HomeMy WebLinkAbout14-15225�-___
CITY OF ZEPHYRHILLS � �
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ANNUAL FIRE PROTECTION MAINTENANCE �
� ° �PERMIT INFORIIAATIO`N. �.�.-�``�:_�` �� ��:��.. , _ :_�� 4�:LOCATION�IN�F�O;RMATI:ON•�� �.` ��.:`�� �;�
Permit Number: 15225 Address: 5327 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: 11-26-21-0010-13300-0010 �„�e
Improv. Cost: ..:� . .�� :_�,_ dt.� _ `INF�.ORMAT,ION
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OWNER� ;.,�_ . .v
Date Issued: 4/28/2014 Name: ABBOTT STATION LLC
'Total Fees: 25.00 Address: 5327 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/28/2014 Phone:
Work Desc: FPM- SUPPRESSION SEMI-ABBOTT STATION
" `�:.CONTRAC.TOR S `, 4 � � . :�, APPLICATION:FEES � ' :_� �� ;. , � �- � . >;�
FIRE FIG TER, INC. FIRE PERM T FEES 25.00
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FIRE ACCEPTANCE Final
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 OFFICER �
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
a�s-�eo-oo2o City of Zephyrhills Fire Fax-813-780-0021
Permit.Application
Date Received4 Y, ��,{`.„`Z. w_Zt�(�� 4�`�w"�V.�'� ..'0.._4V ` µ,�'. ' ' .Phone Contact for Permit_.t=�r Q�Q.(o ,; ,�_._�".__,�
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Owner's Name �D�jO 1 I � 0.�i On Owner's Phone Number g�3 3yZ m� 36 gG
Owners Address �3Z� lTQ-C� ����
Fee Simple Titleholder Name Titleholder Phone Number � � �
Fee Simple Titleholder Address
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Job Address ��fl"�� .Lot# �J�
Sub Division Parcel#
� ���� � Bio-HazardWasteStorage-ANNUAL�W���P��'��. ��VFumigationTent �� T�M_��.�._a,..._�..�,�_..�.,m�_�d.
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL
� Controlled Bum � 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 Assembiy-ANNUAL �
t y emi �n t er ���q� 5�/7
�;�1 %�.�-
i Sprinkler � ❑ ❑ ❑ � Recreational Bum
Fire Alarm � ❑ ❑ ❑ � . � Sparklers �
Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations
Hood Suppression � ❑ � � � - � Standpipes(Sprinkler Sys)
� Fire Alarm Installation � Torch Roofing/Tar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
I � Fire Works
Flammable Application-ANNUAL V81U8t10f1 Of P�O 2Ct
❑ �
� Fuel Tanks
Q Other:
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Contractor Company ��c r� I�-�-4� r��
Signature Registered Y/N Fee Current Y/N
Address Q p �j � 0` 3 ?jQ License#
ELECTRICIAN Company
Signature Registered Y/N Fee Current Y/N
Address License#
PLUMBER Company
SignaWre 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: w
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#-obtained from Property Tax Notice(http://appraiser.pascogov.com)