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� � ����:1��YL�M°iI�L.� �IF�E D��'AFt�'6iPIEl�`� <br /> 6907 l�airy Road. �ephyrhiits, FL 33542 <br /> f uE? (;hi�f Ke�ti� WiHidrr�s I�us (8'i3)780-OU41 ��x ($13)I30-00�1•4 <br /> FiRE SERVICE USER FEES <br /> Occupancy No.: � <br /> Plan No.: _�� ��Q' Contractor: ' � ( fa�� <br /> Busmess Name �'`� - Billi�g Address: 5 r" �� �� <br /> Busmess Address. _ ��,���,,�,� � _ l � <br /> Busmess Phone No Billing Phone No.: ��tS�'A ��_ ��� <br /> Business Fax No Billing Fax No.: <br /> Contact� Contact: __ , �� <br /> P�AN REVIEW FEES INSPECTION FEES PERMIT FEE FAI.SE ALARM FEE <br /> S�te Ptan N!C Annual N/C Sprinkler $SO 1 st Alarm NIC <br /> u11� O6 sf 1 st Re-inspection N!C Standpipes $SO 2�d Alarm N/C <br /> ( imum Char e$25 0 2nd Re-inspection $100 Fire Pump + a50 3rd Alarm N�C <br /> � Plan evi iona DBL 3rd Re-mspection $250 Hoods '$50 4th Alarm g�pp <br /> 4th Re-Inspection $500 Fire Alarm �50 5th Alarm $150 <br /> SPRINKLER SYSTEMS (Business closed until LP Gas $50 6th Alarm $200 <br /> 8 0- 25 Heads $50 violations corrected) Natural Gas $50 NON COMPLIANCE $150 <br /> 26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- Per v�k $5p <br /> STANDPIPE SYSTEM Hydro Undergrounds �45 Sparklers $�pp <br /> � Per Riser $50 Hydrostatic Test $65 per syst�m Fire Works $500 <br /> FIRE PUMp Acceptance Test $4$ per system Camp Fire y25 <br /> � Per Pump $100 Hydrant Flow $75 Controlled Burn $100 <br /> FIRE ALARM SYSTEM Hood/Duct $5p <br /> 0- 25 Devices $50 FIRE ALARM SYSTEM Place of Assembly $50 Annual <br /> 26 plus Devices $100 System Acceptance $50 Fve Protection a� <br /> SUPPRESSION SYSTEMS Recall ACCeptance $50 Flammable Application $50 Annual <br /> We $50 OTHER Waste Tire Storege $50 Annual <br /> �ry $50 Fire WaWSmoke Wall $15 Perwan Generata < KW $tpp <br /> CO2 �50 LP Gas $25 per lank Generator >30 KW 15p <br /> Other $50 Natural Gas $25 Pe, sy5c�m Bio-Hazard Waste aIOO Annual <br /> KITCHEN EXMAUST Fumigation Tenting $50 <br /> � HoodlDucts $50 Tent 10'x10' or greater $15 ae� tent Torch PoUApplied $SO <br /> OTHER Fire Pump 545 Haz. Materials $100 �o�„ai <br /> LP Inslallabon pr.r tank $50 Fire Suppression $30 <br /> Fuel Tank Installation $50 System Acceptance <br /> (Per Tank) $50 8 Exhaust Hood/Duct $30 <br /> � Nalural Gas Installatio� $50 Re-mspection DBL <br /> ( Per System ) (other than annual) <br /> � Spray Booth $50 � Inspection scheduled DBL � <br /> and cancelled less than <br /> 24 hours <br /> Construction Insp NIC <br /> �_ Emergency Vehicle Ac� $50 FA�SE ALARM <br /> PLANS TOTAL INSPECTION TOTAL �� PERMIT TOTAL <br /> .� �____ I TOTAII _ I <br /> GRAND TOTAL [��� <br /> CommPnfs <br /> Date �' �C,� p ! <br /> Insq��ctor i � <br /> �� <br />