HomeMy WebLinkAbout13-13903 , . CITY OF ZEPHYRHILLS
5335-8TH STREET �3Q��,%"
(813)780-0020 j""
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13903 Address: 5014 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: 11-26-21-0010-20700-OOAO
Improv. Cost:
Date Issued: 2/20/2013 Name: CHATTERBOX CAFE
Total Fees: 25.00 Address: 5014 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/20/2013 Phone:
Work Desc: FPM- HOOD SEMI- CHATTERBOX CAFE
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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.
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
Fax-813-780-0021
ai aaao-oo2o City of Zephyrhilis�Fir.e•
Permit Application l'
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`u �" G�S Z �� '���V�T� Owner's Phone Number
Owner's Name �L 3 3��
Owner's Address
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Titleholder Phone Number
Fee Simple 7itleholder Name
Fee Simple 7itleholder Address _ � ��"�` �
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Job Address
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Parcel# _
Sub Division
.. � � Fumigation Tent
Bio-Hazard Waste Storage-ANNUAL �
Hazardous Material(Tier II or RQ Facility)ANNUAL
aComm Exhaust FGtchen HoodlDuct �
� Hood Installation
Controlled Bum �
� LP/Natural Gas-Installation
Emergency Generator<30 kw a LP/Natural Gas-ANNUAL 5ale
� Emergency Generator>30 kw � places of Assembly-ANNUAL
� Fire Protection Maintenance-ANNUAL
❑ (Lr y emi �n er
� � � � Recreational Bum ���
5prinkler � � �/ �
❑ ❑ ❑ ❑ Sparklers / ,
Fire Alarm � � � [ `
� � � Sprinkler System Instaltations
Hood Cleaning ,..�_^ �
I I Standpipes(Sprinkler Sys)
Hood Suppression � � � � L.J �
� Torch RoofinglTar Kettle
Fire Alartn Installation �
aWaste Tire Storage ANNUAL
Fire Pumps
� Fire Works Valuation of Project
� Flammable Application-ANNUAL
� Fuel Tanks
� Other:
/ Company ' !Vl!/ '� S��✓/G F
Contractor /7 />„ �i �__--• Registered Y/N Fee Current Y/N
Signature �� Zy���� �
License# �_
Address
Company
ELECTRICIAN Registerad Y/N Fee Curtent Y/N
Signature � ��
License#
Address
Company
PLUMBER Registered Y/N Fee Gurtent Y/N
Signature �
License#
Address
Company
MECHANICAL Registered Y/N Fee Current Y/N
Signature �
License#
Address
OTHER Company
Registered Y/N Fee Current Y/N
Signature
License#
Address ' �""°"'
Directions:
FiII out application completely
Owner&Contraetor sig�back of appiication,notarized(�r,copy of signed contract with owner)
tf over$2500,a Notice ofi 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:/lappra�ser.pascogov.com)