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, ZE��iYRF�iLLS FIRE DEPARTMENT <br /> 6967 Dairy Road, Zephyrhills, FL 33542 <br /> Fire Chief Keith Williams Bus (813)780-0041 Fax (813)780-0044 <br /> FIRE SERVICE USER FEES <br /> Occupancy No.: <br /> Plan No.: �-G s Contractor. �w'�ri�� rK. ��l�= "' ��.;.- �,c <br /> Business Name: �U " ' Billi�Address:/4�d Z /h�,��._l�, <br /> Business Address: r o G !ad - ��%�S ,�y��,��� �,r� �3S ;3-�j,�l <br /> Business Phone No.: Billing Phone .: _ �/3 t�,Sy-/3ff,3 <br /> Business Fax No.: Billing Fax No.: <br /> Contact: Corrtact: �,��� � �c.�• <br /> PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE AtARM FEE <br /> 8 Site Plan N/C Annual WC Sprinlder S50 1st Alarm N/C <br /> MuRi-Famiy/Commercial .O6 sf 1st Re-inspection N/C Standpipes a50 2nd Alarm N/C <br /> (Minimum Charge�25.00 2nd Re-inspection a100 Fire Pump a50 3rd Alarrn N/C <br /> � Plan Revisions DBL 3M Re-inspection a25p Floods �5p qm A�� $�� <br /> 4th Re-Inspectan a500 Fire Alarm a50 5th qlarm $�Sp <br /> SPRINKLER SYSTEMS (Business closed urrtil LP Gas y�p �A�� $� <br /> 8 O-25 H28dS �50 VIOI�IOIIS Cp�ffE�CtEd� NBtUfdl G8S a50 NON CpINPLIANCE a150 <br /> 26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- <br /> per tank �,'S0 <br /> STANDPIPE SYSTEM Hydro Undergrounds a45 Spatiders a100 <br /> �Per Risef 350 Hydrostatic Test 365 per system Fire Wo11c5 a50p <br /> FIRE PUMP Acceptance Test S45 per�ysaem Camp Fire y� <br /> �Per Pump a100 Hydrard Fbw $75 Contrdled Bum a100 <br /> FIRE ALARM SYSTEM H�p� � <br /> �-25 Devices $50 FIRE ALARM SYSTEM Place of Assembly a50 n,,,,,,,i <br /> 26 plus Devices a100 System Acceptance E50 Fire Protection a25 <br /> SUPPRESSION SYSTEMS ReCell Accepterlce y50 Flemmable qpplicatian �$Q pnnual <br /> Wet S50 OTHER Waste Tire Storage t50 Annuai <br /> ��Y S50 Fre wa�usmoke wan 3t 5 ��� Generata<KW a100 <br /> CO2 350 LP Gas �25 p„w„k Ger�erator>3p Kyy 150 <br /> Other S50 Natural Gas 325 ae.sySo�m Bio-HazaM Waste 3100 ,�,��� <br /> KITCHEN EXHAUST Fumigation TeMing s50 <br /> �Hood/Duds S50 Tent 10'x10'or gr�ter a15 �,.e� Twd�Pd/Apptied s50 <br /> OTHER Fire Pump S45 Haz.Materials a100 a,nwi <br /> LP Insiallation pe►tank a50 Flre Supp�lOr1 s3p <br /> Fuel Tank Inst�allation �50 System Acceptance <br /> (Per Tank) a50 8 E�aust Hoodlpuct �3p <br /> �Naturat Gas Installation S50 Retinspedion DBL <br /> {Per System) (other than annual) <br /> �Spray Boath S50 �Inspection sct�eduled DBL 8 <br /> and cancelled less than <br /> 24 hours <br /> 8��,��. �,� <br /> Emergency V�icle Aa a50 r <br /> PLANS TOTAL� INSPECTION TOTAL� PERMIT TOTAL f F�SE ALARM <br /> � TOTAL C� <br /> GRAND TOTAL <br /> Comments: <br /> Date: ,z Z�/Z <br /> 5 <br /> Ins�ctor: - <br />