HomeMy WebLinkAbout12-13639 CITY OF ZEPHYRHILLS
5335-8TH STREET
' � �si3��so-oo20 13639
ANNUAL FIRE PROTECTION MAINTENANCE �
Permit Number: 13639 Address: 7631 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: 34-25-21-0110-00000-0010
Improv. Cost:
Date Issued: 11/26/2012 Name: SUPER WAL-MART
Total Fees: 25.00 Address: 7631 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/26/2012 Phone: (479)204-1063
Work Desc: FPM- SUPPRESSION SEMI -WALMART DELI
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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
oosts 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
ZE�HYRHILLS FIRE RESCUE DEPT- 813-780-0041
siaa8aoo2o City ofZephyrhillsFire�-':'_. Fax-813-780.0021
� � Permit App(icafion
Date Received • Phone Contact•for Pertnit �
Owner's Name p�- �/'1 Owner's Phone Number � � �
Owner's Address /y��� G�'// �1�
Fee SimpleTitleholder Name Titleholder Phone Number C� � �
Fee Simple Titieholder Address
Job Address Lot# �
5ub Division Paroei#
� Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Matertal(Tier II or RQ Facflity)ANNUAL
� Controlled Bum � Hood installation
� Emergency Generator<30 kw � LP/Natural Gas-Instailation
� Emergency Generator>30 kw � LP/Naturel Gas-ANNUAL Safe
� Fire Protection Maintenance-ANNUAL � Places of Assembly ANNUAL �/,3�ji ��
�y emi �n er �
5prinkler � ❑ p ❑ � � Recreational Bum
Fire Alartn � ❑ ❑ ❑ � � Sparklers
Hood Cleaning � p ❑ ❑ � Sprinkler System Installatlons
Hood Suppression � ❑ � O � � Standpipes(Sprinkler Sys)
� Fire Alartn Instaliation , � Toroh Roofing/Tar Kettle
Fire Pumps � Waste Tire Storage ANNUAL
Fire Works
Flammable Appiication-ANiVUAL � Valuation of Project
FueiTanks
' Q Other:
Contractor , � Company �
Signature ` Ragistered N Fee Curre Y/N
Address s L 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 CuRent Y/N
Address
License#
Directions:
Fill out application completely.
Owner&Corrtractor sign 6ack of application,notarized(Or,capy of signed contract with owner)
If over$2500,a Notice of Commencement is required.(Mechanical work over$5000)
Supply iwo(2)sets of drawings with applicable documentation
Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notiae(httpJlapp2iser.pascogov.com)