HomeMy WebLinkAbout09-9739 CITY OF ZEPHYRHILLS
5335 - 81 STREET
(813) 780 -0020 9739
. ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 9739 Address: 6712 DAIRY 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: 02 26 - 0010 - 03800 - 0000
Improv. Cost:
Date Issued: 11/06/2009 Name: LUSARE INVESTMENT HOLDINGS LLC
Total Fees: 25.00 Address: 28804 FALLING LEAVES WAY
Amount Paid: 25.00 WESLEY CHAPEL, FL 335435761
Date Paid: 11/06/2009 Phone: (813)679 - 1883
Work Desc: FPM - SPRINKLER ANNUAL- PEDIATRIC PATNERS
ATO AL •LU I•N, IN FIR PERM FEES 25.00
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Fl - AC PTAN 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."
Aar
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 IP l '7 3 I
Fax- 813 - 780 -0021
Permit Application
Date Received f
Phone Contact for Permit I ,ir , (9.t..) ,'L I II g q 3
Owner's Name � P . l
Ped : G / r/ ( 16f I Owner's Phone Number I 1 1 1
Owner's Address 6 7 n ■ a I / 7 (�� / //S PA 3 3s y �
Fee Simple Titleholder Name I `I• I 1 I I I
Titleholder Phone Number
Fee Simple Titleholder Address I
.lob Address Y X # F ,t f
/ I (/ • lS I / 33sy,1 Lot #
Sub Division I
Parcel #
I I Bio- Hazard Waste Storage - ANNUAL n Hazardous Material (Tier II or RQ Facility) ANNUAL
n Comm Exhaust Kitchen Hood /Duct El Hood Installation
n Controlled Burn = LP /Natural Gas - Installation
I I Emergency Generator < 30 kw I I LP /Natural Gas - ANNUAL Sale
1 I Emergency Generator > 30 kw I I Places of Assembly- ANNUAL
(X j Fire Protection Maintenance - ANNUAL II Recreational Bum
(Qtrlyl (Semi Fil 'Other I
Sprinkler Ix 1 El ID
Fire Alarm no ID ❑ I I Sprinkler System Installations
Hood Cleaning n ❑ ❑ ❑ I I I I Standpipes (Sprinkler Sys)
Hood Suppression n ❑ ❑ ❑ 1 1 1 I Torch Roofing /Tar Kettle
I 1 Fire Alarm Installation n Waste Tire Storage ANNUAL
1 1 Fire Pumps
1 I Fire Works
I I Flammable Application- ANNUAL
1
7 Valuation of Project
Fuel Tanks
In Other: I
Contractor ..
Company A T 1 50 to 4-i n I
,�'
Signature }I
Registered Y / N Fee Current Y / N
Andress 1 3531 Illet L icense #
I g235.3go Ia00 I
ELECTRICIAN
Company
Signature I
Registered Y / N I Fee Current I Y / N
Address I I
I License # I
PLUMBER I I
Company
Signature
Registered Y/ N I Fee Current I Y/ N I
Address
I License #
MECHANICAL( I
Company
Signature
Registered Y/ N I Fee Current I Y/ N I
Address I I
I License # I
OTHER
Company I
Signature i
Registered Y / N 1 Fee Current I Y! N
Address
1 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 Notice (http: / /appraiser.pascogov.com)