HomeMy WebLinkAbout09-9724 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9724
ANNUAL FIRE PROTECTION MAINTENANCE
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Permit Number: 9724 Address: 37815 15TH 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: N/A
Est. Value: Parcel Number: 10- 26 -21- 0600 - 00000 -0010
Improv. Cost:
Date Issued: 11/05/2009 Name: JOSEPH, JOSEPH
Total Fees: 25.00 Address: 37815 15TH AVE WEST
Amount Paid: 25.00 ZEPHYRHILLS FL
Date Paid: 11/05/2009 Phone:
Work Desc: FPM- FIRE ALARM ANNUAL- WELLSPRING -SCH 11 -5 -09
INDU - IAL IRE & SA ETY N F1 PERM FEE 25.00
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FIRE A EPTAN 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."
Ikr.orr
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
813780 -0020 City ofZephyrhills Fire Fax -813 -780 -0021
Permit Application
Date Received Phone Contact for Permit ( ( 1
Owners Name Z e 3�4 9ep#4' Owners Phone Number ) ���3 1
Owners Address 37jy5 /Si' 41,,. Ltd
Fee Simple Titleholder Name Titleholder Phone Number
Fee Simple Titleholder Address
Job Address 378 '/5 /511 1 ) Lot#
Sub Division Parcel #
f Bio- Hazard Waste Storage - ANNUAL I ( Fumigation Tent
n Comm Exhaust Kitchen Hood /Duct n Hazardous Material (Tier II or RQ Facility) ANNUAL
Controlled Bum n Hood Installation
Emergency Generator < 30 kw n LP /Natural Gas - Installation
n Emergency Generator > 30 kw n LP /Natural Gas - ANNUAL Sale
n Fire Protection Maintenance - ANNUAL n Places of Assembly- ANNUAL
�Utrly JSemll I" Fi I Uther
Sprinkler ❑ I Recreational Bum
Fire Alarm ❑ ❑ pa 1 I I I Sparklers
Hood Cleaning ❑ ❑ ❑ 1 n Sprinkler System Installations
Hood Suppression ❑ ❑ ❑ l I n Standpipes (Sprinkler Sys)
n Fire Alarm Installation I I Torch Roofing/Tar Kettle
Fire Pumps n Waste Tire Storage ANNUAL
Fire Works
Flammable Application- ANNUAL I ( Valuation of Project
Fuel Tanks
El Other
Contractor Company
Signature Registered Y / N _ Fee Current ( Y / N
Address l I License #
ELECTRICIAN Company
Signature Registered Y/ N .J Fee Current I Y/ N 1
Address I License #
PLUMBER Company
Signature Registered Y / N _ Fee Current I Y / N
Address l t
License # !
MECHANICAL Company
Signature Registered Y/ N j Fee Current I Y/ N j
Address I License #
OTHER /� � � Company
Signature Registered Y / N j Fee Current Y / N ,
Address License #
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 Notce (http: / /appraiser.pascogov.com)