HomeMy WebLinkAbout14-15020 CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oo20 15020
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 15020 Address: 5014 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: 11-26-21-0010-20700-OOAO
Improv. Cost:
Date Issued: 2/27/2014 Name: CHATTERBOX CAFE
Total Fees: 25.00 Address: 5014 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/27/2014 Phone:
Work Desc: FPM-SEMI ANNUAL HOOD CLEANING FOR CHATTERBOX CAFE
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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
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Permit Application
Date Received -� ,t0� G)z/�'�/1/r Phone Contact for Permit $j 3 �lf 93.�
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Owner's Name ��s2l.a 7�{��V j`�]_� �
Owner's PhoneNumber 8 f 3 S�5 �35�
Owner's Address �Q• �O.� �/�� f�M��� �L 3 3 6 �Lf.
Fee Simple Titleholder Name Titlehotder Phone Number � C] �
Fee Simpte Titlehoider Address
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Job Address _ �i���.�„�X �'�� �Q�� ��� �L U,(>� -� Lot# �
Sub Division Parcel#
� Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen Hood/0uct � Hazardous Materia!(Tier II or RQ Facility)ANNUAL
aControlled Bum � Hood Insialtation
� Emer9ency Ge�erator<30 kw Q LP/Natural Gas-Installation
aEmergency Generetor>30 kw � LP/Natural Gas-ANNUAL Sale
QFire Protection Maintenance-ANNUAL � Places of Assemb(y-ANNUAL
❑ 3fTr y emi � er -
Sprinkler ❑ O ❑ � Recreational Burn /
Fire Alarm � ❑ ❑ O � Sparklers 9 5��v
Hood Cleaning � ❑ � ❑ �� � Sprinkler System Installations / �
Hood Suppression � ❑ ❑ p �� � Standpipes(Sprinkler Sys)
� Fire Alarm installation � Toroh Roofing(far Kettle \`"
o Fire Pumps � Waste Ti2 Storage ANNUAL
� Fire Worics
� Flammable Appiication-ANNUAL �--_� Valuation of Project
Fuel Tanks
Q Other:
�ontractor ����� Compa"y ��/E S S -
3ignature Registered Y/N Fee Cu►rent Y/N
Address
License#
_LECTRICIAN Company
iignature Registered Y/N Fee Current Y/N
Address Ucense#
'LUMBER Company
iignature Registered Y/N Fee Current Y/N
Address License#
AECHANICAL Company
iignature Registered Y/1�) Fee Current Y/N
Address
License#
)THER
Company
tignature Registered Y/N Fee Current Y 1 N
Address
License#
iirections:
Fill out application completely.
Owner 8 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 wilh applicabie documentation
Aliow'10-14 days for review after submittaf date. Parcel#-obtained from Property Tax Notice(hripJ/appratser.pascogov.com)