HomeMy WebLinkAbout14-15299, CITY OF ZEPHYRHILLS
5335-8TH STREET
(sis)�so-oozo 15299
I ANNUAL FIRE PROTECTION MAINTENANCE
� . �� , . : . 'PERMIT INFORMATION '" LOCATION INFORMATION �.�„� �r';
Permit Number: 15299 Address: 5935 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: 10-26-21-0020-00000-0050
I Date Is ued: 5/21/2014 Name: �JOHN-MARY�EN T RPRISES,LTD � �r
Total Fees: � 25.00 Address: PO BOX 17072
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33682
Date Paid: 5/21/2014 Phone:
Work Desc: FPM - SPRINKLER ANNUAL MARU JO CASTRO
�CONTRACTOR S : ".;����° �_`�.- �. -� ' APPLICATION FEES `
ALARM SPECIALIST CORP FIRE PERMIT 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
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s�saao-oozo City of Zephyrhills Fire Fax-e�saso-ooz�
Permit A lication
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Date Received Phone Con a f r
t ct � �ermit. ��-� '�j�� �{��j�
Owner's Name � �Q �''S�� Owner's Phone Number D�� �1;�R' 'f,��/
Owner's Address Q1..1 �]�, � l�`1//� �(,�`� �v y V I/ 3��,D��/
Fee Simple Titleholder Name Titleholder Phone Number � � ��
Fee Simple TitleholderAddress
Job Address �'J�JJ l,'�ii.L.L �`�i���. 2��h r h,'�.Ll�a �� ✓���� Lot# �
Sub Division Parcel# �v d���!���o�j�,''���+�o��
� Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL
� Controlled Burn � Hood Installation
� Emergency Generator<30 kw � LP/Natural Gas-Installation
� Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale C��
Fire Protection Maintenance-ANFIUAL � Places of Assembly-ANNUAL `/ V
tr y emi �n er � �'
Sprinkler � ❑ ❑ p � � Recreational eurn
Fire Alarm � ❑ ❑ � � Sparklers �
Hood Cleaning ❑ ❑ � � � Sprinkler System Installations
Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys)
0 �
Fire Alarm Installation � Torch Roofing/Tar Kettle �
� Fire Pumps � Waste Tire Storage ANNUAL �
� Fire Works
� Flammable Application-ANNUAL Valuation of Project i
� Fuel Tanks
Q Other:
Contractor Company
Signature Registered Y/N Fee Current Y/N
Address License#
ELECTRICIAN Company �
Signature Registered Y/N Fee Current Y/N
Address License#
PLUMBER Company r-
Signature Registered Y/N Fee Current Y/N
Address License#
MECHANICAL Company
Signature Registered Y/N Fee Current Y/N
Address License#
OTHER • �• J Company y1/ � �� 1
Signature �/��f�1�' Registered �1 N Fee Current Y/N
Address � i �� � �� � r�„� . " �DLicense# '�(.,� �(� �
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Directions: '
Fill out application completely. �
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Owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner) i
If over 52500,a Notice of Commencement is required(Mechanical work over$5000) I
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) �
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