HomeMy WebLinkAbout13-14232 CITY OF ZEPHYRHILLS
5335-8TH STREET
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� ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 14232 Address: 7631 GALL BLVD
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Ciass 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: 5/28/2013 Name: SUPER WAL-MART
Total Fees: 25.00 Address: 7631 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/28/2013 Phone: (479)204-1063
Work Desc: FPM- HOOD CLEAN QUARTERLY- (WALMART-MCDONALDS)
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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
wsts 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."
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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
813-780-0020 City of Zephyrhills Fire Fax-813-790-0021
Permit Application
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� C �f (,v/�(;(M�}{t.f /NS��E� Owner's Phone Number � � �
vner's Name �` � �
vner's Address � �� �n CC f 7t"V',, �,��{ � � �l`, �C " � v
�e Simple Titleholder Name Titleholder Phone Number �] C� r��
�e Simple Titleholder address
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�ob Address C� 3 f��•4 �L LV . c�C'/�ld �l�i�`1' %C 3 � S`1� �ot#
�nb Division Parcel#
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� 8io-Hazard Waste Storage-ANNIIAL � Fumigation 7errt
� Comm Exhaust Kitchen Hood/Duci � Hazardous Materiai{Tier II or RQ Facifity)ANNUAL
� Controlled Bum � Hood Installation
� Emergency Generator<30 kw � LP/Natural Cias-Instal{ation
� Emergency Genergtor>30 kw � LP/Natural Gas-ANNUAL Saie
� Fire Protection Maintenance-ANNUAL Q Places of Assembly-ANh1UAL
[� emi �Tn er � i ,('7 Q�i
Sprinkler � ❑ ❑ � � � ReCreatton8l Bum �� ��`�J
Fire Alarm � ❑ � ❑ � � Sparklers
ood Cleanin� � O ❑ � � Sprinkler System Installations
Hoa uppression ❑ ❑ ❑ �� � Standpipes(3prinkler Sys)
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a Fire Alarm Instailation Q 7orch Raofing/T'ar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
� Fire Works ,�,�„„�,�„
� Flammable Appiication-ANNUAL �r � Valuation of Project
aFuel Tanks
Q Other•
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Coniractor - Company �J� %�� }�'�lK� GC�
Signature C Registered N Fee Current Y
Address . ,' ( d'� (.�C �G �-��� 3 S License#
ELECTRICIAN Company
Signature Registered Y/N Fee Current Y/N
Address License#
PLUMBER �� Company
Signature Registered Y/I�f Fee Current Y/N
Address License#
MECHANICAL Company
Signature Registered Y/N Fee Curcent Y/N
Address License#
OTHER Company
Signature Registered Y/N Fee Current Y/N
Address
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License
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Directions.
Fill out application completely
Owner&Contractor sign back of application,notarized(Or,copy of signed contract vv�th 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 from Property Tax Notice(http:/lappraiser.pascogov.com}