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14-15563
r �/ CITY OF ZE HYRHILLS 5335-8TH STREET � . �si3>�s�-0020 1 63 ANNUAL FIRE PROTE�TION MAINTENANCE PERMIT INFORMATION LOCATION INFORMATION Permit Number: 15563 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: OWNER INFORMATION Date Issued: 8/11/2014 Name: GOLDEN PANDA Total Fees: 25.00 Address: 37915 EILAND BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 8/11/2014 Phone: Work Desc: FPM- HOOD CLEAN QUARTERLY- OLDEN PANDA CONTRACTOR S APPLICATION FEES UNIVERSE SERVICES d/b a SZLO H FIRE PERMIT FEES 25.00 �, / � V� 1 � � Ins ection Re uired FIRE ACCEPTANCE Final � Chapter 633, Florida Statutes,authorizes the City to harge 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 t e aforementioned. Complete Plans, Specifications and Fee Must Accompany Ap�lication. Commencement of work without written approval of the Fire Department's Fire Marshal or required permits or pening up for commercial activity without an approved final inspection shall be charged double permit fee per day of o eration or a minimum of$100.00, whichever is greater. All work shall be performed in accord nce with City Codes and Ordinances. "WARNING TO OWNER: YOUR F ILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT IN YOU� PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORN�Y BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." _-.� � �"� �'� � � ,. �,-�-,, ��,���- ���t PERMIT OFFICER' �� PERMIT EXPIRES IN 30 DAYS 1�VITHOUT APPROVED INSPECTION CALL FOR INSPECTION -I8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RE CUE DEPT- 813-780-0041 i o�o-�o�-w�u �iry oi c.e�inyrnnis rire rax-a�a-�au-uuzi Permit A plication Date Received . =�-Q� Q� D� f� _ Phone Contact for Permit �J� J'�Jj',� _J�� �-,__-.--.-_ ,-�: _� . - -� ,._ _ __- __- --._.,.._ -.. .�__-. _= , .• -- -�:, _ . _ �- _,_.._... .-- = _ � -.° -___ -:..._.... . . - - --• - -- Owner's Name L�S'2�.-� �G�,Uy'9'�N Owner s Phone Number O I� ��f�c �3�� Owner's Address ���$�� �7J p T79-�i��, �iL 33 6��t � Fee Simple Titleholder Name Titleholder Phone Number � � � Fee Simple Titleholder Address � , .�-:-_...;.__..__.._.>.._-- - _ - - _-- -- - - - -- -= --- - - - - - - - - --- - - - - -� - �- -- - - - -- - - • � � � - -_ _� ,-. , . . _ .. _ _ ---..._ .��_,..- -._ .-..-..--._,�---_� -- - >.....,_.,._ _....., -,. - . _...:.. __ .. .= - -= _ - - - -- ---_�____.,��_ - -- Job Address �vL-�lV ���� `��//S '�/�;t��^ ��-��'t Lot#» f C Sub Division Parcel# � �. . , ...__..�.._�.._...�.._.�__,_.�._..__.:•�_.�.._�..,.._m�:.,....._._.."..._._-.._=�-_.�=- • ...._,�:�__..�._ ._:� - -'_ _°_ ,--�--- --..__, .�.�_...._�-_.___:�..._._�___...�..._.>.,_.,.,_,,.:_.,.�. ._._.....�. -- - = � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facllity)ANNUAL � Controtled Burn � 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 Assembly-ANNUAL t y emi �n t er i Sprinkler � ❑ ❑ ❑ � Recreational Burn Fire Alarm � ❑ ❑ ❑ � � Sparklers Hood Cleaning � � ❑ ❑ � � Sprinkler System Installations '��`- � Hood Suppression � ❑ � � � � Standpipes(Sprinkler Sys) � � Fire Alarm Installation � Torch Roofing/Tar Kettle a Fire Pumps � Waste Tire Storage ANNUAL � Fire Works � FlammableApplication-ANfIUAL Valuation of Project � Fuel Tanks Q Other: .._ . _t- _=..< .� - - - - - - _,:, . _. . ._ _- - - -- -- - -- -- - - - - -- - - - - - ,. . .._ ,.....�: .,... _ �:_�.,� .,:.�:.� . - - -- ,.. ..._... _...__ �, ..,.�...N�..,- •:.,<._s!.._�:+'. - --.-�_:.'.:.�".r.._ ...._-f-.y_...,. .......,.. , _"_,..�s._._......_�..._..�. __..���Y'„ __ .. .. ..... .. .. . _..._.._�..._.... _ .. .�.».:_..��...�,...._....c...._._:_ ._ ....-__"_ _..._.,._ H=' » � _ �., i. �ontractor Company f � �� �,� ��j � iignature Registered Y/N Fee Current Y/N Address � License# =LECTRIClAN Company iignature 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 Cunent Y/N Address � License# : .- :-..... .._- - ,_- :- -= - _._,_. :_.°_ _ _. _ - ._.,._. _ )irections: _,. _ :- _ . .. • - , _, _ . _. : _ _,.__ . _ :., .�. :. . =- _- _ Fill out application complete�y. Owner 8 Contractor sign back of application,notarized(Or,copy of sign d contract with owner) If over$2500,a Notice of Commencement is required_(Mecha�ical wo �over$5000) Supply two(2)sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. Parce! -obtained from Prooertv Tax Notfce(htto://aooraiser.nasr.nnnv r.nm� - - ,..--�---��•---••�----�-.._.....,