HomeMy WebLinkAbout14-14896 � - " CITY OF ZEPHYRHILLS
I 5335-8TH STREET
i � (813) 780-0020 ,���
ANNUAL FIRE PROTECTION MAINTENANCE
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Permit Number: 14896 � Address: 6042 GALL BLVD �' � �j � �x 'Y �
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book:
Proposed Use: COMMERCIAL Lot s :
Square Feet: � ) Block: Section:
Est. Value: Subdivision: CITY OF ZEPHYRHILLS
Improv. Cost: Parcel Number: 03-26-21-0010-11300-0000
Date Issued: 1/13/2014 Name: MCDONALDS USA, LLC
Total Fees: 25.00 Address: 6042 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1/13/2014 Phone: 813-287-2231
Work Desc: FPM-HOOD CLEAN QUARTERLY MCDONALDS
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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 a
inspection shall be charged double permit fee 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 EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION OFFICER-' ``
C A L L F O R I N S P E C T I O N - 8 H OUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
81>>-7&0-002.� Ciry of Zephyrhilis Fire Fax-813-78�-OQ2'1
Permif Application
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vner's Name 1d , � OwneYs Phone Numtrer C;�� � . V'�
vner's Address r 2 �+'L'�.. �i�'_J , �`" � 3 �
�e Simpie Titleholder hlame C) 0 /�-�� l�j�- Titleholder Phone-Number ;� �� �
�e S�mple Tittehalder Address
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� Bio-Hazard W�ste Storage-ANWUAL o Fumiggtion TeY9t •
� Comm Exhaust Kitchen Hood/Duci � Wazardous Ivla'teN�l(tler H ar FEt�`Facility}�4W�IU34L
� Controlied Bum � Hood instei(ation
� 4�rergenc,-�anqrat�r c 3p k�•, � LP/Natural G3as=lnstallatian
a Emergency Genergtor�30 kw � LP/Natwral Gas/kN�11J{�L Saie ` ����
Q Fire Protection MainYenance-/4NNUAL � Places of Asser�iF�ly�AWNUAL ` � �
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Spriniiler � Cl ❑ Cl � � RecreStfonel9um
Fire Alarm � ❑ D ❑ � � Sp�rkiers
>(/ Hood Cleaning �i ❑ C7 a � Sprinkler System InstaNations
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Wood Suppression ❑ ❑ [7 � � gtendpipes(Sprirtkl�r Sys)
� Fire Alartn installation � 7orCh i�aoflng/Tar K�ttfe
� Fire Pumps � Waste tire 5torage ItiF11�UAL
� Fire Works
oFlammable AppiicatiornANNUAL � Vaivation of Project
Fuel Tanks
Q Other.
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Contractor ,�� Compariy
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Signature ._...,...�..�..__
' Reg(stered 1�/ Fee Current Y/
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Address License#
ELECTRICIAN Compeny
5lgnature Registered Y/1�1 Fee Current Y/N
Address
License#
PLUMoER I Company
Signature � Regfstered �'/I;�I Fee Current Y/Fd
Address L'rcense#
MECWANICAL Compeny
Signature Registered Y./W Fee Current Y/N
Address License#
OTHER Company
Signature Registered Y/N Fee Current Y/N
Address -•°
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Dfrections. � ., ,,.4�!&�, .,�w-�rcr�r��e��.
Fi{I out application completely.
Owner&Contractor sign back of apptication,notarized(Or,copy oT s;gnetl con!racc vv�th owner)
If over�2500,a Notice of Commencement is required(Mechanical wo�lc over$5000)
Supply two(2)sets of drawings with applicab�e aocumentaiion
Aliow�0-14 days for review after submittal date. Pa*csl#-obtained from Property Tax Notice(h:tp:/lappralser.pascogov.com)