Signature Registered Fee Cu 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 Curterrt Y/N
Address License#
OTHER Company
Signature Registered Y/N Fee Curreni Y/N
Address License#
Di2ctions:
Fill out application completely.
Ovmer 8 Contractor sign back of appifcation,notar¢ed(Or,capy of signed contract with owner)
ff over$2500,a Notice of Commencementls required.(Mechanical wo�ic over$5000)
Supply two(2)sets of drawings wkh applicable documentation
Alfow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com)