HomeMy WebLinkAbout16-17269 � � CITY OF ZEPHYRHILLS
- '� 5335-8TH STREET /
, " (sis)�so-oo20 1726J
RECREATIONAL BURN PERMIT r�°�,
PERMIT INFORMATION LOCATION INFORMATION ' -
Permit Number: 17269 Address: 38801 FEATHERING WAY LOT 11
Permit Type: RECREATIONAL BURN ZEPHYRHILLS, FL.
Class of Work: FIRE-RECREATIONAL BURN Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: EAGLE RANCH
Est. Value: Parcel Number: 14-26-21-0170-00000-0110
Improv. Cost: OWNER INFORMATION
Date Issued: 4/19/2016 Name: HAYES JOHN DAVID
Total Fees: 25.00 Address: 38801 FEATHERING WAY
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/19/2016 Phone: 813-598-6981
Work Desc: BURN - GIVEN 2 MONTHS -JUNE 19, 2016
CONTRACTOR S APPLICATION FEES
f I�_ �n� F RE PERMIT FEES 25.00
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Ins ections Re uired
FIRE TE INSPE TION-Final
Chapter 633, Florida Statutes,authorizes the City to charge and collect user fees to pay for the costs of fire
prevention and protection related activites such as inspections, plan review,administrative fees,and other
� costs related to the aforementioned.
Complete Plans, Specifications and Fee Must Accompany Application. Commencement of work without written approval of
the Fire Department's Fire Marshal or required permits or opening up for commercial activity without an approved final
inspection shall be charged double permit fee per day of operation or a minimum of$100.00, whichever is greater. All
work shall be perFormed in accordance with City Codes and Ordinances.
Per Ordinance 652,the recreational burn shall be maintained at all times and fire suppression capabilities
shall be on-site. Zephyrhills Fire Rescue Communications shall be contacted at 813-780-0038 prior to the
fire being ignited and after it has been extinguished.
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O NE SI ATURE PERMIT OFFIC
PERMIT EXPIRES IN 7 DAYS FROM DATE OF ISSUANCE
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE- 813-780-0041
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893-780-d020 Clfy Of ZB�IhyfhillS Ft�@ Fax-893-784-4021
' � Permit Application
Date Received �+ ��/�Z,�'�� Phone Contact for Permit �� � ��
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Omte�s Name � �� � �C 1 -S � Owne�s Phone Number p � 3 �/ � b �� `
O+rmer's Address ��� �Gf'��� /V� W C7 �
Fee Simple Titleholder Name _ Titleholder Phone Number �� � �
Fee Simple Tit3eholder Address
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Sub Division Parce!#
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� Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent
� Gomm Exhaust Kitchen HoodtDuct � Hazardous Material{Tier 11 ar RQ Facility}ANNUAL
i � Cantroiled Bum � � Hood Installation
'� � Ernergency Generafor<30 kw Q I.P/Natural Gas-Instailatian
� Emergency Generator>30 kw o LP/Natural Gas-ANNUAL Sale
I� � Fre Pmtection t�Aain#enance-ANNUAL � Places af Assembly ANhlUAL (,.'') �� �
� emi � er, '%� f 1
� Sprinkier � O O ❑ � Recteationai S'um
I Fire Alarm � ❑ d ❑ � Sparklers
Hood Gleaning � ❑ ❑ 0 �� � Sprinkler System Installations
Hood Suppression � ❑ Cl ❑ � � Standpipes(Sprinkler Sys)
� � Fire Alarm Installatian Q Torch Raofingfiar Kettie
� Fire Pumps ,. � Waste Tire Storage ANNUAL
� Fiammable Application-ANNUAL r � , Valuation af Project �
� Fuel Tanks .
� Other:
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� Contractor Company
, Signature ` Registered Y/N Fee Current Y/N �
Address I�cense# t
ELECTRICIAN � Company
Sigrtature Regisfered Y 1 N Fee Current Y 1 tV
Address License#
PLUMBER Company
Signature Registered Y/N Fee Current Y/N
Address Gicense#
MECHANIGAL Company
Slgnature Registered Y I iti! Fee Current Y/N
Address License#
OTHER Company
Signature Reg�stered Y!N . Fee Curzent Y!N
, Address License#
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Directions:
� Fill out appiication compietely. .
Owner&Contractor sign back of application,notarized(Or,copy of signed contract with ovmer)
it over$2504,a Notice af Commencement is required{Mechanical work over$500Q}
Suppiy twa(2)sets of drawings with appiicabie documentation
Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(httpJ/appraiser.pascogov.com)
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