HomeMy WebLinkAbout14-15172 CITY OF ZEPHYRHILLS
, 5335-8TH STREET
` (si3)�so-oo20 15172
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 15172 Address: 7838 GALL BLVD
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 35-25-21-0010-00700-0000
Improv. Cost:
Date Issued: 4/15/2014 Name: PRIMERICA GROUP ONE
Total Fees: 25.00 Address: 3629 MADACA LN
Amount Paid: 25.00 TAMPA FL 33618
Date Paid: 4/15/2014 Phone: (813)933-0629
Work Desc: FPM-SPRINKLER QUARTERLY- PUBLIX
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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
� MART28/2007%WED 07:20 AM ZEPHYRHILLS BUILDING FAX No. B(3-780-0021 P.001
a�a-.�so-aazo City ofZephyrhllls'Fine� •• • Fax-a��-�aaao2t ��:
permit Appltcation .__ .
Date Ftecelved ' '� •Phone Co�nlactiarPermit
OwnePe Name • Oxmer'c Phone Number � � �
Ownete Addrese O IJ g' � �X�-�"Z '
FeasimpleTlUeholderName � � ' ' � • ' TltleholderPhone Numbar �� � �
Kee Simpie'11Baholdc�Addre:a • ' ' ' � �
, '�JobAddres9 • . . . • • ��Lot#
5ub Divislon Paroel# •
• o 610-Hazard Weete Storage-ANNUAL • � " �� FumlgaUon'Cent • , • �
. � Comm 5�haust f(iWien Hoodloucl: .' �• Hamrdous Meledai(fier II or RQ Feclllty)ANNUAL , '
a Contrvlled Bum � � Haod In9lalleUon �
� �mergency Ganerator<30 kw • . � LPINaturel Gas-InebilaUon � � � � ' �
• � ��mergency Ganeralor>3n kw •• � t-PMalur�l Gas-ANNUAL Sele
Rre Protecdon Iutsfntanence=ANNUAL. � Places vfAssemhly-AtdNuAL � • • •
. , gp�{�e� ��� p 1 �� . � ReofeAUons)Burtt , • • . .
• ' Fre Alarm �❑. ❑ [7'. � '� � 3pwk�ers : .• . ' ' ^ �
tuk�
Hood Cleaning � d� ❑ O� � � 3prin1slerSyatam Installadons ,• • , ��.�i�� Q�.` ,.�/
HoodSuppresslon . � {a D ❑ � , � Stendpipes(SpdnkierSys) � � +�W�� Y.7
' � Fte A(anri If1etH11eUan . � . . � TofCh Roufingf�a�Ketlle; . , . T��Q�,�. � 1 I�S' I I 1
� �Flre Pumpa � , ' ' � � ' � � WBs�eTlia StorageANNUAt � . , (�
F1ro Worice ' • • • ' . . .
, Flemmable Apptira0on-ANNUAL • . • • � � • Valuetion�f PlojeCt . .
. Fuel Tanks , � ' '. ' ' '
. Q: Other: • ' ' ' • • •
canvaclor • •.� ' � • Campany ' .
Signawre �'�""� ' Repistared �Y V Fee Curreot X N •
Addrese � License#
�I,ECTRICIAN ' . ' � � Comperry •
Signatur� ' • Reg(sle�ed• Y J N • Fee CurtenG _,Y/N
Addrese � License# • ' �
PIUMBER • , • Company
Signalure � � � ' Reelatered Y/N Fee Current Y/N�
Addross ' Ucenea#• •^� •
MECHANICAL Company ' �
signawre ' Rcgistared Y/N Fae currcnl ,1(/N
� Address ' . •Liceqee#. �
OTHEI2 . . • Compeny .
signature � Ree�slered • Y/N �ea Current Y/N
Addrees � • ' • ' LtceneB#
Directions:
. FlII out appticaGon complately. • �
OWner&ConUAetof eign baok of appliealion,ttoladzed(Or,Copy of eigned contrnct WIIh olvnef) , . ,
" I(over S25�o,a Notice ot Commenca�nent ia requ�red.(Meche�ical worlc over$6000) • • • .
Suppfy tvro(2)ae�of drawinea�l�applicable documernatto� . • • , •
AlIoW 1D 14 daye far revlow aher aubmiUal date. Peccel#�•obWlned from P(operty TaX NoUce(htlpJ/eppreiaer.pascogov.com)
u�w�cun.,.....,i...�• -- ---••-•------� -
plumbinc�; signs, weAs� poois; air condition(ng, gas,•ot'ot�et'installatlo�5 not SpeCliiG�lly mCluaep m u�e apNnuauvu..r,
� permlt issued shall be consfived to,be a ilcense to proceed with'the work and nof as authotlty to viol�te,cancel,alfer,or,
sef aside any provis;ons of fhe technical�codes, nor shall issuance of a permit prevent the�uilding.Officiai f�om thereafter .
requiring a cor�ection of.errors in plans,construction or violaftons af any codes. Every permit�(ssued shall becomB invalid
. unless the work authorized by such permlt is commenced wiihin slx months of permi�Issuance,or if work aufhorized by
� the permft is suspended or abandoned far a periad of six•(6}months after the time the work ts commenced. An extension.
may be requestetl, in wrlting,fcom tha eullding Offlcial for a period not to exceed ninety(90) days and witl demonstrets-�
justi�fiabte cause for ftie extension. If work ceases fior niriety(so)consecuflve days,the�ob is cohsldered abandaned.
'WARNING TO QWNER: 'YOUR �AIL'URE'T�•RECORb A'NOTICE'OF;C4MM�HCEMI�NT Mi�Y"'R�SUL'f 1N'YUUR "' '
pAYING TWIC�F�R IMPR01/EMENTSfiO YOUR.PROp�RTY. IP YOU INTENDTd OBTAlN�INANCII�1fa,CONSULT
�WITH OUR LENpER O 'AN A'f"1'ORNEY EFORE RECO QING YaUR ND'fICE OF COMMENCLIVIEN7'. '
FLORIDAJURAT(F.5,117.03) ' � • • • .
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' OWN�R ORAGENT �: CONTR�►CTOR /-'-— �—� � � - ,
S d and swo o � , g� , e and e�i1nr�p(or aBl b�ro�m� e Ihis .
� • by �1�laV t . F�irj'�►�-�
o Is/are persanepy k o M q1e ar haslltave produced o I are perso�Uv kn a me or�l�sltlave produced
• __�,�� as Identification. . •as ideMUflCaUon.,
Notary Pu61ic Notary Public , -
.. .__. .._ 4�4�UQ11R I Cnmmissl0 ND. T � __ �� . .