HomeMy WebLinkAbout13-13813 CITY OF ZEPHYRHILLS
� 5335-8TH STREET
(813)780-0020 13813
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13813 Address: 6042 GALL BLVD
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number:
Improv. Cost:
Date Issued: 1/29/2013 Name: MCDONALD'S
Total Fees: 25.00 Address: 6042 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1/29/2013 Phone:
Work Desc: FPM- HOOD CLEAN - MCDONALDS
�
: (�,��
� _ � � �
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
813-780-0020 City of Zephyrhilis Fire Fax-813-780-0021
. Permit Application
te Received �'hone Gontact for Petmit tO
�r:P.,�..�.: 'F.-m'M',�A]e�Mf1'Sid'i�� .Atl kNY&�7%Ab�.�.N3HF0.Pn4,41�Fi1�8bH�¢��•.D+A`Fh'1�I�tUM
vner's Name Owner's Phone Number �� / c� cfc�'�
{� �
vner's Address C..- � "� r
�e Simple Titleholder Name Titlehalder Phone IJurnber C� � �
�e Simple Titleholder Address
��:,.N���
�bAddress (� LL- \,� Lot# �
�b Division Parcel#
rk� ..
� Blo-Hazard Waste Starage-ANNUAL � Fumigation 7eM
� Comm Exhaust Kitchen Hood/Duct � Hazardeus Materfal(Tter II ar RQ Facility)�4iJNUAL
� Contrnlled Bum Q Hood Instalfation
� Emergency Generetor<30 kw � �°/Natura!Gas-Installation
� Emergency Generator>30 kw � LP/NaYural Gas-kNNUlkL Sale /
� Fire Protection Maintenartce-ANNUAL � Places of Assembly-ANh1UAL
r y emi � er
Sprinkler � 0 ❑ f� � Recreation8l Bum ���
Fire Alarm � ❑ � O � � Sparklers �/�/ ,�
Hood Cleaning � � ❑ ❑ �� � Sprinkler System installations f �
Hood Suppression � G ❑ ❑ C� � Standpipes(Sprihkler Sys)
� Fire Alarm instailation � 7orch Roofing/Tar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
Fire Works
� Flammable Application-ANNUAL Valuation of Project
� Fuel7enks
Q Other•
k.;;��i,�5i�a. . _ . - . ,
Contractor �_�� --- _.____ Company l/
Signature Registered Y N Fee Current Y/N
Address License#
ELECTRICIAN Company
Signature Registered Y/fv Fee Curcent Y/�I
Address License#
PLUMBER � Company
Signatu�e 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 Curcent Y/N
Address Ltcense#
,5pxu:�.:,.�;':� ., � ,,,vr .,.r,n.,, ...vi..r. . .Fe.n, n+a.. �.y �t�„ �H, r ,i;...,....i.s - �. ,�.,�:. �, .. . � ,. �.;y.,�s�.t..w;��8}�i� . . . s. . .. . xs;M'wf'�7��'AY",�..:d;�;W;�}:.'nf.
Directions:
Fifl out application compietely.
Owner&Contractor sign back of application,notarized(Or,copy of signetl contract with owner)
{f over$2500,a Notice of Commencement is required(Mechanical work over$5000)
Supply two(2)sets of drawings with applicable documentation
Allow 10-14 days for review after submittal date Parcel#-obtained from Property Tax Notice(http://eppraiser.pascogov.com)