HomeMy WebLinkAbout09-9573 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9573
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 9573 Address: 39317 AIR PARK RD
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: 13- 26 -21- 0000 - 00100 -0020
Improv. Cost: �� + >.. s fir' ~ ai'f °s�
Date Issued: 9/25/2009 Name: CITY OF ZEPHYRHILLS
Total Fees: Address: 39317 AIR PARK RD
Amount Paid: _ td ,- ZEPHYRHILLS, FL. 33542
Date Pai Phone:
Work Desc: PM- ANNUAL FIRE SPRINKLER FOR AIRPORT AUTHORITY SCHEDULED 9/30/09
•X IRE P •T I•N,I
•
FIRE A EPTANC 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 $100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE
OF COMMENCEMENT." �!
lar
P '� IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813- 780 -0041
813 - 780 -0020 City of Zephyrhills Fire Fax- 813- 780 -0021
' ° Permit Application
Date Received I q I 23 I Phone Contact for Permit I a l r 3 11 2 41 114
Owner's Name 1 L■4 0 E c (`� t t S ` - A, r pp ( f Atc k Owner's Phone Number I V 13 1`71L1 1 1 � f7q'7
Owner's Address 1 5335 8 S ,4-. Y\ (� C " k, t 11,$ , f L 3 35c12-
Fee Simple Titleholder Name I Titleholder Phone Number
Fee Simple Titleholder Address I
Job Address 1 x AA Par- Qc t Q rh y t�L 3 SLI Z. Lot# OM
Sub Division 1 t i P 1 Parcel # 13 — d- 10 — MOO — DO I co- ooao)
0 Bio- Hazard Waste Storage - ANNUAL n Hazardous Material (Tier II or RQ Facility) ANNUAL
Comm Exhaust Kitchen Hood /Duct n Hood Installation
II Controlled Burn = LP /Natural Gas - Installation
E Emergency Generator < 30 kw n LP /Natural Gas - ANNUAL Sale
I - 1 Emergency Generator > 30 kw n Places of Assembly- ANNUAL
Fire Protection Maintenance - ANNUAL = Recreational Burn
rainjr1 peril UM Other /
SC-W { Sprinkler 0 ❑ ❑ ❑ = Sparklers '
parklers �f
46( C O 3 D1 Fire Alarm TI ❑ ❑ ❑ I I n Sprinkler System Installations r
Hood Cleaning Pk ❑ ❑ E l I n Standpipes (Sprinkler Sys)
Hood Suppression TI ❑ ❑ I l l I n Torch Roofing/Tar Kettle
El Fire Alarm Installation n Waste Tire Storage ANNUAL
Fire Pumps
E Fire Works
E Flammable Application- ANNUAL I I Valuation of Project
Fuel Tanks
0 •1 -r: I
Contractor x 41, Compa i Fi 1 � oh h � • SnC .
Signature � Registered ream Fee Current rem
Address I gg10 ProCtSSion«¢ ? 1 TemPQ , Fl _ 33b3e7 I License # IOC bgaaaoc) i( gj5 I
ELECTRICIAN Company
Signature Registered Y / N I Fee Current 1 Y / N I
Address License #
PLUMBER Company I
Signature Registered Y / N _I Fee Current I Y / N
Address I I License #
MECHANICAL Company I
Signature Registered Y/ N I Fee Current I Y / N
Address I I License #
OTHER Company I
Signature Registered Y/ N I Fee Current I Y/ N I
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 with applicable documentation
Allow 10 -14 days for review after submittal date. Parcel # - obtained from Property Tax Notice (http: / /appraiser.pascogov.com)
CITY OF ZEPHYRHILLS 311/t•
. .
5335 - 8TH STREET (
(813) 780 -0020 9573
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 9573 Address: 39317 AIR PARK RD
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: 13- 26 -21- 0000 - 00100 -0020
Improv. Cost:. . ` ",'v,,$1:2, {
Date Issued: 9/25/200• Name: CITY OF ZEPHYRHILLS
Total Fees: - Address: 39317 AIR PARK RD
Amount Paid: (./ ' ', ° ZEPHYRHILLS, FL. 33542
Date Paid: . Phone:
Work Desc: FPM - ANNUAL Fl E SPRINKLER FOR AIRPORT AUTHORITY SCHEDULED 9/30/09
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COX FIRE PROTECTION INC 19453
7910 PROFESSIONAL PLACE
TAMPA, FL 33637 63 757/631 A
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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." ...rm.
4 . 1 imp-Ar■rt
A■oor
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