HomeMy WebLinkAbout13-14756 � CITY OF ZEPHYRHI�LS
5335-8T}i STREET
(sis)�so-oo20 147
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 14756 Address: 5830 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: 11-26-21-0010-01200-0015
Improv. Cost:
Date Issued: 11/22/2013 Name: THREE M REV TRST MURPHY JEAN
Total Fees: 25.00 Address: 6941 MURPHY RD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/22/2013 Phone:
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
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 OFFICE
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
/
' a��-�saoozo City ofZephyrhillsFir:e�-.�_. Fax-alsaeo-po2�
/ Permit Application
Date Received '� - Phone Contact•for Pertnit �
Ovmers Name t� �—�t1✓� 7('�O Ovmers Phone Number .� � C
Owner's Address ,�� �� /I �1�� �
Fee SimpleTitleholder Name � ?fUeholder Phone Number �� �� C
Fee Simpla lltleholder Address "
Jo6 Address Lot# C
Sub Division Paroel#
� Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL
� Controlled Bum � Hood Installation
� Emergency Generator<30 kw � LP/Natural Gas-Installation
� Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale
� Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL ��
�y emi �n er �
5prinkler � ❑ ❑ ❑ � Recreational Bum (
Fire Alartn � p ❑ ❑ � � 5parklers �•� `
Hood Cleaning � ❑ ❑ ❑ � � Spnnkler System Installations \
Hood Suppression � ❑ �' ❑ � � Standpipes(Sprinkler Sys) �,�(,�
� Fire Alartn Installation Toroh Roofingrfar Kettle � ! � �
n Fire Pumps � Waste Tire 5torage ANNUAL �C
� Fire Works
� Flammable Application-ANNUAL ��� Valuation of Project
Fuel Tanks
Q Other:
Contractor Company r
Signature Registered N Fee C nt Y/N
Add2ss
License#
ELECTRICIAN ��a�Z) / �'L ���j� Company
Signature � Registered Y/N Fee Current Y/N
Address
License#
PLUMBER Company
Signature Registered Y/N Fee Currertt Y/N
Address
License#
MECHANICAL Company
Signature Registered Y/N Fee Current Y/N
Address ,
License#
OTHER
Company
Signature Registered Y/N Fee Current Y/N
Address
License#
_
Directions: -
FII out application completely.
Owner&Contractor sign back of application,notar¢ed(Or,copy of signed contract with owner)
ff over$2500,a Notice of Commencement is required.(Mechanical work over$50D0)
Supply 1wo(2)sets of drawings with applicable documentation�
Allow�0-�4 days for review afier submittal date. Parcel#-obtained from Property Tax Notice(httpJ/appraiser.pascogov.com)