HomeMy WebLinkAbout13-14074 � _ CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oo20 1�74
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 14074 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: 4/11/2013 Name: STANLAKE YE FAMILY LP
Total Fees: 25.00 Address: 464 W DUARTE RD#B
Amount Paid: 25.00 ARCADIA CA 91007
Date Paid: 4/11/2013 Phone:
Work Desc: FPM- HOOD CLEAN - HACIENDA MEXICAN RESTURANT
a 5.
C��
� �
�a -( �r ( �
�f�
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 RECORDING YOUR NOTICE
OF COMMENCEMENT."
_- , � ,� .
' ,��.,...,_,�, ' � ��:j
PERMIT OFFICE
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION -8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
a�aaao-oo2o City of.Zephyrhills Fire FaX-a���so-oo2�
� '' Pe it pplication
Jate Received �� v��� �� Phone Contact for Permit ����I
.. ,._-._,,..__.,-H..�_ ...,-. ..
�s!�._-«.w....,._:«�i,�....:::.......Y...x...,,.....•....:.....:::��...._ .:�x:�.:>_.�r�:�.��st.�� ,,, "i / ✓
L:.. —1._
���..+��;��-��.....:.._.__�_ - _ �..9
�wner's Name � �, 1��/� Owners Phone Number ,rJ�� j �/( J J (
gj � �] - _.
�wner's Address ��, �Q1� ��j �,�/f P� G 3 3�7�,,
=ee Simple Titleholder Name Titleholder Phone Number � C� �
=ee Simple Titleholder Address
-t,Y�.: _ .s...�,,..Y...
" ' ''�"-fi °����.'"�;ZTi�i�''_.:��.�i`i���.:x.��.�'����-"�"n'°�°-'.'�a;-- .�-- _ -
_.... =>.`�"�"
._.___�.,�.,.�
c�a:��. �_� -- —��^'�-�--�.*�".��..r.."�'�.x-�.�:�:..—".,tsaP 1�?ras,a=,'}..��'�`t`�:Q'�'-?,�.�'.a'n-r-:_-•
Job Address �-��1C����? �T�D ��C �J�,u�(!, Lot# C
5ub Division � Parcel#
�.���.��.� _ �:::�u_
� Bio-Hazard Waste 5torage-ANNUAL a Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL
� Controlled Bum a Hood Installation
aEmergency Generator<30 kw � LP/Natural Gas-Installation
� Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale
� Fire Protection Maintenance-ANNUAL a Places of Assembly-ANNUAL
❑�y emi � er a
Sprinkler O ❑ O RecreaGonal Bum � (�
Fire Alarm � ❑ ❑ O �� � Sparklers l � r
Hood Cleaning � ❑ � ❑ � a Sprinkler System Installations "
Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys)
� Fire Alartn tnstallation � Torch Roofing/Tar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
aFire Works
� Flammable Application-ANNUAL Vatuation of Project
Fuel Tanks
� Other:
�� ---- ���-
Contractor =���--��� ���� "
' Company � � �C�""R ��.�A
5ignature �L_
Registered Y/N Fee Current Y/N
Address
License#
ELECTRICIAN
Company
Signature Registered �'/N Fee Curtent Y/N
Address
License#
PLUMBER
Company
Signature Registered Y/N Fee Currenl Y/N
Address
License#
MECHANICAL
Company
Signature Registered Y/N Fee Current Y/N
Address
License#
OTHER
Signature
Company
Registered Y/N Fee Current Y/N
Address
_ License#
Directions: '"" ' ,.z
�, �.�..�_
Fill out application completely.
Owner&Contractor sign back of application,notarized(Or, copy of signed contract with owner)
If over$2500,a Notice of Commencement is required(Mechanical woric over$5000)
Supply two(2)sets of drawings with applicable documentation
Allow 10-14 days for review afler submittal da[e. Parcel#-obtained from Property Tax Notice h J/a
( ttp ppraiser.pascogov,com)