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09-9534
CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9534 ANNUAL FIRE PROTECTION MAINTENANCE , ..... a k a ` i ; � � � , . , cr e a � � � � � �e _ _ , e � � � 11i "a. ,.... Permit Number: 9534 Address: 5353 5TH ST 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 -21- 0010 - 09700 -0070 Improv. Cost: W i'0W ® . Date Issued: 9/10/2009 Name: HUSSEY, STEPHEN E Total Fees: 25.00 Address: 5353 5TH ST Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 9/10/2009 Phone: Work Desc: FPM - ANNUAL FIRE ALARM FOR BROACH SCHOOL SCHEDULED 9/14/09 SP CIALTY ELE IRONIC S EMS. IN FIR P RMIT FEES 25.00 39 orti‘. FIRE ACCEPTANCE Final inal � .. . .. t� " _ . ,� •ti .. .... ? E 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." jTIOVY 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 Zephyrhilts Fax - 813 -780 -0021 Permit Application _ late Received • one Phone Contact for Permit I )wners Name ''' _ . - c: Owner's Phone Number 20/3 GI 9_6 y 5 0 )wner's Address 6 3 5 3 s4 gat z Flit ir l,", .) f( 33 s i - 'ee Simple Titleholder Name , Titleholder Phone Number i :ea Simple Titleholder Address Job Address 53 S 5 ` . Lot# Sub Division -1: ■ ' c & Z e. VV, `, \` S Parcel # 1 1 t ' D.� • al -11(»D-011,/094 .`.._ .....,., -ra -,., ,,-, . , , -.. ,»rsa; .1 t,,,..-...,,,-- ,- -x. ° d4" , = , %" ,,, .^ ._; . 5; s».'=1 0 ,7wry0 „ .....4 ,- w«.....N.�.. , _ - _.... ..s• 4 i ,.” :. n Bio- Hazard Waste Storage - ANNU . a Fumigation Tent ED Comm Exhaust Kitchen Hood/Duct I I Hazardous Material (Tier II or RQ Facility) ANNUAL ( I Controlled Bum El Hood Installation r -- , Emergency Generator < 30 kw n LP /Natural Gas - Installation • - [ t Emergency Generator> 30 kw I I LP /Natural Gas - ANNUAL Sale Fire Protection Maintenance - ANNUAL n Places of Assembly-ANNUAL ,�/ Lai© isemil Other /¢ Sprinkler n ❑ ❑ b n Recreational Bum Fire Alarm E ❑ ❑ A, I i n Sparklers Hood Cleaning El ❑ ❑ ❑ I I ED Sprinkler System installations Hood Suppression ❑ ❑ ❑ I I { I Standpipes (Sprinkler Sys) 1 Fire Alarm Installation n Torch Roofing/Tar Kettle R n Fire Pumps Waste Tire Storage ANNUAL • Fire Works [-{ Flammable Application- ANNUAL ! 1 Valuation of Project ' I Fuel Tanks n Other I Contractor " ,_ Company 7/ ci i /A/ /�/r/4ti, - G r, Sy 674""^5 Signature J / Registered Y / N I Fee Current ( Y / N I < Address Y7 /7 - z ,4 Z-- I License* ,Ei 00 /0 % ELECTRICIAN Company Signature Registered Y / N Fee Current Y / N Address I License # PLUMBER Company Signature Registered Y / N I Fee Current I Y / N I Address I I License # I I MECHANICAL Company Signature Registered . Y / N I Fee Current I Y / N Address I I License # I OTHER Company Signature Registered Y/ N I Fee Current I Y/ N I Address I I License # T; _-= 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 : / /appraiser.pascogov.com)