HomeMy WebLinkAbout12-13183 CITY OF ZEPHYRHILLS
5335-8TH STREET
(8i3)�so-oo20 13183
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13183 Address: 5050 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: 11-26-21-0000-01400-0000
Improv. Cost:
Date Issued: 6/18/2012 Name: DOMINOS PIZZA
Total Fees: 25.00 Address: 5050 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/18/2012 Phone:
Work Desc: FPM-SEMI HOOD CLEANING FOR DOMINO'S PIZZA
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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 protecdon 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
eisaeo-oo2o m���'� �YL_.--�- City of.Zephyrhiils�Fir:e• FaX-sis-�so-ooz�
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; Pe it Application
�ate Received fi U� �� ���� - Phone Contact for Pertnit �� J�L T 93 j
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)wner's Name Owner's Phone Number [��� .S�fS . �35�
)wners Address ��, �c�1( q 73� Tr9Mf�J �L ?j��j 7�
ee Simpie Titleholder Name Titleholder Phone Number [� � ��
ee Simple Titleholder Address
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ob Address �����Q S� ���L� ���� l97,/� �j�D, Lot# �j
�ub Division Parcel#
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� Bio-Hazard Waste Storage-ANNUAL a Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct a Hazardous Material(Tier II or RQ Facility)ANNUAL
� Controlled Bum � Hood installation
aEmergency Generator<30 kw � LP/Natural Gas-Installation
� Emergency Generetor>30 kw � LP/Natural Gas-ANNUAL 5ale
� Fire Protection Maintenance-Afy'NUAL � Places of Assem6ly-ANNUAL
❑ r y emi � er a
5prinkler ❑ ❑ O RecreaGonalBum .�
Fire Alarm � O ❑ ❑ C7 � Sparklers � (�
Hood Cleaning � ❑ L� ❑ C� � Sprinkler System Instailati�,ns � �
Hood Suppression � ❑ ❑ ❑ � a Standpipes(Sprinkler Sys�
� Fire Alarm Installation � Torch Roofing/Tar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
� Fire Works
� Flammable Application-ANNUAL � Valuafion of Project
Fuef Tanks
aOther:
�ontractor � Compa�y f � � 5�,� �S'
5ignature Registered Y/N Fee Curtent Y/N
Address License#
ELECTRICIAN Company
Signature Registered Y/N Fee Current Y/N
Address
License#
PLUMBEF2
Compa�y
Signature Registered �'/N Fee Currer�t Y/�
Address
License#
MECHANICAL Company
Signature Registered Y/N Fee Current Y/N
Address
License#
OTHER
Signature
Company
Registered Y/N Fee Current Y/N
Address
License#
Directions: - -
Fill out application completely
Owner&Contractor sign 6ack of application,noWrized(Or,copy of signed contract with owner)
If over$2500,a Notice of Comme�cement is required(Mechanical woric over$5000)
Supply 1wo(2)sets of drawings with applicable documentation
Allow 10-14 days for review aker submittal date. Par�el#-obtained from Property Tax Notice h J/a
( ttp ppraiser.pascogov.com)