HomeMy WebLinkAbout13-14278 CITY OF ZEPHYRHILLS
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ANNUAL FIRE PROTECTION MAINTENANCE -�'�
Permit Number: 14278 Address: 5009 GALL BLVD
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-2088-0060
Improv. Cost:
Date Issued: 6/12/2013 Name: BRUNS, DAN 8� MARY E
Total Fees: 25.00 Address: 5820 CYPRESS ST
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/12/2013 Phone: (813)780-2005
Work Desc: FPM- HOOD CLEAN SEMI- 301 CORNER GRILLE
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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 Ciry 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 Clty ofZephyrhills'Fi�e Fax-813-780-0021
. . Permit Application
late Received �� O��O� /� a�.� Phone Contact for Pertnit j��^ .Sy,J 93S/
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)wner's Name L�S/C.-(�O ��(/�T'T/ Owners Phone Number [ �13 S�S • /3SI
lwners Address �Q� UOx �� �('� /�i �� J�V �� _ �
ee Simple Titleholder Name Titleholder Phone Number [� � C�
ee Simple Titleholder Address
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ob Address 3a� �aRN� G��� ��/�/ / v�/(.1� ��Y� Lot�' �
�ub Division Parcel# �—
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aBio-Hazard Waste Storage-ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or FZQ Faciliiy)ANNUAL
� Contrvlled Bum � Hood InstallaGon
� Emergency Generator<30 kw " a LP/Natural Gas-Installation
�qency Generator>30 kw a LP/Natural Gas-ANNUAL Sale
•ction Maintenance-ANNUAL a Places of Assembly-ANNUAL
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aprinkler � O ❑ ❑ a Recreational Bum
Fi�e Alartn n O ❑ ❑ � � 5parklers ��
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Hood Cleaning u ❑ � ❑ � � Sprinkler System Installafions 2
Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys)
� Fire Atarm Instailation � Torch RoofinglTar Kettle
� Fire Pumps � Waste Tire Sto�age ANNUAL
� Fire Works
� Flammable Application-ANNUAL \/a�U2fi0f1 Of PfOJOCf
� Fuel Tanks
� Other:
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�onUactor � S�/- Company Q
Signature � �'�`� Registered l�/I�l Fee Currenl Y/N
Address License# �
ELECTRICIAN Company
5ignature Registered Y/N Fee Current Y/N
Address License# �
P�UMBEf2 Company
Signature Registe2d Y/N Fee Current Y/N
Address Lice�se# 1
MECHANICAL Company
Signature Registered Y/N Fee Current Y/N
Address License# �
OTHER Company
Signature Registered Y!N Fee CuRent Y/N
Address License# �— —�
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Direcdons:
Fill out application completely.
Owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner)
If over 52500,a Notice of Commencement is required(Mechanical work over b50D0)
Supply Mro(2)sets of drawings with applicable documentation
Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com)