HomeMy WebLinkAbout12-13176 . ' CITY OF ZEPHYRHILLS
5335-8TH SITtEET
(si3)�so-oo20 13176
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13176 Address: 6816 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: 02-26-21-0010-02400-0020
Improv. Cost:
Date Issued: 6/13/2012 Name: PIN CHASERS BOWLING
Total Fees: 25.00 Address: 6816 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/13/2012 Phone: (813)782-5511
Work Desc: FPM- FIRE ALARM ANNUAL- PIN CHASERS
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Chapter 633, Florida Statutes,authorizes the City to charge and oollect user fees to pay for the wsts 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 pertormed 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
813-780-002o City of Zephyrhills'Fir�� Fax-813-7R0-0021
Permit Application
de Received �_ � - Phone ContaetforPermit ���_d�T�
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Nners Name 1 � �( � S . 1 � Owner'S Phone Numher �� ,l'��
Nners Address l„Q t � Z � `
�e Simple'IiUeholder Name TiHeholder Pfiona Number �� � �
:e Simple Tideholder Address
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a Bio-Hazard Waste 5iorage-ANNUAL � FumigaUon Tent
� Comm Exhaust Kltchen HoodlDuct � Haza�dous Matedal(Tier{i or RQ Facility}ANNUAL
� ConVolled Bum a Hood fnsiallation
� Emergency Generator<30 kw � �PlNatural Gas-Installation
Emergency Generator>30 kw � LPlNaturai Gas-ANNUAL 5ale
Fire Proteotion Maintenance-ANNLIAL � Piaces af Assembly-ANNUAL
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Sprinkler � ❑ ❑ O � � Recreational Bum /�� �(p
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Fre Alartn ❑ ❑ �I Sparklers
Hood Cleaning O ❑ ❑ � � Sprinkler System Installations
Hood Suppression � ❑ ❑ p �� � Standpipes(Sprinkler Sys)
� Fira Alarm InstallaUon � Torcfi.RoofinglTar Kettle
Fire Pumps � Waste Tlre Storage ANNUAL
Firs Wotks �
Flammable Applicatlon-ANNUAL r���� Valuation of Project
Fuei Tanks
Q Other:
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:ontractor � Comparry �=', ,� i -j �
ilgnature � ' Registered • Y N Fee�� Y N •
Address J � � � Licerlse# ��}, ►�
:LECTRlCIAN Company
iignature Regfstered Y/N Fee Cutrent Y/�—
Address
License#
'�UM9�R Company
3ignature Reglstered Y/N Fee CuRent Y/N
Address
License#
NECHANICAL Company +
3ignature Raglstered Y/N Fee Cur�ent Y/N
Address
license#
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Company
3ignature
Registered Y/N Fee CuRent Y/N
Address
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Fill au[applicatlon completely. �
Owner 8 Contractor sign back of applicat�on,notarized(Or,copy of slgned cantract with ownar)
If nver$2500,a Notice of Commencement is required(Mechanica!work over$5000)
Supply two(2)sets of drawings with epplicable documerdation �
AIIow 10-14 days for review after submittal date. Parcel#-obtained frore Property Tax tJotics(http:/lappraiser.pascogov.com)