HomeMy WebLinkAbout09-9785 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9785
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 9785 Address: 5016 AIRPORT RD
Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL.
Class of Work: FIRE - RECREATIONAL BURN Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number:
Improv. Cost: t , , • ° , i : ,x T i MS
Date Issued: 11/20/2009 Name: ZEPHYRHILLS MANAGEMENT
Total Fees: 75.00 Address: 5016 AIRPORT RD
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 12/03/2009 Phone:
Work Desc: FPM - SPRINKLER & FIRE ALARM & PORTABLE FIRE EXTINQ ANNUAL -RESCH 12/4/09
FIRE - MIT 25.00 FIR 7 RMI E 5000
(CP
0
N' e
1
FI - A - AN 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."
.a e - 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
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9785
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 9785 Address: 5016 AIRPORT RD
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE - RECREATIONAL BURN Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number:
Improv. Cost:
Date Issued: 11/20/2009 Name: ZEPHYRHILLS MANAGEMENT
Total Fees: 25.00 Address: 5016 AIRPORT RD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/20/2009 Phone:
Work Desc: FPM SPRINKLER & FIRE ALARM & PORTABLE FIRE EXTINQ ANNUAL-SCH 11/24/09
t a 9
OX IRE --• E I *N,IN . IRE - - MIT ES 25.00
2 m
ti-?_s
or
,J I
i 1l 30 b ` ■
Fl - E ACCEPTANCE 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." _
j
P T• 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 D -91 City of Zephyrhills Fire Fax -813- 780 -0021
( Permit Application
Date ReceivetJ 07, Phone Contact for Permit 1 513 I I .:,...2‘41 I 1
Ii0
Owners Name • • ,'.. ',, • ! Vi , A Owner's Phone Number I al 3 1 1 5 1 Zp ( 1
Owner's Address 160l b a rptrt 28. ` p i- \ I IS , PL. S/ / 2_
Fee Simple Titleholder Name I Titleholder Phone Number I I
Fee Simple Titleholder Address I
, • 1 I-
Job Address 1 Sot (o J'T 1 C Pa t � . . �°1 r k �,t 1 S t R_ 33S4 2 Lot # I
Sub Division I ` 0 ph ('rY\ i I Is ( Parcel # I
n Bio- Hazard Waste Storage - ANNUAL Ei Hazardous Material (Tier II or RQ Facility) ANNUAL
n Comm Exhaust Kitchen Hood /Duct n Hood Installation
El Controlled Bum Q LP /Natural Gas - Installation
D Emergency Generator < 30 kw E=I LP /Natural Gas - ANNUAL Sale _,_,
. .......
Emergency Generator > 30 kw n r Places of Assembly- ANNUAL !
Fire Protection Maintenance - ANNUAL a KM Recreational Bum
r A
rardil , i rt gC
S6/1, r 1 nN Sprinkler ❑ ❑ ® 0 Sparklers
i'
log Fire Alarm ❑ ❑ P. I 1 n Sprinkler System Installations
24
II 'IDC\ Hood Cleaning ❑ ❑ ❑ Ej Standpipes (Sprinkler Sys)
Hood Suppression 0 ❑ ❑ ❑ I 1 E Torch Roofing/Tar Kettle
El Fire Alarm Installation n Waste Tire Storage ANNUAL
n Fire Pumps
n Fire Works
0 Flammable Application- ANNUAL
1 ( Valuation of Project
El Fuel Tanks
Other: i it'i`. . » it! i
P�
Contractor � y � / Company
Signature �1 6'k Registered roi , Fee Current /"U(J/� nt MUM
Address In/3 r- l /// n
- to Q� cakk twi id064 a �r l License# (Q1 (OQ 2i G.00C) 1 11 ,PS I
ELECTRICIAN Company
Signature Registered Y/ N J Fee Current I Y / N j
Address ( I License # I 1
PLUMBER Company I
Signature Registered Y / N I Fee Current 1 Y / N
Address I
I License #
MECHANICAL Company
Signature Registered Y/ N I Fee Current I Y / N I
Address I
1 License # I
OTHER Company
Signature Registered Y / N 1 Fee Current I Y/ N I
Address ( I 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 $5000)
Supply two (2) sets of drawings with applicable documentation
Allow 10 -14 days for review after submittal date. Parcel # - obtained from Property Tax Notice (http: / /appraiser.pascogov.com)
CITY OF ZEPHYRHILLS
5335 - 8TH STREET �,. ;I:
,
(813) 780 -0020
�._ _ _.�.�— ._..- --- - -- - 9785
ANNUAL FIRE PROTECTION MAINTENANCE
PIErR I A ' ,11:k ;`1 `' if NtjNFGplNnoNy
Permit Number: 9785
Address: 5016 AIRPORT RD
Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL.
Class of Work: FIRE- RECREATIONAL BURN Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: 1 Parcel Number:
Improv. Cost: ,. 's _
Date Issued: 11/20/2009 Ilat= �IF�.e e " '� � � y
i Name: ZEPHYRHILLS MANAGEMENT
Total Fees: 25.00 I 4,lgs Address: 5016 AIRPORT RD
Amount Paid: 25 ✓4. a1° ZEPHYRHILLS, FL. 33542
Date Paid: 11/20/2009 '1' Phone:
Work Desc: FPM - SPRINKLER & FIRE ALARM & PORTABLE FIRE EXTINQ ANNUA - SCH 11/24/09
f . C s, - ' `' (0-, 1, ,j Y r2" 5'+$" ' i
CdX 3 'P'at ' 4 . -v ' '1 °` x .,� 31 � r
FIRE - ROT CTION.IN FIR . � �.� .00
CLACI, � 2,r rn' ► 4- 4e ns io ci;cu
25 thAitt44.fl Maven T/s I Z (4 (oq
2c QJAI/l en ri T �.r
FIRE ACCEPTANCE F
-
Chapter 633, Florida Statutes, authorizes the City to charge and collie
prevention and protection related activities such as inspections, plan
costs related to the aforementioned.
Complete Plans, Specifications and Fee Must Accompany Application. Commen
the Fire Departments Fire Marshal or required permits or opening up for commercial activa _..
inspection shall be charged double permit fee per day of operation or a minimum of $100.00, whichever is greater. All
worK snail 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."
mow Ar:arl
11 4 1 7 1 1027
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