HomeMy WebLinkAbout14-15127 .— — ,/
CITY OF ZEPHYRHILLS
5335-8TH STREET �
�sis)�ao-oozo 15�
ANNUAL FIRE PROTECTION MAINTENANCE -`
��`. �,�y, ��a,'�,a
Permit Number: 15127 Address: 37915 EILAND 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: 03-26-21-0010-06400-0031
Improv. Cost:
Date Issued: 3/26/2014 h Name: GOLDEN PANDA
Total Fees: 25.00 Address: 37915 EILAND BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/26/2014 Phone:
�,..
Work Desc: FPM- HOOD CLEAN QUARTERLY- GOLDEN PANDA
.,a,
a dr'
UNIV I a ZL ` ` . , I MI ,.,;,�; : , 5A ' � :;;!�. .�r„
, O`1��1
�,�' r�
� �
,
`�
�
aS'��'�#,I � -
j � z
� r- �
�,, �� _� ; , � .� , � ,:.� ,, ," ,. e_ � ,� ��; �
I E AN inal
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 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."
.- , � -
,�
•I 4(, �.�, �
j r' „
'. '' �'1�r-iZ">_i
�\..:.�- '�`t:.- i
� PERMIT OFFICER- `'
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
o�o+�o�-�u�� �ny oi cepnyrrnns rire rax-�s�,s-iau-uuzi
Permit AppliCation
Date Received ;:��, Q� 2 'f'1 Phone Contact for Permit �� �_;_Ls2.l �� .�
/ "7
Owner's Name S�(„ • Owner's Phone Number O�� .��S q�s�
Owner's Address ��1 BOX �73 !f�l��Pf1 �L 33 'T
Fee Simple Titleholder Name Titleholder Phone Number C--� C� �
Fee Simple Titlehoider Address
Job Address ���(� � ���� ���s �`��� �L�� '1 lot# �
Sub Division Parcel#
� Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent '
� Comm Exhaust Kitchen HoodlDuct � Hazardous Material(Tier li or RQ Facility)ANNUAL
aControiled Burn � Hood Installation
� Emergency Generator<30 kw � LPlNatural Gas-Installation
� Emergency Ge�erator>30 kw � LP/Naturai Gas-ANNUAL Sale
� Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL
❑ (3f�r y emi ��r" ❑
Sprinkler ❑ ❑ Q Recreational Burn �
C� ❑ � f �
Fire Alarm ❑ ❑ ❑ Sparklers i �
Hood Cleaning ,J� O ❑ C� � Sprinkler System Installations
Hood Supp�ession � O ❑ ❑ � � Standpipes(Sprinkler Sys)
� Fire Alarm installation � Torch Roofing/Tar Kettle
Fire Pumps Q Waste Tire Storage ANNUAL
Fire Worics
Ftammabte Application-ANNUAL Valuation of Project
Fuel Tanks
Q �th6f:
�ontractor � Company
iignature Registered Y/N Fee Current Y/N
Address
License#
=LECTRICIAN Company
�ignature Registered Y/N Fee Current Y/N
Address License#
�LUMBER
Company
iignature Registered Y/N Fee Current Y/N
Address license#
AECHANICAL Company
iignature Registered Y/N Fee Current Y/N�—
Address License#
)THER Company
�ignature Registered Y/N Fee Current Y/N
Address License#
)irections:
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 with applicable documentation
Allow 10-14 days for review after submittal date. Parcel#-obiained from Property Tax Notice(http:J/appraiser.pascogov.com)