HomeMy WebLinkAbout13-14046 CITY OF ZEPHYRHILLS
5335-8TH STREET ��
(813)780-0020 `T4U4b
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 14046 Address: 5420 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: 11-26-21-0010-12100
Improv. Cost:
Date Issued: 4/01/2013 Name: STANLAKE YE FAMILY LP
Total Fees: 25.00 Address: 464 W DUARTE RD#B
Amount Paid: 25.00 ARCADIA CA 91007
Date Paid: 4/01/2013 Phone:
Work Desc: FPM- FIRE ALARM ANNUAL- HACIENDA MEXICAN RESTAURANT
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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
Cibj of Zephyrhills Fire� FaX-8t3=�so-oo2�
8'!3-780-0020 '
Permit Application
iate Received � � Phone ContactforPermit �__�T�
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Owner's Phone Number
7wners Name
)wner's Address �- � � � ` r�
�ee Simple Titleholder Name Titleholder Phone Number � � �
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Job Addr=ss
Parcel#
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� Bio-Hazard Waste 5larage-ANNUAL � FumigaUan Tent
� Comm Exhaust K.itchen HoodlDuct � HazaMous Material(Tier 11 or RQ Facllity)ANNUAL
� ConVolled Bum � Hood{nstallation
� Emergency Generator<30 kw � LPINaturai Gas-InstallaBon -D,`�
o � � �f Y,
Emergency Generetar>3D kw LPINatural Gas-ANNUAL Sale �
Fire Protection Mairtenance-ANNUAL Q Places of Assembly-ANNUAL
�CrJfy' em� �n ar Q t
SPrinkler � ❑ ❑ O RecreaBonal Bum
Fire Alartn ❑ ❑ �'! Sparklers
� S rinkler S stem Installa8ons
Hood Cleaning � ❑ � � � � P y
Hood Suppressi��n � ❑ � ❑ � � Standpipes(Sprinkler Sys)
� Fire Alartn installati�n � Torcfi Roafing(far KetVe
Fire Pumps � Waste Tire Storage ANNUAL
Fire Works '
Flammable Applicatlon-ANNUAL Valuation of Project
Fue{Tanks
� Other:
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ConVactor� _ Comparry ' >-',. ;�[S •'-• � 'ir`t��°.
Signature ' Registered Y N Fee Current N
Address ) \� a - ` � '"'f"` License# ��, i ci
ELECTRICIAN Company
5ignature Registered Y/N Fee Current Y/N
Address License#
PLUMBER Company
Signature Reglstered �(/N Fee Current Y/N
Address �- Lfcense#
MECHANICAL Company
Signature Registered Y!N Fee Curtent Y/N
Address License#
OTHER Company
Signature Registered � Y/N Fee Curtent Y/N
Address LiCense#
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Directions:
Fill aut application campletely.
Owner 8 Contractor si�n bacic of application,notarized(Or,copy of signed contract with owner)
If nver$25�0,a Noti�e of Commencement is requlred(Mechanical work over 35000) _
Supply two(2)sats of drawings with applioable documentation
Allow 10-14 days for review after suhmittal date. Parcel#-obtained from Prope�ty Tax Notfce(http:f/appreiser.pascogov.00m)