HomeMy WebLinkAbout13-14182 CITY OF ZEPHYRHILLS
. � 5335-8TH STREET
(813)780-0020 � �
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 14182 Address: 7425 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: 34-25-21-0000-00300-0000
Improv. Cost:
Date Issued: 5/16/2013 Name: ZEPHYRHILLS PLAZA LLC
Total Fees: 25.00 Address: 7425 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/16/2013 Phone:
Work Desc: FPM- SPRINKLER ANNUAL- BEALL'S INC
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Chapter 633, Florida Statutes,authorizes the City to charge and collect user fees to pay for the wsts of fire
prevention and protection related activities such as inspections, plan review,administrative fees,and other
costs re�ated 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."
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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�3aso-oo2o City of Zephyrhills Fire
Fax-813-780-0021
Permit Application
Date Recgived � �— � � �
Phone Contact for Pertnit
Owner's Name ,� � � ^�
Owner's Phone Number I
Owner'sAddress � v J?-� u -f— �u � � J
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Fee Simple Titleholder Name ��
TiUeholder Phone Number � �
Fee Simple Titleholder Address
Job Address 7 a- �TC�� 1 U
' � � 3 �ot# [�
Sub Division '
Parcel#
� Bio-Hazard Waste Storage-ANNUAL �
� Fumigation Tent
Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL
� Controlled Bum a Hood Installation
� Emergency Generator<30 kw � LP/Natural Gas-Installation
� Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale
� Fire Protection Maintenance-ANNUAL �
Places of Assembly-ANNUAL
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Sprinkler ❑ ❑ ❑ � � R��tional Bum � p{ �
Fire Alarm � ❑ ❑ ❑ S ��ll
C� � Parklers � � �
Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations
Hood Suppression � ❑ ❑ ❑ C� � Standpipes(Sprinkler Sys)
� Fire Alarm Installation � Torch Roofinglfar Kettle
� Fire Pumps � Waste Tire Sto
❑ rage ANNUAL
Fire Works
� Flammable Application-ANNUAL
Fuel Tanks
�--� Valuation of Project
Q Other
Contractor
Signature Company
Registered Y/N Fee Current Y/N
Address
License# �
ELECTRICIAN
Signature Company
Registered Y/N Fee Current Y/N
Address
License# �—
PLUMBER
Signature Company
Registered Y/N Fee Current Y/N
Address
License#
MECHANICAL
Signature Company
Registered Y/N Fee Current Y/N
Address
License#
OTHER -
Signature� �jj�,,,,r��/�—•� Company �
Registered Y/N Fee Current Y/N
Address �, �
Directions: License#
Fill out application completely
Owner&ConVactor sign back of application,notarized(Or,copy of signed conVact with owner)
If 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 irom Property Tax Notice(http://appraiser.pascpypv.p�m�