HomeMy WebLinkAbout14-14961 � CITY OF ZEPHYRHILLS
� 5335-8TH STREET
�si3)�so-oozo 14961
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 14961 Address: 5214 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: 11-26-21-0010-16600-0250
Improv. Cost:
Date Issued: 2/10/2014 Name: VICHRIS INC
Total Fees: 25.00 Address: 5214 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/10/2014 Phone: (813)782-9556
Work Desc: FPM-QUARTERLY HOOD CLEANING FOR VILLAGE INN
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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�saso-oo2o City of Zephyrhills Fire Fax-813-780-0021
• Permit Application
Date Received ,.FJZ��f'Y( ' � �l/ Phone Contact for Permit � � ��
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Owner's Name �, Owner's Phone Number
Owner's Address �~ � S . . 2
Fee Simple Titleholder Name Titleholder Phone Number � � �1
Fee Simple Titleholder Address
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Job Address � • 2• � �
Lot#
Sub Division Parcel#
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� Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier 11 or RQ Faciliry)ANNUAL
� Controlled Burn � 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
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Sprinkler � ❑ ❑ ❑ � � Recreational Bum
Fire Alarm ❑ ❑ ❑ � � Sparklers /� �� ,
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Hood Cleaning � ❑ � � Sprinkler System Installation
Hood Suppression ❑ ❑ ❑ � � Standpipes(Sprinkler Sys)
� Fire Alarm Installation � Torch Roofing/Tar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
� Fire Works
� Flammable Application-ANNUAL Valuation of Project
� Fuel Tanks
Other:
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Contr tor Company
Signatu Registered Y/N Fee Current Y/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 Current Y/N
Address License#
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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)
Suppiy two(2)sets of drawings with applicable documentation
Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com)