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_ Z�B�}: i1'!�d-�OLL� FIRE tl���l�l��'�IEf�`�" <br /> 6907 ba�ry Road, Zephyrhills, FL 33542 <br /> +_ne (,htef ECe�►h Wilii�rr.�s 8us ($'I�)7$0-OU41 Fax (51:3)I�30-0()�lc+ <br /> FIRE SERVICE USER FEES <br /> Occupancy No • �� � ����,� <br /> Plan No.: / �'' f /L�_ Contractor: <br /> Busmess Name r % �,� S ' <br /> ��------- � , Billing Address � <br /> Busmess Addres _ /'���/� y.� � <br /> cl � <br /> Bus�ness Phone No Bilting Phone No. ,�- „ �� <br /> Bus�ness Fax No Bilting Fax No.. <br /> Contact Contact. — <br /> PIAN REVIEW FEES INSPECTION FEES <br /> PERMIT FEE FALSE ALARM FEE <br /> Srte Plan N/C Annual N/C <br /> Sprinkler SSp 1 st Alami N/C <br /> Mul�� O6 sl tst Re-inspection N/C <br /> Standpipes $50 2nd Alarm N/C <br /> (Mm�mum Charge b25 00 2nd Re-irtspection a100 F�re Pum <br /> P S50 3td Aiarm N/C <br /> Plan Revisions DBL 3rd Re-�nspeCtion E250 Hoods <br /> S50 4thAlarm g�p0 <br /> 4th Re-Inspection a500 Fire Alarm � <br /> SPRINKLER SYSTEMS (Bus��ess closed u�til Sth Alarm a� � <br /> LP Gas 6th Alarm a20 <br /> 8 0- 25 Heads S50 v�olations corrected) Natural Gag <br /> P E100 SPRINKIER SYSTEMS a � ���MPLIANCE a15p <br /> 26 lus Heads Fuel Tanks- <br /> vefv^k S50 <br /> STANDPIPE SYSTEM Hydro Undergrounds b45 Sparklers y�pp <br /> � Per R�ser S50 Hyd�ostatic Test E65 cer svs+�m F�re Works <br /> FIRE PUMP E500 <br /> Accepfance Test s45 a , 5ys��m Camp Fire S25 <br /> � Per Pump $100 Hydrant Flow S75 Controlled Burn y�pp <br /> FIRE AIARM SYStEM Hood/Duct <br /> aso <br /> 0- 25 Devices E50 FIRE ALARM SYSTEM Place of Assembl <br /> 26 plu5 UCV�CeS �100 $� q� y $� �`^��al <br /> yst eptance F�re Protect;on S� <br /> SUPPRESSION SYSTEMS � Recatl Acceptance E50 Flammable <br /> �iC2flOn � Annual <br /> wet a50 OTHER Waste Tire Storage SSp ,,,,,,,,,, <br /> �ry b50 Fire WalUSmoke Wall a15 perwan Generator < KW a�pp <br /> CO2 350 LP Gas E25 perank Ge►IEratOf >3Q KVH 150 <br /> Other 350 Natural Gas S25 Pe,:yu�m Bio-Hazard Waste <br /> KITCHEN EXHAUST E�� A��ua� <br /> Fumigation Tenting S50 <br /> � NoodlDucls $50 Te�t 10'x10' a greater a15 pe� �em To►Ch Pot/Applied ESp <br /> OTHER Fire Pump S45 Naz Materials <br /> a100 Annuai <br /> LP Insldllal�on pr,� tank b50 F�re Suppressio� 53p <br /> F�el Tank lnstaltalion S5p System AcCeptanCe <br /> (Per �ank) E50 8 Exhaust Nood/Duct E30 <br /> � Nalural C;as Inslallaho� S50 Re-mspectio� OBl <br /> (Per System) � (otherthan annual) <br /> � �pray Booth a50 Inspecfion scheduled OBL <br /> and cancelled less than 8 ' <br /> 24 hours <br /> Construction Insp N!C <br /> Emergency Vehicle Ac� 55,Q ` FALSE AIARM <br /> PLANS TOTAL I__ � INSPECTION TOTAL .��' PERMtT TOTAL l�"`�' TOTAL I I <br /> GRAND TOTAL � ,_._ <br /> CommP fs � n/� - �'� �-(• � S(,l� � r � Z !Yl �� L t"'� <br /> I.�n k'Z � S, t'Yl � _ C-�C�G�i <br /> — / <br /> Date �Zv �i <br /> Insnectnr � . � <br />