HomeMy WebLinkAbout13-14802 • CITY OF ZEPHYRHILLS
5335-8TH STREET
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ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 14802 Address: 5217 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: 11-26-21-0010-16600-0010
Improv. Cost:
Date Issued: 12/09/2013 Name: PEEPLES FAMILY CORP INC
Total Fees: 55.00 Address: PO BOX 1058
Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542
Date Paid: 12/09/2013 Phone: (813)782-2989
Work Desc: FPM-ANNUAL FIRE SPRINKLER FOR EARNEST PEEPLES PROPERTY
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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 re�ated 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 activi without an a
inspection shall be charged double permit fee ty pproved final
per day of operation or a minimum of$100.00, whichever is greater. All
work shall be pertormed 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-813-780-0021
Permit Application
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' Phone Contact for Permit g�3 gqg 8702
Owner's Name Earnest Peeples
Owner's Phone Number 813 7$2 2ggg
Owner's Address 5217 Gall Blvd.
Fee Simple Titleholder Name r--.� �� �
Titleholder Phone Number L
Fee Simple Titleholder Address
Job Address 5217 Gall Blvd. ��
Lot#
Sub Division
Parcel#
� Bio-Hazard Waste Storage-ANNUAL �
� Fumigation Tent
Comm Exhaust Kitchen Hood/Duct � Hazardous Materiaf(Tier II or RQ Facility)AN►JUAL
� Controlled Burn � Hood Instaliation
� Emergency Generator<30 kw �
� LP/Natural Gas-Installation
Emergency Generator>30 kw �
LP/Natural Gas-ANNUAL Sale "`�
� Fire Protection Maintenance-ANNUAL � �
Places of Assembly-ANNUA
❑ r y em� �n t er ❑
Sprinkler X ❑ ❑ X
Recreational Burn � ^��
Fire Alarm � ❑ p ❑ � � Sparkiers % J
Hood Cleaning � p � �
� � Sprinkler System Installat ns
Hood Suppress�on � ❑ ❑ p � � Standpipes(Sprinkler Sys) \
� Fire Alarm Installation � Torch Roofingffar Kettle �
� Fire?umps � Waste Tire Storage ANNUAL ��
� Fire Works
� Flammable Application-ANNUAL
� Valuation of
Fuel Tanks
QOther: �
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Contractor -�' �
Signature ,, Z����2�L l l � ���____._._.__,. Company Miken Fire Protection, Inc.
Registered Y/N Fee Current Y/N
Address 1019 Wildrose Drive-Lutz, FL. 33549
License# Z�� app��Z���
ELECTRICIAN�
Signature Company
Registered Y/N Fee Current Y/N
Address
License#
PLUMBER
Signature Company
Registered Y/N Fee Current Y/N
Address
License# �-
MECHANICAL
Signature Ccmpany
Registered Y/N Fee Current Y/N
Address
License#
OTHER
Signa;ure Company
Registered Y/N Fee Current Y/N
Address
7irections: License#
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 htt ://a
( p ppraiser.pascogov.com)