HomeMy WebLinkAbout09-9511 CITY OF ZEPHYRHILLS
5335 - 8T1-1 STREET
(813) 780 -0020 9511
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number 9511 Address: 5216 7TH ST HISTORIC
Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL.
Class of Work: FIRE - PROTECTION MAINTENANCE Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11 26 - 0010 - 16700 - 0180
Improv. Cost: °
Date Issued: 9/02/2009 Name: ZEPHYRHILLS TOURIST CLUB
Total Fees: 25.00 Address: 5216 7TH ST. HISTORIC
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/02/2009 Phone:
Work Desc: FPM- FIRE ALARM ANNUAL- TOURIST CLUB- SCHEDULE 9/8/09
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P IAL Y ELE - • NIC M . IN I ` - - 25.00
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FIRE A CEP AN 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.”
Ari
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 City of Zephyfiilis - 6/ ,s ` / Fax-813- 780-0021
Permit Application -
)ate Received Phone Contact for Permit
J
_in`/ l 1
)wnei's Name : _. Q' I r Owner's Phone Number ' (3 1 1/S ,, O3 `
)wner's Address S a,' r 4 l rj Fl 335 '] °t`
:ee Simple Titleholder Name 1 Titleholder Phone Number I I i
:ee Simple Titleholder Address 1 1
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Job Address 5 a_ , to c- Q. �' A- I Lot # (JO `J
Sub Division Parcel # 1 1 1 A Lo a 1 v O 1 J l co'1 O v Q 1 d 0
El Bio-Hazard Waste Storage - ANNUAL Fumigation Tent
El Comm Exhaust tGtchen Hood/Duct l I Hazardous Material (Tier II or RQ Facility) ANNUAL
1 1 Controlled Burn n Hood Installation
n Emergency Generator < 30 kw n LP /Natural Gas - Installation
Emergency Generator> 30 kw L { LP /Natural Gas ANNUAL Sale
Fire Protection Maintenance - ANNUAL n Places of Assembly- ANNUAL
=ill' 'Semi' &la Other
Sprinkler 1 ` ❑ ❑ ❑ , ( Recreational Burn
Fire Alarm F1 ❑ ❑ ❑ 1 n Sparklers
Hood Cleaning El ❑ ❑ ❑ f 1 n Sprinkler System Installations
Hood Suppression n ❑ ❑ ❑ 1 1 1 1 Standpipes (Sprinkler Sys)
n Fire Alarm Installation 1 Torch Roofing/Tar Kettle
H Fire Pumps ` 1 Waste Tire Storage ANNUAL
•
Fire Works
El Flammable Application- ANNUAL 1 1 Valuation of Project
1 1 Fuel Tanks
n Other. 1
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Contractor Company S G /y. //
r c 5 ys ,
..-7 Signat � c Registered T / N j Fee Current Y / N ,
Address 1 3 -- 7 `i / f /A . yt J r iL f ? T J License* 1
ELECTRICIAN Company
Signature Registered Y / N Fee Current Y / N
Address 1 1 License # 1
PLUMBER Company
. Signature Registered Y / N Fee Current Y / N
Address 1 1 License # 1 1
MECHANICAL Company
Signature Registered Y/ N 1 Fee Current I Y/ N 1
Address 1 1 License # J 1
OTHER Company
Signature Registered Y/ N j Fee Current 1 Y/ N
Address
� � License #
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner)
If over 52500, 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 : / /appraiser.pascogov.com)