HomeMy WebLinkAbout09-9759 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9759
ANNUAL FIRE PROTECTION MAINTENANCE
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Permit Number: 9759 Address: 5039 1ST ST
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: 10- 26 - *21- 0010 - 12800 -009
Improv. Cost: ..
Date Issued: 11/16/2009 Name: MIRA ENTERPRISES
Total Fees: 25.00 Address: 5553 BRADDOCK DR
Amount Paid: 25.00 ZEPHYRHILLS, FL 33541
Date Paid: 11/16/2009 Phone:
Work Desc: FPM -HOOD SEMI- MAINLY NEW ENGLAND
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1.- A _ AN inal
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." err
�i
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 -1? -0020 City of ZephyrhiUS Fie, /) 9 1 5 1 Fax- 813 - 780-0021
Permit Application _ _._.
Date Received
Owners Name 1 011 � C_ v I Owners Phone Number .L j r ! 1 I — c9Z I I D I I
Owner's Address 1 So3 -1 l ST 7Q p.Q.‘,:•`t4 , c t --
Fee Simple Titleholder Name I I Titleholder Phone Number I I I I I
Fee Simple Titleholder Address I
P
I Lot# I
Job Address
I 1 Parcel #
Sub Division
a Bio- Hazard Waste Storage - ANNUAL o Fumigation Tent
El Comm Exhaust Kitchen Hood/Duct n Hazardous Material (tier II or RQ Facility) ANNUAL
E l Controlled Bum ED Hood Installation
Q Emergency Generator < 30 kw ED LP/Natural Gas - Installation
Emergency Generator > 30 kw El LP/Natural Gas - ANNUAL Sale
ED Fire Protection Maintenance - ANNUAL 1E1 Places of Assembly- ANNUAL
Sprinkler Lj ® ®®
❑ ❑ ❑ ED Recreational Bum
Fire Alarm n❑ 0 ❑ I I a spate
N
Hood Cleaning ❑ .`. ❑ 1 I I I Sprinlder System Installations
Hood Suppression 0 O Q I I a Standpipes (Sprinkler Sys)
ZI Fire Alarm Installation o Torch Roofmgrrar Kettle
Are Pumps a Waste Tire Storage ANNUAL
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Fire Works
..w Flammable ANNUAL I I valuation of Project
7 Fuel Tanks
- ei eC Company Contractor —'iM t° . ., - • Regis ed Y / N Fee current Y / N 1
Signature Address � `11. i , = ' :l License #
ELECTRICIAN Company I
Signature Registered I YIN I Fee Current I Y/ N I
Aar I I License* I
PLUMBER I
I Y N
Signature Registered Y/ N I Fee Current I 1
Address I 1 License # I
MECHANI CA I
LF
Signature I Registered Y/ N 1 Fee Current I Y/ N
Address III 1 Ucense # I
OTHER Company I
Signature Registered L Y/ N 1 Fee Current I Y/ N 1
Address Ucense # r , m _ n, r •
Directions:
Fin 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 55000)
Supply two (2) sets of drawings with applicable documentation
Allow 10-14 days for review after submittal date. Parcel # - obtained from Property Tax Notice (Mtpifappraiser.pascogw.cmm)