HomeMy WebLinkAbout12-13171 CITY OF ZEPHYRHILLS �
5335-8TH STREET 13171
(813)780-0020
` ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13171 Address: 7920 GALL BLVD
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 35-25-21-0010-00700-0000
Improv. Cost:
Date Issued: 6/13/2012 Name: ZEPHYR COMMONS LLC
Total Fees: 25.00 Address: 3629 MADACA LANE
Amount Paid: 25.00 TAMPA FL 33618
Date Paid: 6/13/2012 Phone: (813)933-0629
Work Desc: FPM- FIRE ALARM ANNUAL-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 �'." � � ��
Owner's Name � � M L��-� Owner's Phone Number ��� � �Da
Owner's Address �6� 1�� �� � ��
Fee Simple Titleholder Name Titleholder Phone Number �� � ��
Fee Simple TiUeholder Address
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JobAddress ��� � ��L vy�r �Q � r�� ��5 �' Lot#
Sub Division
Parcel# ���5'c3� �'��' '-'6a —C�D
� Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL
� Controlled Burn a Hood Installation
� Emergency Generator<30 kw � LP/Natural Gas-Installation
� Emergency Generator>30 kw � LPINatural Gas-ANNUAL Sale
i x i Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL
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Sprinkler � ❑ ❑ ❑ � Recreational Bum
Fire Alarm � ❑ ❑ � � � Sparklers
Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations
Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys)
� Fire Alartn Installation � Torch RoofinglTar Kettle
� Fire Pumps � �Naste Tire Storage ANNUAL
� Fire Works
� Flammable Application-ANNUAL Valuation of Project
Fuel Tanks
Q otner�
Contractor Company
Signature Registered Y/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 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
Ovmer 8�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 two(2)sets of drawi�gs with applicable documentation
Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http:Nappraiser.pascogov.com)