HomeMy WebLinkAbout13-13804 �
CITY OF ZEPHYRHILLS
5335-8TH STREET 13804
(813)780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13804 Address: 7631 GALL BLVD
ZEPHYRHILLS, FL. Book:
Permit Type: FIRE PROTECTION MAINTENANC Ran e:
Class of Work: FIRE-PROTECTION MAINTENAN E Lo(s)h,p. Blo k: Section:
Proposed Use: COMMERCIAL Subdivision: CITY OF ZEPHYRHILLS
Square Feet: Parcel Number: 34-25-21-0110-00000-0010
Est.Value:
Improv. Cost: ��25/2013 Name: SUPER WAL-MART
Date Issued: 25.00 Address: 7631 GALL BLVD
Total Fees: 25.00 ZEPHYRHILLS, FL. 33542
Amount Paid: 1/25/2013 Phone: (479)204-1063
Date Paid:
Work Desc: FPM-QUARETERLY HOOD CLEANING FOR MCDONALD'S INSIDE WALMAR
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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
costs related to the aforementioned. roval of
Complete Plans, Specifications and Fee Must Accompany Application. Commencement of work without written app
the Fire Department's Fire Marshal or required permitsofr�oPea�non or a�min mum ofl$00.00 w1 hicheveras greaterf All
inspection shall be charged double permit fee per day pe
�� work shall be performed OURrFAILURE TO RECORDnA NOTICE OF
WARNING TO OWNER: Y
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMP CONSULT S
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINA NI Y ' R NOTICE
WITH YOUR LENDER OR AN ATTORNEY BEFENT,�RECO
OF COMMENCEM
PERMIT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPEC'TION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
813-780-0020 City of Zephyrhilis Fire
FaX-a�saao-oo2�
Permit Application
phone Cantact for Permit
te Received . � �"'� '" � � �
��,.,,�.;�»:���r,��
�
C ,� i Owner's Phone Number
vner's Name �
� � . 3"3� �
vner's Address � � �� �
Titlehalder Phone Number
�e Simpie Titleholder Name
�e Simple Titleholder Address �
,4��: �,
`� ' 1 L� T3 L� a �ot#
Spy Address �
Parcei#
�b Division
�„iihF�V . �, - � �
� Fumigatio�7ent
8in-Hazard Waste Storage-ANNUAL o
o Comm Exhaust Kitchen HoodlDuct Hazardous Materiat{Tier II or RQ Facility)ANNUAL
� Controlied Burn � Hood Instailation
� � LP/Natural Gas-Installation
Emergency Generator<30 kw �
� Emergency GenerBtor>30 kw LP/Natural Gas-/4NNUAL Sale
n F�re Protection Maintenance-ANNUAL
� Places of Assembly-ANNUAI
r y emi �n t er ❑
Sprinkler � C] Cl C] Recreational Bum
� Sparklers '� � � �
Fire Alarm � � � � � 2 �
j�J'� �, � � � � Sprinkler System instpllations 1� �J I '
' Hood Cleaning X,]„J ❑ � / �
❑ � � � C� Standpipes(5pnnk1�Cr Sys) �
Hood Suppression y,,,.
� Fire Alarrn�nstallation a Torch Roofing/Tar ttle _ --�°
� �-.-';�:.�=-
aW aste Tire Storage ANN
Fire Pumps
� Fire Works �'�"�""""
❑ Valuation of Project
Flammable Application-ANNUAL
� R�7el7anks
� �her
:.m.�i�Y,k:�v;:E' . . _
1 Company
Contractor c— _ Registered /f�f Fee Current Y/N
5ignature �
License# ���—
Address
Company
ELEC7RICIAN Registered Y!N Fee Current Y/nl
Signature �
License#
Address
Company
PLUMBER
Registered Y I N Fee Current Y
Signature
License#
Address
MECHANICAL Company
Registered Y/N Fee Curcent Y/N
Signature
License#
Address
OTHER Company
Registered Y/N Fee Current Y/N
Signature �
�icense# � y�,,,,,R. .. ,,, ,
Address , �,,:.,;.,;.,...:,.,�y,;:,,, �,- ,��:�;,��a�t���°,.� . .
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Directions:
Fili out application comp{etely
Owner&Contractor sign back of application,notarized(Or,copy of signed contracc with owner)
If over$2500,a Notice of Commencement is required(Mechanica!work over$5000)
Supply two(2)sets of drawings with applicable documentation raiser. ascogov.com
Allow 10-14 days for review after submittal date Parcel#-obta+ned from Property Tax Notice(http://app P )