HomeMy WebLinkAbout12-13170 CITY OF ZEPHYRHILLS �
5335-8TH STREET 13170
- (813)780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13170 Address: 7850 GALL BLVD
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book:
Proposed Use: NOT APPLICABLE Subdivision: CITY OF ZEPHYRHILLS�
Square Feet:
Est. Value: Parcel Number: 35-25-21-0130-00000-0140
Improv. Cost:
Date Issued: 6/13/2012 Name: ZEPHYR COMMONS LLC
Total Fees: 25.00 Address: TAM AADL 3361 gNE
Amount Paid: 25.00
Date Paid: 6/13/2012 Phone: (813 927-0011
Work Desc: FPM- FIRE ALARM ANNUAL- SHREE DEVRAS ZEPHYR COMMONS
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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
813-780-0020 City of Zephyrhills Fire Fax-813-780-0021
Permit Application
Date Received , Phone Contact for Pertnit �a- 55j0 �
Owner's Name � �1 r' 6��on5 �C- Owner's Phone Number b �3 � �
[1 M- -+ i�
Owner's Address � a-1 '1�`�.�L-�� � �4 M �
Fee Simple Titleholder Name Titleholder Phone Number C� � ��
Fee Simple Titleholder Address
Job Address I�s0 ��LC-- �`-�'� � N 2 /s L.,s ��^ Lot# �
Sub Division Parcel# ° '�� "U� ' ������
� Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen HoodlDuct � Hazardous Material(Tier II or RQ Facility)ANNUAL
� Controlled Burn � Hood Installation
� Emergency Generator<30 kw � LP/Natural Gas-Installation
� Emergency Generator>30 kw � LPlNatural Gas-ANNUAL Sale
n Fire Protection Maintenance-ANNUAI � Places of Assembly-ANNUAL
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Sprinkler � ❑ ❑ ❑ � Recreational Bum
Fire Alarm � ❑ ❑ d � � Sparklers � f?j���
Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations
Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys)
aFire Alarm Installation a Torch Roofing/Tar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
� Fire Works
� Flammable Application-ANNUAL � Valuation of Project
� Fuel Tanks
Q Other
Contractor Company D�p �
Signature Registered Y/N Fee Current Y/N
Address LiCense# �f ciZ b
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 Company
Signature Registered Y/N Fee Current Y/N
Address License#
Directions:
Fill out application 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 rivo(2)sets of drawings with applicable documentation
Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http:/lappraiser.pascogov.com)