HomeMy WebLinkAbout13-14199 CITY OF ZEPHYRHILLS •
• 5335-8TH STREET ;�`
� (sis)�so-oozo r 14199
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 14199 Address: 7631 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: 34-25-21-0110-00000-0010
Improv. Cost:
Date Issued: 5/21/2013 Name: SUPER WAL-MART
Total Fees: 25.00 Address: 7631 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/21/2013 Phone: (479)204-1063
Work Desc: FPM- SUPPRESSION SEMI-WALMART DELI
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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
aosts 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 permlts or opening up for commercial activity without an approved final
inspection shall be charged doubie permit fee per day of operation or a minimum of$100.00, whichever is greater. All
work shall be pertormed 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 INSPEC7'ION
CALL FOR INSPECTION -8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
ai3-78aoozo City ofZephyrhilisFir.�e��•��_.
. Permit Application Fax-813-�g�pQ�j`
Date Received . -
' Phone Contact•for Permit ('�--�
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Owner's Name �..�- �yJ ,� Owner's Phone Number ,�
Owner's Address ��3 ' � � � �
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Fee SimpleTitleholder Name �� � �
TiUeholder Phone Number
Fee Simple Titieholder Address
Job Address •�
Lot#
Sub Division
Parcei#
� . Bio-Fiazarcl Waste Storage-ANNUAL � Fumigation Tent
Comm Exhaust Kitchen HoodlDuct � Hazardous Material(Tier II or RQ Facility)ANNUAL
� Controlled Bum Hood Installatlon
� Emergency Generator<30 kw � LP/Natural Gas-Installation
� Emergency Generator>3D kw � LP/Natural Gas-ANNUAL Sale ��
� Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL � � (
* .❑�Tr y] em� �n er � �
Sprinkler ❑ ❑ p Recrsational Bum
Fire Alarm � ❑ ❑ ❑ �� � 5parklers
Hood Cleaning � p ❑ ❑ � � Sprinkler8ystem Instailations � ZJ �
Hood Suppressibn � ❑ � p � � 5tandpipes(5prinkier Sys)
� Fire Alartn Installation � Torch Roofing/Tar Kettle
Fire Pumps � Waste Tirs 5torage ANNUAL
Fire Works
Flammable Application-ANNUAL
Valuation of Project
Fuei Tanks
' Q Other:
contractor
5ignature A Company ,y 9 ,�L Q���
Registered � r i iv � Fee�Grrent Y/N�°'
Address
L.icense#
ELECTRICIAN "� -
Signature Company
Registered I Y�N I Fee Current Y/N
Address
License#
PLUMBER '
Signature Company
Registered Y/N Fee Currerrt Y/N
Address
License#
MECHANICAL
Signature Company
Reglstered Y/N Fee Curtant Y/N
Address
License# �
OTHER
Signature Company
Registered Y/N Fee Current Y/N
Address
Directions: License#
Fill out application completely.
Owner&Cor�-actor sign hack of application,notarized(Or,copy of signed contract with owner)
ff over$2500,a Notice of Commencement ts required.(Mechanical work over$60D0)
Supply two(2)sets of drawings with applicable documentation
Allow 1 D-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice h J/a
( ttP' ppraiser.pascogov.00m)