HomeMy WebLinkAbout13-14406 . CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oo20 , 14406
ANNUAL FIRE PROTECTION MAINTENANCE �F
Permit Number: 14406 Address: 6719 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: 03-26-21-0010-03300-0010
Improv. Cost:
Date Issued: 8/02/2013 Name: SUN MEDICAL CORP
Total Fees: 25.00 Address: 6719 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/02/2013 Phone: (813)783-6189
Work Desc: FPM- FIRE ALARM ANNUAL- SUN MEDICAL CORP
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Chapter 633, Flbrida 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."
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PERMIT OFFICER�
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
at3-7eo-ou2o Cily of Zephyrhilis Fire • Fax-813-780-U021
, Permit Appiication
Date Recelved �p1. Phone Conlact tor Permit (��.�,, � ��� �,�.��
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Owners Name � Owners Phone Number C��!,�.u J L�L.L�.J C7���'
Owner's Address `
Fee Simple Titleholder iJame TiUshotder Phone Number � � r_�
fee S'smpte Titleholder Addreas
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' �Xatin i�IQ.C�(.c�. � -
� Job Address ��r�' �' t�ot#
Sub Division Parcel#
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a BiaHazard Waste Storage-ANNUAL a Fumfgation Tent
a Camm Exhaust Kitchen HoodlDuct � Hazardous Material(Tier II or RQ Fac+lity)ANNUAL
� Controlled Bum � Nood Installation
� �mergeney Generator<30 kw � LP/Natura4 Gas-Installatlon
� Emergency Generator>30 kw a LP/Natural Gas-ANNUAL Sate
� Fire Protection Maintenance-ANNUAI Q Places of Assembty-ANNUAI. �
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Sprinkler � o ❑ � � Recreational Burn � / ��-���
Fire Atarm � L7 ❑ �,, � � Sparklers l
Hood Cieaning � ❑ O ❑ � � Spri�kter System Instatlalions
Hood Suppresston � � O � � � Standpipes(Sprinkler Sys) ,
QFire Adarm tnstallation � Torch Roofing/Tar KetNe
Fire Pumps � Waste Tire Storage ANNUAL
Fire Works
Flammable Application-ANNUAL Valuatian of ProJect
aF'ue1 Tanks
Q Other:
ConUacior ����� �A-� �r' "�—�-� ComPa�y � �I
Stgnature �vU� ✓ ftegistered Y/N Fee Current Y!id
Address ,),S,(.r r � ° L(cense#
ELECTRICIAN Company
Signature Regisiered Y/�I Fee Current Y 1 EV
Address l.icense#
PLUiNBER Company
5[gnaWre Registered Y/N Fee Currenl Y/{�
Address license#
MECHANICAL Company
Signature Registered Y/N Fee Current Y/N
Address License#
OTHER Company "
5ignature Registered Y/N Fee CuRent Y!N
Address License#
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DlrecUons:
Fill out applicallon compietely.
Owner&ConVactor sign back of appllcaUan,notarized(Or,copy of signed conUact wilh ownerj
If over�2500,B Notfce of Commencement is required(Mechanicai work over$5060)
Suppiy two(2j sets of drewings with applicable documentation
Allow 10-74 days for raview after submtttal date. Parcei#-obtalned irom Property Tax Notice(http:!lappraiser.pascogov.com)