HomeMy WebLinkAbout09-8819 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8819
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 8819 I Address: 4330 20TH ST
Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 13-26-21-0070-03900-0020
Improv. Cost:
Date Issued: 2/12/2009 Name: NESTLE WATERS NA INC
Total Fees: 25.00 Address: 4330 20TH ST
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/12/2009 Phone: (813)783-1959
Work Desc: FPM-QUARTERLY FIRE SPRINKLER FOR BOTTLED WATER CO-SCH 2/12/09
INTERNATIONAL FIRE PRO ECTION IN FIRE PERMIT FEES 25.00
C q
FIRE ACCEPTANCE 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 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
COMMENCEMNT 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."
P IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- Fire Marshal Office- 813-780-0041
813-780-0020 City of.ZephyrhillsFire• Fax-813-780-0021
Permit Application
Date Received Phone Contact for Permit
Owner's Name 3 1 r L✓ 1 /7 Owners Phone Number
Owner's Address
Fee Simple Titleholder Name & /*' " l lI c.�'7T'l Titleholder Phone Number
Fee Simple Titleholder Address
Job Address Q i U Lot#
Sub Division Parcel#
Bic-Hazard Waste Storage-ANNUAL Fumigation Tent
Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tier II or RQ Facility)ANNUAL
-Controlled Bum Hood Installation
Emergency Generator<30 kw LP/Natural Gas-installation
Emergency Generator>30 kw LP/Natural Gas-ANNUAL Sale j < 1
Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL t7
r y emi er
Sprinkler ❑ ❑ Recreational Bum
Fire Alarm ❑ ❑ ❑ Sparklers
Hood Cleaning ❑ 0 0 j Sprinkler System Installations
Hood Suppression ❑ 0 ❑ I Standpipes(Sprinkler Sys)
Fire Alarm Installation Torch Roofing/Tar Kettle
Fire Pumps Waste Tire Storage ANNUAL
Fire Works
Flammable Application-ANNUAL _________________ Valuation of Project
Fuel Tanks
Other:
�._ .:... '."" .,"",_r "x..' stt, .�......V...., �,•.,,,�,�'a s.,.sx' ... ______ __.::.,,: ___
Contractor Company _
Signature Registered Y/N Fee Current j Y/N
Address License#
ELECTRICIAN Company
Signature Registered Y/N Fee Current Y/N
Address License#
PLUMBER Company
Signature Registered Y/N Fee Current Y/N
Address License#
MECHANICAL Company
Signature Registered Y/N I Fee Current Y/N
Address License#
OTHER Company
Signature Registered Y/N Fee Current Y/N
AddressI License#
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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. Parcel#-obtained from Property Tax Notice(http://aopraiser.pascogov.com)
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