HomeMy WebLinkAbout12-13660 CITY OF ZEPHYRHILLS /
5335-8TH STREET /
(813)780-0020 13660
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13660 Address: 6329 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: 03-26-21-0020-00000-0010
Improv. Cost:
Date Issued: 12/04/2012 Name: KAUFMAN GROUP ENTERPRISES
Total Fees: 25.00 Address: 6329 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 12/04/2012 Phone:
Work Desc: FPM- FIRE ALARM ANNUAL- KUAFMAN GROUP
L . 5.
��� �
�
`� � 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,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 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
a��-7d�-aazo Cifij of Zephyrhills Fire� Fax-8�3-7so-oo21
Pe�mit Application
late Received � - Phone Contact for Permit ����+►`) yJ/ _
.�,.:si.i�,sl�..'�t�.��%,�„4 ,_.�,�,,,�.w�.s.o.,.�......,,�..�°°'�`�."'�"'.""��.'.l�Y�L��:t�'"e�a+nr"�'�'��,n.".�s�� .`�:v:..�.�.� •rc.c���..�
}wner's Name � y� �q {'1 �� Ownet's Phone Number �� �� �
�wners Address '�j�.0 �'� �'� ` �' � I � � �-
°ee Simpl=Titleholder Name TiNehoider Phone IVumber �� � C
=eeSimpleTitleholderRddress �
9�a�'�'.;�#�.'"`"s�.t���...� '� �'Q �''�'�??d�.s5xis��4'�ti�r�?:�.f?��r�,=�3s
Job Addr=ss �Y-� `'�' Lot# �
Sub division � i �(' � Parcel# (�3 ���" d� - ��Q�� ���Ud '��/Q
�;'.!::`s-'�r.�.�u��..�-r�-.��e.'3�4.-�w��'r�i. . . '�".6 E..-��5�+ut�a:w�''�";=.b�eP�G;. :..:,_
m;i"�::a:8};�."•°=;5��:;�'x
� Bio-Hazard Waste Siorage-ANNUAL � Fumigatlan Tent
� Comm Exhaust K�tchen HoodlDuct � HazaMous Material(Tier II or RQ Facility)ANNUAL
� ConVolled Bum � Hood Installation
� Emergency Generator<30 kw � LP/Naturel Gas-Installation ��/'�
Emergency Generator>30 kw � LPlNatural Gas-ANNUAL 5ale � � �Q
Fire Prote�tion Mairttenance-ANNUAL a Places of Assembly-ANNUAL
�y emi �n er
5prinkler � ❑ ❑ ❑ � a Recreational Bum
Fre Alarm ❑ ❑ � � � 5parklers
Hood Cfeaning O O ❑ � � Sprinkler System Instailations
Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys)
� Fire Alartn Installatlon a Torcfi.RoofingfCar KetUe
Fire Pumps � Waste Tire Storage ANNUAL
Fire Works
Flammabla Application-ANNUAL Valuation of Project
Fuef Tanks
Q Ofhef:
Pi��a��,��:.�,�:��:��x��w��� �,� � _ .....
----- �7I�@�FJ� �i�'i"�r�•vrwrx-�+�s,°-• �� •��'^•�3arnT!:�a����---,uaxh_',S,�,�:^�,"�v..'°�4i
ConUaotor Com a ' �=' � :�_ ._
. P �Y �• sd:.].CS2r•a� � ".)t'dvM��fe.
Signature Registereil Y N Fee Current R1
Address a 1� � � �-•�'° License# '+
JV ►i�
ELECTRICIAN —'—
Company
5ignature Registered Y/N Fee Current� Y/N
Address �— Lfcense#
PLUMBER � —
Company
Signature
Reglstered Y/N Fee Current Y/N
Address
Llcense#
MECHANICAL Company
Signature Registered Y/N Fee Current Y 1 N
Addrass
license#
OTHER � Company
5ignature Registered Y/N Fee Current Y/N
Address �—
�q�-�:�..— � License#
Oirections: � ag � �,,,Q«..., _ F.�.,,,....�.�,....u�.�ss:� �_ - - --,.�. :,__�_�=,r...ti,.c_at�sa-z:,�
Fill out applicaifon completely.
Owner&Contractor si�n t�ack of applicatior�,noiarized(Or,copy of signed contract with owner)
If over�250D,a Notice of Commencemant is required(Mechanical work over 350[t0)
Supply two(2}sets of drawings with applicable documentation
Allaw 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notics(http://appraiser.pascogov.com)