HomeMy WebLinkAbout09-9612 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9612
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 9612 Address: 36841 CLUBHOUSE DR
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: SILVER OAKS
Est. Value: Parcel Number: 04 26 - 0000 - 00100 - 0020
Improv. Cost: a ; F ,.
Date Issued: Name: S & R DEVELOPMENT LLC
Total Fees: 25.00 Address: 36841 CLUBHOUSE DR
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/05/2009 Phone:
Work Desc: FPM -HOOD CLEAN SEMI- SILVERADO CLUBHOUSE
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R & L FI - E P R' T 25.00
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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 al' 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
81 90 -0020 City of 2ephyrhills Firje
' ,�✓ � 61 ( Fax - 813 -780 -0021
Permit Application �' ,
Date Received _�. I - Phone Contact r
for Permit j1
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Owners Name 1 � j \\VCA C40 yG Owner`s Phone Number 121M1 J`1u 1 [vti
Owners Address 1 3 (o% M CNw6 ‘Auu ye._ t r 7 ; \AQ\i 1/4&5 ` —'
Fee Simple Titleholder Name 1 Titleholder Phone Number ( 1
Fee Simple Titleholder Address I
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Job Address Lot #
Sub Division I 1 Parcel # (
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fl Bio- Hazard Waste Storage - ANNUAL . . r Fumigation Tent
I Comm Exhaust Kitchen Hood/Duct n Hazardous Material (Tier II or RQ Facility) ANNUAL
7 Controlled Bum Hood Installation
El Emergency Generator < 30 kw I LP/Natural Gas- Installation
Ei Emergency Generator > 30 kw I ( LP/Natural Gas - ANNUAL Sale
pi Fire Protection Maintenance - ANNUAL 1 1 Places of Assembly- ANNUAL
®®® Utner
Sprinkler I—I ❑ ❑ ❑ r Recreational Bum
Fire Alarm n ❑ ❑ ❑ I 1 I Sparklers
Ho od Cleaning ❑ �L ❑ I ) I Sprinkler System Installations
Hood Suppression ❑ /❑ ❑ I I r] Standpipes (Sprinkler Sys)
ED Fi Alarm Installation I I Torch Roofing/Tar Kettle
Fire Pumps I-I Waste Tire Storage ANNUAL
Fire Works
Flammable Application- ANNUAL I ' Valuation of Project
Fuel Tanks
• •i er. I
Contractor ) Company
Signature _ tiy‘( ' • " , V[ Registered Y / N I Fee Current I Y / N
Address . _- h - �7c' ' - i +
-) 3 License # I I
ELECTRICIAN Company I
Signature Registered Y/ N I Fee Current I Y/ N
Address I I License # I I
PLUMBER Company I
Signature Registered Y/ N 1 Fee Current I Y/N I
Address I I License # I
MECHANICAL Company I
Signature Registered Y/ N j Fee Current 1 Y/ N I
Address I I License # I I
OTHER Company I
Signature Registered Y/ N] Fee Current I Y/ N 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 frorn Property Tax Notice (httpi /appraiser.pascogov.com)