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Z��=-� �`���iL�.� FIR� ��PA�°fiVl���° <br /> C907 C�airy Roacf, �ephyrhiifs, FL. 33542 <br /> F•9P� �.�11�( KE�lCfl 1/111111�rT1S Bus (8i3}7�0••00�11 �ax ($1:i)7i�i1-UU�� <br /> FIRE SERVICE USER FEES <br /> Occupancy No.: <br /> Plan No.: //— / g 9 Contractor: d / �G <br /> Business Name: �'? �4msrf /�iY Billing Address: � <br /> Business Address _ ,�Q�7 �o t'�+� �+.1�e.. � ��,. l ��, `` <br /> 6usiness Phone No. Billmg Phone No.: ___ 3�'1„ .• �� .. d33 <br /> Business Fax No . Billing Fax No.: <br /> Contact Contact: <br /> PLAN REUIEW FEES INSPECTION FEES PERMfT FEE FALSE ALARM FEE <br /> 8 Site Plan N/C Annual N/C Sprinkler E50 1st Alarm N1C <br /> MuNi 06 sf 15t Re-inspeCtion N/C Standp'tpes E50 2nd Alarm N/C <br /> (Minimum Charge 325 00 2nd Re-inspection a100 Fire Pump E50 3rd Alarm N/C <br /> � Plan Rev�sions DBL 3rd Re-inspection $250 Hoods $50 4th Alarm g�pp <br /> 4th Re-Inspection $50p Fire Alarm � Sth Alarm g� 50 <br /> SPRINKLER SYSTEMS (Business closed until lP Gas 6th Alarm $200 <br /> 8 0- 25 Heads �550 violations corrected) Natural Gas SSO NON COMPLIANCE a150 <br /> 26 pfus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- cerv�r �50 <br /> STANOPIPE SYSTEM Hydro Undergrounds a45 Sparklers a100 <br /> � Per Riser S50 Hydrostatic Test a65 Pe� syscem Fire Worlcs $5pp <br /> FIRE PUMP Acceptance Test 345 �r sys►am Camp Fire g� <br /> � Per Pump $100 Hydrant Fbw a75 Corrtrolled Burn $�pp <br /> FIRE ALARM SYSTEM Hood/Duct $Sp <br /> 0- 25 Devices � FIRE ALARM SYSTEM Place of Assembly a$O Annua� <br /> � 26 plus Devices $100 System Acceptance Fire Protection $25 <br /> � <br /> SUPPRESSION SYSTEMS Recall AcCe�ance a50 Flammable Application $5p nnnuai <br /> Wet $50 OTHER Waste Tire Storage $SO Annual <br /> �rY 350 Fire Walusmoke wa11 a15 �� Wau Generator < K1N $tpp <br /> CO2 S50 LP Gas $25 pertank Generator >30 K4V 150 <br /> Other 350 Natural Gas a25 �� syu�„ Bio-Hazard Waste a100 n��,,,i <br /> KITCHEN EXHAUST Fumigation Tenting S50 <br /> � Hood/Ducts $50 Tent 10•x70' w greater a15 Per cent Torch PoUApplied $5p <br /> OTHER Fire Pump a45 Haz. Materials $100 Annual <br /> LP Insfallation per tank $50 Fire Suppression $30 <br /> Fuel Tank Installation a50 System Acceptance <br /> (Per Tank) S50 8 Exhaust Hood/Duct S30 <br /> � Nafural Gas Insfallation a50 Re-InSpeCt'tOn pg� <br /> {Pef System} (otherthanannual) <br /> � Spray Booth $50 � Inspection scheduled DBL 8 <br /> and cancelled less than <br /> 24 hours <br /> Construction Insp. N/C <br /> Emergency Vehicle Aa S50 FALSE ALARM <br /> PLANS TOTAL ��I INSPECTION TOTAL �� PERMIT TOTAL �j TOTA� f I <br /> GRAND TOTAL L�� <br /> Comments <br /> Date I � �/ <br /> Insg��ctor� �,�i'� <br />