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14-15327
� CITY OF ZEPHYRHILLS �. ° 5335-8TH STREET • � (si3)�so-oozo 327 ANNUAL FIRE PROTECTION MAINTENANCE � PERMIT INFORMATION LOCATION INFORMATION Permit Number: 15327 Address: 5009 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: 11-26-21-0010-2088-0060 Improv. Cost: OWNER INFORMATION ' Date Issued: 5/28/2014 Name: BRUNS, DAN & MARY E Total Fees: 25.00 Address: 5820 CYPRESS ST Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 5/28/2014 Phone: (813)780-2005 Work Desc: FPM SEMI HOOD CLEAN 301 CORNER GRILLE CONTRACTOR S APPLICATION FEES UNIVERSE SERVICES d b a LASZLO H FIRE PERMIT FEES 25.00 � v� �� /� t �� S ` / i /\ �:a � � • Ins ections Re uired 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." " � � ���-•1-�tr �. � -�.���� 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�-w<� �ny oi �epnyrnuis r�re F8X-C'Id-ftSU-UU'L7 ` Perrnit Application Uate FteceivAd ��� � '�Y-� �/� �� ��f" Phone Contact for Permit C� ^S � t-��J J A:;:__r,Y�-•-,--,- -. ---::.,_. ......r<:_. _:�,...�,�...,� .y .. �- ., ., .. .. _.m., _. .,- � :_. .�._. _...�. : -:. = � .. _....-:. � .., _._ -.. :- - .., � :__,:._� Owner's Name '��� �L-V. �V� /7-7 Owner's Phone Number ,�S I�J .J ,}� /�-� o�,�rs Aaaress �_' G7C7'�CJ��C 9'�'3� 7"f"tt�'1�"r�, �L 3�t'�c��i'` Fee Simple Titleholder Name 7itlehoider Phone Number �� � �� Fee Simple Titleholder Address -_�,.._ . ....�.__��,,.--�_-...-;•:. - - --- - - - --- - - - -_ - ,__�._.--�x.--- - - - -- - - - - � - �: . :�_�--'- �_ �.>--:.._ .,__ � __ - - - - -- - .�- � - _,:�.- •�._,�,.-,- - - -- - ,F. ,;.-:_,.,_-..e _�,_.. �Job Address ...__ �..1� � ��'��t-%�---'V��l�L� _��>VV�..._U��� ��V�. .Lat# . ._. � Sutr Division Parcel# , _ ._.,.e.. -- -� ...,:,.:,�,�.�..,,.,.,_.,....4..:.. -- - - - ,.::,.�-.-..:,: .�,,. - - - - r.. .-� _, ., :_. ...:�,.�,,..._. .�.,.._ .. ,.-- � _�__.V_�,.____w..�,__..�.�.. .._._�..... ... .... . ._,.,�.... _._:. _,_�-,�.,...__._._,_-_ _.. ,. .,,.,,-<�-�.-„ ,_.-_ _. :_ --. _. ,.,_..�..y.__....,:._...�..:__,..�.,....,._V.�.,,:� { , ,,._....... , ,. _..:. � Bio-kSazard Waste Storage-ANPIUAI � Fumigation Tent � Q Comm Exhaust Kitchen Hood/Duct Q Hazardous Material(Tier N or RQ Facllity)ANNUAL � Cantrof4ed Bum o Hood installation � Q_ Eme_rgency Generator�,30 kw __________ _ _ __ _ _�Q._LF/Natural_Gas-lnstallation _— _ i.-__ _�� ---- -- I'� Q Emergency Generaior>34 kw � LPlNatura!Gas-ANNt1AL Sale � � � Fire Pratection Maintenance-ANNUAI � Places of Assembly-ANNUAL ,� `� try em� An t er ':� Sprinkfer � ❑ C7 E3 � � Recreationa}Bum Fire Alarm ❑ ❑ ❑ �� � Sparklers Hood Cleaning ❑ � ❑ � � Sprinkier System instai�ations Hood Suppression � � ❑ O � � Standpipes{Sprinkisr Sys} QFire Alarm Installation � Torch RoofinglTar Kettle � �ire Pumps � Waste Tire Storage APtNUAt � Fire Works � Flammabfe Application-ANNUAL ���M� Valuation c�f Project � �YIIY��I Y�ol Fuel Tanks Q �ther: --. .._ . :-�.�:n.--..,:..... ,,._:_ - - - — - - - - .. . ,.: r �.....a.. ._:_r,: - - , � „ �- - ,. .,: .__,,. . ,.....,.__�x,..�. .,,_� .r.... _ :_...� .,,.a_. ..._�.� �-...u.�s�.. .....,_.... , ..w._.... ..d,,._. _. .,.. .._. .. _,...�_ .� �....._ . .;;�,,.. �aa. ._ ..,.___....._ .._ _ ._...... _ .,. T d >.., �ontractor Company / tOj �c'�' �ignature ' Registeted Y/(V Fee Gu�rent Y 1�I Address License# =LECTRiC1AN Company 3ignature Registered Y/N Fee Current�`Y/N Address License# >LUMBER Campany �` >ignature Registered Y I N Fee Curcent Y/N Address license# AECHANICAL Company - iignature Reg3stered Y!N Fee Current Y/N Address License# )THER Campany tignature Registered Y/N Fee Current Y/N Address �icense# ,.. ,.. ._ ,.:. .. . _. _._ .. . : , --...._,_.... .,: e. - - ..... .-- -, _ . .. -. ...-,.- - . _.�_ .. . )irections:� fiill out application campletely. Qwner 8�Contractor sign back of appiication,notarixed(Or,copy of signed contract with owner} � If aver$2600,a Notice of Commencement is required(Menhanical work over$5000) Supply two(2}sets of dTawings wfih applicabls d�cumeniatlan Allow 10-14 days for review after submittai date. Parcel#-abtained from Propertv Tax Notice/htto://aonraiser.nasmnnv r.r,r�,i , . ---- . -_ •-.,- -•-- r ___,_,..._..,