HomeMy WebLinkAbout13-14505 CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oozo 14505
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 14505 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: 9/03/2013 Name: SUPER WAL-MART
Total Fees: 25.00 Address: 7631 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/03/2013 Phone: (479 204-1063
Work Desc: FPM-SEMI ANNUAL HOOD CLEANING FOR WALMART#706 7631 GALL BLVD
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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$100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARI�ING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE
OF COMMENCEMENT."
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PERMIT OFFICE
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
� , a�s-�ao-oozo ���C._ City of Zephyrhilis Fire Fax-813-780-0021
2 .� � � Permit Application
Date Received ' Phone Contact for Permit �� �� �
Owner's Name Owners Phone Number �� � [�D�
Owner's Address � , 'a
Fee Simple Titleholder Name TiUeholder Phone Number C� � �
Fee Simple Titleholder Address
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Job Address 3 �C 1 �
Lot#
Sub Division Parcel#
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. . , x�:_ . .__,.., r.�.e�s•�•, . ;:.•,�•., .aai°$Y'¢' �4' .0 t _
� Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Ha2ardous Material(Tier II or RQ Facility)ANNUAL
� Controlled Bum � Hood installation
� Emergency Generator<30 kw � LP/Natural Gas-Installation
� Emergency Generator>30 kw � LPlNatural Gas-ANNUAL Sale
� Fire Protection Maintenance-ANNUAL n �`\
Places of Assembly-ANNUAL
❑ ry emi An t er � �
Sprinkler ❑ ❑ ❑ Recreational Bum / `�
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Fire Alarm � p p ❑ � � Sparklers � J
/�Cleaning � ❑ � ❑ � � Sprinkler System Installatio
Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys)
� Fire Alarm Installation � Torch RoofinglTar Kettle
� Fme Pumps � Waste Tire Storage ANNUAL
� Fire Works
� Flammable Application-ANNUAL Valuation of Project
Fuel Tanks
Other�
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Contractor ���� Company
Signature Registered Y/N Fee Current N
Address License#
ELECTRICIAN Company
Signature Registered Y/N Fee Current Y/N
Address
. License#
PLUMBER Company
Signature Registered Y/N Fee Current Y/N
Address
License#
MECHANICAL Company
Signature Registered Y/N Fee Current Y/N
Address
License#
OTHER
Company
Signature Registered Y/N Fee Curcent Y/N
Address License#
Directions: '
Fill out application completely
Owner&Contractor sign back of application,notarized(Or,copy of signed contract 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 from Property Tax Notice(http:l/appraiser.pascogov.com)