HomeMy WebLinkAbout09-9514 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 _ 9514
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 9514 Address: 4330 20TH ST
Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL.
Class of Work: FIRE - PROTECTION MAINTENANCE Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number:
Improv. Cost: ,Pz "L.'; dtk Date Issued: N ame: Name: BOTT LED WATER
Total Fees: 25.00 Address: 4330 20TH ST
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/03/2009 Phone:
Work Desc: FPM- SUPPRESSION SEMI- NESTLE WATER- SCH 9/17/09
UNI �I_ :-• •� N FIR - - 25.00
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1- A EP AN E 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." r!
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 Zephyrhills Fire I si I Fax - 813-780 -0021
Permit Application
Date Received 1 1 Phone Contact for Permit 1' - . f .) {- 1 1 1 -1:4-! 1 I o S- 6 6 I
Owner's Name ) \ . r ' . \AJ c,A es( s \ \ . 1 Yv ,,,,. i C c �- t ._; . r-C,1 Owners Phone Number 1 H 1 1 I
Owners Address 1 " '‘ 2. 4 5 (:) 4 S4 . . : l i i , % i & J - \ , I
Fee Simple Titleholder Name 1 1 Ti ieholdes Phone %umber 1 1 1 1 1 I
Fee Simple Titleholder Address I 1 • Job Address 11. A+ ?, 3 0 ,�t 044-k . J1.. ., p ',- ■ ‘ J 3 J ''i.. I Lot #
Sub Division I I Parcel # 1 I
Q Bio-Hazard Waste Storage - ANNUAL n Hazardous Material (Tier II or RQ Facility) ANNUAL
D Comm Exhaust Kitchen Hood/Duct Q Hood Installation
Controlled Bum LP/Natural Gas - Installation
n Emergency Generator < 30 kw n LP/Natural Gas - ANNUAL Sale
- Emergency Generator > 30 kw o Places of Assembly- ANNUAL
.p# Fire Protection Maintenance - ANNUAL n Recreational Burn
®® LEI lOther
Sprinkler El ❑ ❑ ❑ I 0 Sparklers
Fire Alarm ED ❑ ❑ ❑ I [] Sprinkler System Installations
Hood Cleaning 0 ❑ ❑ ❑ l I 0 Standpipes (Sprinkler Sys)
n Fire Alarm Insla Suppression ❑ ❑ tion I n Waste Tire Storage ANNUAL
Fire Pumps
Fire Works
Flammable Appr— r. ' (AL" Valuation of Project
Fuel Tanks
Other: IIIIIi (�
is !
Contractor Company J . 1 +- r - • .
Signature 1 Registered Y / N Fee Current Y / N t
Address License # 1 I
ELECTRICIA Company I
Signature Registered I Y/ N I Fee Current I Y/ N
Address I 1 License # I I
PLUMBER Company I
Signature Registered I Y/ N I Fee Current I Y/ N I
Address I ` License* 1 `
MECHANICAL
1 Company I I
Signature Registered Y/ N I Fee Current I Y/ N I
Address I I License # I I
OTHER I Company I I
Signature Registered Y/ N I Fee Current I Y/ N
Address I I License # I I
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 wilt' applicable documentation
Allow 10-14 days for review after submktal date. Parcel # - obtained from Property Tax Notice (httpilappraiser.pascogov.com)
6 Ck — .--A— 1 & S 'EN
UNITED FIRE PROTECTION, INC.
City of Zephyrhills 24644
8/31/2009
Licenses And Permits 25.00
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*Checking - TPA - 623 25.00