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��9� FiR� �3��'At��'Eil1Ef�`�° <br /> ' G90�1 ha�ry Road, �ephyrhills, FL 33542 <br /> +_nf� t,ci��t ICe��h Wiliiariis l3us (8'13)180-OUa1 Fax (S13)7�0-01)dn <br /> FIRE SERVICE USER FEES <br /> Occupancy No.: <br /> Plan No.: — I Z... __ Contractor � ,��� � <br /> Business Name �'� �`'�`�'�- <br /> Business Address Billing Address p �� <br /> -- � � �'� r�'� . � <br /> Busmess Phone No L�.-� � �� <br /> Bus�ness Fax No <br /> Billing Phone No . <br /> Coni�ct 8 ����n9 �ax No. _ �J . <br /> Contact: `� `—?-_� <br /> PIAN REVIEW FEES INSPECTION FEES <br /> ;ite Pian PERMIT FEE FALSE ALARM FEE <br /> N/C Annual N/C Spnnkler <br /> Mum f arndyl( o�tvncic�al 06 sf 1 st Re-mspecfwn N�C SSO 15t Alarm N!C <br /> (M�romum (;harge b25 00 2nd Re-irtspection a�� Standpipes $SO 2nd Alarm <br /> F�re Pump a� Nic <br /> n Plan Revis� � pg� 3rd Re-inSpeCtion �250 3►d Alarrn NiC <br /> f,� Hoods $SO 4th Alarm <br /> 4th Re-Inspectio� ESpO Fire Alarm $�� <br /> SPRINKLER SYSTEMS (8usiness closed until a� 5th Alarm 5150 <br /> 8 0 25 Heads �P Gas $50 6t� Alarm <br /> E50 v�olations corrected) Natural Gas a � <br /> 26 plus Neads $100 SPRINKIER SYSTEMS a50 N � C �p��ANCF $1S0 <br /> Fuel Tanks- pe� n�k E50 <br /> STANDPIPE SYSTEM Hydro Undergrounds �4$ <br /> _� Per R,ser Sparklers $�� <br /> SSO Hyd►ostatic 7est S65 per srsiem Flre Works <br /> FIRE PUMP $ <br /> Acceptance 7est S45 ce� sys�em Camp Fire <br /> � Per Purnp g100 Hydrant Flow E25 <br /> E75 Conf�olied Burn y� pp <br /> FIRE AI.ARM SYSTEM <br /> Hood/Duct a� <br /> 0 25 Dev,ces b50 FIRE ALARM SYSTEM <br /> Place of Assembly gsp ,,,,,,� <br /> 26 plus Uewces g100 8 System Acceptance SSp <br /> SUPPRESSION SYSTEMS ��►e Protection E� <br /> Recali Acceptance a50 Flammable Applicafion a50 n�nual <br /> W �� §� aTHER <br /> Waste T�re Storage S5p ^,,,,,,,, <br /> - ��Y $50 ire WalUSmoke Wall $15�perwan Generdtor < Kyy a�� <br /> CO2 S50 LP Gas <br /> S25 per tank Generator >30 �(yy � Sp <br /> Utner $50 Natural Gas <br /> $2$ ae� tn�em Bio-Hazard Waste E100 noouai <br /> KITf,HEN EXHAUST <br /> Fumigation Tenting agp <br /> NopolDuclS $$p Tent 10'x10' or greater $1$ <br /> ve� ie�i To►ch Po1/Applied E50 <br /> OTMER F�re Pump a45 <br /> Na2 Materials $tOp ���� <br /> i F� in; tall3l�on pyr I,inN 550 F�re Suppression y3p <br /> Fuel Tank Installalion E50 System Acceptance <br /> (Per Iank) b5o 8 Exhaust Hood/Duct a30 <br /> � Nalural Ga:, Instal�al�on $50 Re DBL <br /> (Per System) (otherthanannual) <br /> �',pray 800th 550 � Inspechon scheduled D8L <br /> and tancelled less tna� 8 <br /> 24 hours <br /> 8 Construction Insp N/C <br /> Emergency Veh�cle Aa $ <br /> PIANS TOTAL���— INSPECTION TOTAL �� � I FA�SE ALARM <br /> PERMIT TOTAL TOTAL I ( <br /> l _ _� <br /> � <br /> GRAND TOTAL <br /> Cornmvnl5 <br /> �-�-�� k+ 2- I�.S�:.�; ..I-� � I�n <br /> _ i - - <br /> Date <br />