HomeMy WebLinkAbout07-7153
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
LP /NATURAL GAS-ANNUAL SALE PERMIT
7153
Permit Number: 7153
Permit Type: LP/NATURAL GAS-ANL SALE PER
Class of Work: FIRE-LP/NATURAL GAS
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 5355 AIRPORT RD
IT ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
10/31/2007
50.00
50.00
10/31/2007
ANNUAL PERMIT - LP/NATURAL GAS
Name: FREITAS, DANNY
Address: 4600 PAUL BUCHMAN HWY
ZEPHYRHILLS, FL. 33542
Phone: 813732-4188
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Chapter 633, Florida Statutes, authorizes the City to charge and collect user fees to pay for the costs of fire
prevention and protection related activities 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.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR.PAYING TWICE-fOR - --
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT."
~~
OWNER SIGNATURE
PERMIT EXPIRES IN ONE (1) YEAR FROM DATE OF ISSUANCE
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
813-71iO-0020
Date Received
Owner's Name
Owner's Address
Fax-813-780-0021
City of Zephyrhills Fire
Permit Application
Phone Contact for Permit
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Fee Simple Titleholder Name \
I
Job Address '--=7 ~5 ~~ (2d
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Fee Simple Titleholder Address
Sub Division
D
D
D
D
D
D
Contractor
Signature
Address I
ELECTRICIAN
Signature I
Address I
PLUMBER
Signature
Address I
MECHANICALI
Signature .
Address I
Parcel #
Bio-Hazard Waste Storage - ANNUAL
D
D
D
D
~
D
D
D
o
o
o
113\~ II'/~ I L~I R-~ I
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tUl:HAINl:U r-KUIVII"'KUI"'l:KI Y IfV'. NU~:~,~_
Owner's Phone Number
I Titleholder Phone Number I
Comm Exhaust Kitchen Hood/Duct
Controlled Bum
Emergency Generator < 30 kw
Emergency Generator> 30 kw
Fire Protection Maintenance - ANNUAL
D
D
D
D
D
D
Sprinkler
Fire Alarm
Hood Clean/Suppression
Fire Alarm Installation
D
o
o
II
II
Fire Pumps
Fire Works
Flammable Application- ANNUAL
Fuel Tanks
~Tlr;~Ln= fEJ!r~..I~
I Lot#
Fumigation Tent
Hazardous Material (Tier II or RQ Facility) ANNUAL
Hood Installation
LP/Natural Gas-Installation
LP/Natural Gas-ANNUAL Sale
Places of Assembly-ANNUAL
Recreational Bum
Sparklers
Sprinkler System Installations
Standpipes (Sprinkler Sys)
Torch Roofing
Waste Tire Storage ANNUAL
Other:
Valuation of Project
Company I
Registered Y I N I Fee Current
License # I
Company I
Registered Y I N
License # I
Company I
Registered Y I N I Fee Current
License # I
Company I
Registered Y I N
License # I
Company I W2:0' ~'S {i-({~
Registered C:rd N 1 Fee Current ,( Y ] N I
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Y/N
Fee Current
Y/N
Y/N
Y/N
Fee Current
I~QY
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Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner)
If over $2500, a Notice of Commencement is required (Mechanical work over $5000)
Supply two (2) sets of drawings with applicable documentation
Allow 10-14 days for review after submittal date.
OTHER
Signature
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