HomeMy WebLinkAbout09-9571 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9571
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 9571 Address: 38530 5TH AVE
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: 11- 26 -21- 0010 - 16800 -0010
Improv. Cost: P ' a� ; CAPS
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Date Issued: 9/24/2009 Name: SHIRTS & S INC.
Total Fees: 25.00 Address: 38530 5TH AVE
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/24/2009 Phone:
Work Desc: FPM - ANNUAL FIRE ALARM FOR SHIRTS & CAPS INC L( -b
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SPE IALTY ELE RsNI Y EM . IN I= PERMIT FEES 25.00
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FIR 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."
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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 n City of Zephyrhills
Fax - 813 -780 -0021
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`") Permit Application
)are Received i Phone Contact for Permit � Z I 5 i 1 1 5 7 " � 1
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owners Name `-- 1 A 5 4 C 'r h C . Owner's Phone Number 1 ¥/3 �K � c , F7Uo� Y
owner's Address r7 g 5 30 e � � - - Z - e r (\ i t ` 5 i 3 3 6
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:se Simple Titleholder Name Title older Phone Number
:ee Simple Titleholder Address I
Job Address 3 P aroel #
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3 3 S Y Lot#
Sub Division i L{ 0 2 1' 4 lb I/1 - J6 - J.,/ 'ik a �VX� QH v
ri Bio-Hazard Waste Storage - ANNUAL Q Fumigation Tent
Ei Comm Exhaust Kitchen Hood/Duct I I Hazardous Material (Tier II or RQ Facility) ANNUAL
Ti Controlled Bum 1 Hood Installation
I — I Emergency Generator < 30 kw n LP /Natural Gas - Installation :' / /
n Emergency Generator> 30 kw I I LP /Natural Gas - ANNUAL Se Lf f
R'Fire Protection Maintenance - ANNUAL n Places of Assembly - ANNUAL 1 f
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Sprinkler [-I Recreational Bum (e) i
Fire Alarm lEr ❑ ❑
Sparklers &I&
Hood Cleaning u ID ❑ I n Sprinkler System installations
Hood Suppression LI ❑ ❑ ❑ I I I I Standpipes (Sprinkler Sys)
n Fire Alarm Installation F Torch Roofing/Tar Kettle
Fire Pumps I Waste lire Storage ANNUAL
I Fire Works •
Ej Flammable Application- ANNUAL i Valuation of Project
Fuel Tanks
Q Other I
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Contractor . Company 5,e / / J44ur C .. SvS r 5
Signature ^ Registered _ Y/ N I Pee Current I Y/ N l
Address 1 — 2 5/ y re. r /1- j /ma 7 4 I License # l e' Ft e) /p 7 `P I
ELECTRICIAN Company
Signature Registered Y / N Fee Current Y / N
Address 1 1 License # I
PLUMBER Company
Signature Registered Y / N I Fee Current I Y / N j
Address I I License # I I
MECHANICAL Company
Signature Registered Y / N I Fee Current Y / N j
Address I I License # I
OTHER Company
Signature Registered Y / N Fee Current Y / N
Address 1 ` License # I
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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 : / /appraiser.pascogov.com)