HomeMy WebLinkAbout14-15073 CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oozo 15073
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 15073 Address: 7631 GALL BLVD
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: 34-25-21-0110-00000-0010
Date Issued: 3/11/2014 Name: SUPER WAL-MART
Total Fees: 25.00 Address: 7631 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/11/2014 Phone: (479)204-1063
Work Desc: FPM- SPRINKLER QUARTERLY WALMART
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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 a
the Fire Department's Fire Marshal or required permits or opening up for commercial activity without an a pproval of
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 performed in accordance with City Cocles 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 OFFICER `
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
s�3-�so-oo2a Ci ofZe h
tY p yrhilis Fire Fax-8�3-7so-op2�
�are Rece�ved Permit Appiication
__�� . ", Phone CoMact for Pertnft �
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Owners Name ryqLrY�A 4J� _ '
Owner's Phone Number C� � ��
Owners Address z ,l tl 3�3
Fee Simple TiUeholder Name
Fee Simpie TiYlehdder Address Tiuet'°�de�P►���ber
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Job Address 3 ` L �\ 7
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Sub Dtvislon Lot#
:�'+' � Pam.el#
� Bio-Hazard Waste Store __ -
� 98-ANNUAL � ---- -
Comm Exhaust Kitchen Hood/Duct Fu�tlon Tent
� ConUoNed Bum � Ha��OUS��I(Tiar II or RQ FacN(ty)qpNUAL
QEmeaJBncY Generator<30�, Hood Installation
� Emergency Generator>3p Icw, � �P����Gas-installa6on
aFire Protecdon Maintenance-pNNUq� � LP/Natural Gas-qHNUAL Sale
m � Places of Asaembly-ANNUAL
Sprinkler �
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Flre Alarrn � 0 � O
� RecreaUonal Bum
Hood Cteaning ❑ � � Q � � SP�rklers ��i/ �l �,./
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❑ � C� SPR�We►SYstem Installallons (
Hood Suppressb� � � � ❑
Q Flre Alartn k�stal�aUon StandPipes(gP�nkler Sys}
a Flre Pumps � Torch Roofing/Tar Kettle
�re wo�xs Q wes�r�s�o�e n�un�
Flammable Application-ANNU,qL
Fuel Tanks ���-� Valuation of Project
QOther:
Contractor
5lgnature
�O"�^y �l 1�
Address ��St°^� Y� Fee Curtent Y/N
ELECTRICIAN 's License#
Signature �m��y
Address Re9istered Y/N Fee Current Y/N
PLUI�ER Licer�se# �
Signature ���Y
Address Reg�stered Y!N Fee Currant Y/N
MECHANICAL License# ----�
Signature Comperry
Addross Re9�gtered Y/N Fee Current Y/N
OTHER Ucense# �
Signature �pa�y
Address �9�stered Y/N Fee Current Y/N
Directions: License#
Fill out application completely. .
Owner&Contractor gig�(�ck of applicaUon,notarized(Or,copy of si�ned contract uyith own��
If aver 52500.a Motke of Commencemern is required(Mect�anical work ov�r�ppp
Suppiy two(2)sets of drawings wiyi applicable documentetion �
Allow 10.1 b deys for review after submittal date.
Parcel#-obta(ned from PropeAy Tax Notice(http!/appraiser.Pescogov.com)