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12-13303
CITY OF ZEPHYRHILLS �- 5335-8TH SIREET • �sis)�so-oo20 13303 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 13303 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 ZEPHYRHI�LS Est. Value: Parcel Number: 03-26-21-0010-03300-0010 Improv. Cost: Date Issued: 8/03/2012 Name: SUN MEDICAL CORP Total Fees: 25.00 Address: 6719 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 8/03/2012 Phone: (813 783-6189 Work Desc: FPM- FIRE ALARM ANNUAL- SUN MEDICAL �4� � -j� �'� ina Chapter 633, Florida Statutes,authorizes the City to charge and collect user fees to pay for the costs of flre prevention and protection relafied activitles such as inspections, plan review,administrative fees,and other aosts 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 pe�formed in aaordance 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•d020{C'7�,)( � ���u,.��� L,t�1'�-'�City of Zephyrh�ils Fire Fex-8t3asaao2� `' Permit Applicatlon ! ��Dete Recl�ived hone C .........::....,..�, --- �-_ 1:.,....+r�<....._�.�.:i.�'.x-�i. ��..:... _. ......»....._�....�._..,._.-. -,T .... - " . _ '• � - .... . . . P ontad for Permit ..... . .. .. . .. .. . .. . .._ ... ._-_ , . -. _. . .,,.. . ,� , .. „- . , :-.,,-.-z�. ,.. .,.. �, . Owner8 Neme � O►vners Phone Number �� � �� Owner's Address l � � Fee Simp�s TlQeholder Name 7iUehoider Phone Number � � Fee Simpte TiUeholder Address t:z,�rG,.:w.x:....::..., .ti....�,:>-:,._:- - __ - - - -- __- -. _ - - - - ,�,�.-,......._� .. ,.,. .:.. .. ..._.;_.. ,., �. ,.- . ._ ,.• � ... .. ..� .� � .._.._._._ __ ,_ _. ..._. ... ,. ..._,_._ _>.. ..;�-:.._� -...�,.. _ ,_..... —_-'___- __. ._. ._._,.,,�..,:. -<:: - - --- - --- .:.: .. ,_.. .__. . ... . ..:.... . ........:.._...:r,_.,�..:;-_ _..- -- �:-;�:.�r�,<_:,:�.,:-. :;3:a-rs,_*y _ - - -<�• .- ;_�� .. , ...._ _.. _...._....__....:.:... ...._ ,, .. Job Address ' Y �J � lot# � Sub Divisfon Parcel# �_-;�_-_-�::,..<:.._,..:..:.:__._..�..;. _ --- -�--: -a - , - ..- - - �. -. . ,: ,..,,...,- .,,,-,. .:� ., „ . . -=..__.,. _.__ ...._.._::::_ .�. ... . . , . .,.. . ,. .,_ . _ ....._..:.. -._ ,. . , :,� .�_:.,: � - . ,�, . >.. � , _. - ..,�. . , - . : ..:. . . ..........� r,.. :,. _.,...,,:.�,-,..-.�.,� - ------- - - -- - --- - � •- - ...>__........:�,.- :.�.. ..�.._�-.:,:_, Q Blo-iiezaM Waste Storage-AMNUAL � FumigaGon Tent � Comm Exhaust IGtchan HoodlOucE a Hazardous Material(Tier II or RQ Facilfiy)AMNUAL Controlled Buns a Hood Instaltatlon � Emergency Generator<30 kw � LP/Natural Ges-IrtstellaUon � EmergencyGenerator>30 fc�v � � LP/Naturel Gas-ANNUAL Sale � � Fire Proteclion Maintanance-ANN� �� � Places of Assembly-ANNUAL � �f, � em r � �J Spr(nkler ❑ O ❑ � � Recreaiional9urn fire Alarm �, ❑ ❑ Sgarkters � � Hood Cleanfng � d O O � � Sprinkler System Instakations Hood Suppression � ❑ ❑ ❑ � � Standpipes(Spdnkler Sys) � Fire Alarm Instalietlon Q Torch Eioofingl7ar Kettle Fire Pumps Q Waste 7ire Storage ANNUAt Fire WoAcs Flemmebte ApplEcaHon-ANtJUAL Valuation of Project i Fuei Tanks � o otne�: ��_ti%f "�.��_.. � ..__ . _, , -_ - ._� `__ __ _ _ _ _. _ " _ .....i-...__�1����f��r�.�. .�.:: �:'t':..:_:.. .u�:•.� ..�.........� ... .. �.°'C�.. ..= ��.:..'.: . '�:... .." _ _ _ _ . ... . . . . - . . � - - .. .. ... ._� - �.. . :.' . . . '. . _ ..1- _ ... ...- .'� . � -.. .'-..-..=r4 ConUactor � Company signature � ReStsterea 1 N Fee current Y/N �d�� ��icense# � ELEC7RICIAN � Company Stgnature Registered Y/N Fee Cument Y/N �d�sg Ucense# PLUMBER Company Stgnafure Registered Y/N Fee Current Y/N Addrass Ucense# MECHANICAL Company Signature Repfstered Y/N Fee Curcent Y/N Address License# OTHER Company stgnature Registered Y/N Pea c�rrern Y/N Address L[cense# -�,:_,:._..,......., ..�,..,�:-x�,.�,.--r:-,..,,�,.:.::-,.;.-..............:...::-.....:_;-.u._�_�,.. _ - - _ > - . .. . . - - ---•-------.__':>,..�_•:,_,..;�.....:;.._.... .�.. . ..� r ._ .- _ . - ,: ._.�.: . .....a..:.,. . .. ... . : ....... .__:,..,.:_,..-;:_,,,,,.,..,,..�..: �- ,.s>:�.;-:::�.�. Diroctions: ---- - - - . ` . .-° FIII out applicaUon completely. Owner 8�ConVactor eign badc of applicadon,notartzed(Or,oopy of sig�d contract with owner) if over$2500,a lVoUce ot Commencement is requked(Mechanlcal wadc over 55000j Suppiy two(2)sets of draw�p6 with appticabie docur�entatlon Altaw i0-14 days for review after submittai date. Pa�cel#-obtatned irom Property Tax Notice(hUp:/lappiaiser.pasoogov.00m)