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HomeMy WebLinkAbout12-13216 . CITY OF ZEPHYRHILLS 5335-8TH STREET � (si3)�so-oozo 13216 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 13216 Address: 6719 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: 03-26-21-0010-03300-0010 Improv. Cost: Date Issued: 6/29/2012 Name: SUN MEDICAL CORP Total Fees: 25.00 Address: 6719 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/29/2012 Phone: (813)783-6189 Work Desc: FPM- FIRE ALARM ANNUAL- SUN MEDICAL CORP ��� � I � , r � � ina 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,administradve fees,and otl�er 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 Zephyrhiits Fire Fax-s13-780-002� .- Permit Application Dale Received � -- - - - - - ,-- • -- _ - ,---- -. :. -__:.. . ,.: ,....:-::..�:_.,..._;-- - • ..>.._.... ,..,__-=--;. , -.�.. ............. ._ .... _ . . .. . , _ . . . .., _ ._ . . .. ,.,_._. ;. ..,.. .. . . . Phone Contact for Permit Owners Name .. `. .^-.`- -`.`. --f Owna�'s Phone Number �i � � ow„ers naaress � QUl ` Fee Simpte TiUeholder Nama TitlehoEder Phone Number C� � � Fee Simple Titleholder Address .. ...:.<. . .......__......_._..._.,:: - -- - - - - °- - --- - ..,.,,>,_..,.__:........ ......__ .. - - .,::;. - •N�,...H<,,_ ,.._, .. - - - _- - -- -- _ - - --�- -_-....--- - -- --- W.r.k atro-a}..,.,....- ...��.._i_,......,..�..-.,_�_='..... .v s�.... ' ' '_'___ ' '' _ . . .. . .. "'"'"". . . .. .._..,_ ... . �... Job Address � < < � Lot# Sub Divisfon Aarcel# _ _ „�.-.:. ....,c.-_....v.:�t�.._.:�_""___'_ --_�-� __ ' _"_' ' _ ' _" ____' ' -' ' _ _ . � _ .. _ ,- : : - t'... ... : .:.........:s,.;k ... .v::xTi:r�":.:._..r.,.....,t......_ ..........:::v-::t:.=��cT'_. i:. _ ��__.� � .... � - .... . . ..... -.. ...� .. ..... ._ . . -- � . _ - . �: �.:... �. .. . . . .,��, •.. ��:.___""_'.___... .... ._... ...... .... . . .-: .!':=r ._ . _""'_'"._..._.__._._..... .... .... .. " "_'" _"_ . . . � 81aHazard Waste Storage-ANNUAL a Fumigatlan Tent � Comm Exhaust Iqtchen NoodlDuct a Hazardous Material(Tier II or RQ Facllity)ANNUAI. aConlrolled Bum a Nood fnstallation aEmergency Generetor<30 Icw � LP/Natural Ges-installation • Emergen�yr Generaior>30 kw LP1Nafural Gas-ANNUAL 8ate a Fire ProlecUon Ma(ntenance-ANNl3AL � Piaces of Assembly-ANNUAL � ( � � em� � er ,� ( � Sprinkier � ❑ ❑ ❑ � � Recreallonal Burn Fire A18trtt � C] � �!►� � Sperklers Hood Ciean(ng � O ❑ ❑ � � Sprinkter System tnslaRadons Hood Suppression � ❑ ❑ ❑ � � Standplpes(Sp�inkler Sys} Q Fire Aiarm instetlatian � Torct►Roofing/Tar Kettle 8 F(re Pumps Q Waste Tire Starage ANNUAL Fire Works � Flammable AppliCaUon-ANNUAI. Valuafion of ProJect aFue1 Tanks Q Other: • .. ,�..........._..._. ..........:.... ... . _. ,..:,. .. . ..... ...,. . -- = _- --- -- -. -. �, - -- r��_._..,,. .._:_. .. ._ .._. �,.,._:...,.. .. �. ...,,. - ._ .--- , ., .--. . ....: - - _� . : . , _ . .. ._ ..�._..._ ..._. ...._. ....._.-..... -,�, . _,.J.....�_.,;:. ....<__�..,::,.._;.. ._.,_. _, - :. , --_,: .. -- ConUactor Company � 8fgnature �. Reglstered Y/N Fee Current Y!N Address License# � ELECTR4CIAN Company , signBture Reg€atered Y/N Fee CurreM Y/N Address l.tcense# I PLUM9�R Company Slgnature ' Reglstered Y/N �ee Current Y/N Addreas License# -- MECHANICAL Company Signature Registered Y/N Fee Cunent Y/!� Address Llcense# O7HER Company Signature Re9tscered Y/N Fee currenc Y 1 N Address ' Llcense# s-r-yt.z:;::y>;;.r:.... ....:...<:...-.�.�.-�._..-r---_�.�_,._,.._ :r ... � ..�_..._ _ - - -�... c- .--, .. :-,- - � .-- .:. >--'_----_--_'-'_-_�_------------------=$ . . .,__.......... ,.. � -i^� _a.�sev:-� . . ... ............o--•...:� ._.... .__. ._ ..__" '-'--__—'__n. . . ._..""'_�<___�_"'"'""' � . Dlrectlons: Fill out applicatton compfetely. Ovmer&Contractor slgn back of appiicaGon,notsdzed(Or,copy of slgned coniract wilh owner} If over$2500,a Notice of Commencement ts requfred(Mechanicaf work over$5000) Supply lwo(2)sets of drawinga with applicable documentaUon Altow 10-14 daya for revlew after submittal date. Pareel ii-obtalned from Property Tax NoUce(hllp:l/apprafser.pascogov.cam)