HomeMy WebLinkAbout09-9890 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9890
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 9890 Address: 6938 MEDICAL VIEW LN
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: 02- 26 -21- 0290 - 00000 -0070
Improv. Cost: ..., � � e° �'.; ° - 1 1 , i
Date Issued: 12/11/2009 N .. ame: LENDALL, KNIGHT& CHRISTINA
Total Fees: 25.00 Address: 4901 SEMINARY RD
Amount Paid: 25.00 ALEXANDER VI 22311
Date Paid: 12/11/2009 Phone: (571)312 -1243
Work Desc: FPM -FIRE ALARM QUARTERLY - NORTHWIND PROPERTY
ATE AL •L IAN, INC F - PERM FE 25.00
o /0
Fl - AC - 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."
1
P -21 "- 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 ,14616q6 Fax -813- 780 -0021
Permit Application
Date Received
1 Phone Contact for Permit 112 z I q q 2 I► g q 3
Owner's Name P 0 P , , J O LLG Phone Number 1571 I 1 3 J % ? ,
Owner's Address 15 2V COAe,,jv l6VN Ter,. q, P i q ,i
Fee Simple Titleholder Name Titleholder Phone Number I I
Fee Simple Titleholder Address I
Job Address 4 f3 neekA' U) 'e.v Goti,,e Z I r /s 335V Lot# I
Sub Division Parcel # '/jr / I /t
J Bio- Hazard Waste Storage - ANNUAL n Hazardous Material (Tier II or RQ Facility) ANNUAL
I—I Comm Exhaust Kitchen Hood /Duct I I Hood Installation
(i Controlled Burn I LP /Natural Gas - Installation
I 1 Emergency Generator < 30 kw I 1 LP /Natural Gas - ANNUAL Sale
IJ Emergency Generator > 30 kw I I Places of Assembly- ANNUAL
F -- >i Fire Protection Maintenance - ANNUAL I I Recreational Burn
IQtrlyl'Semi i""'1 Other
Sprinkler 0 ❑ ❑ ❑ I I Sparklers
Fire Alarm � ❑ ❑ I I I I Sprinkler System Installations
Hood Cleaning ❑ ❑ ❑ I I I Standpipes (Sprinkler Sys)
Hood Suppression 0 ❑ ❑ ❑ I I 1 I Torch Roofing/Tar Kettle
7 Fire Alarm Installation I] Waste Tire Storage ANNUAL
7 Fire Pumps
7 Fire Works
' Flammable Application- ANNUAL r 1 Valuation of Project
� ,.�� '
Fuel Tanks
n Other: I
Contractor Company nG
A T -- 1 , (u41.Or1.
Signature c Registered I Y/ N J Fee Current I Y / N 1
Address I 35 31 1 J ane p,c1, I E.F0000 4 1 I
`( 1 License #
ELECTRICIAN Company I
Signature Registered Y/ N I Fee Current 1 Y / N I
Address I I License # I
PLUMBER 1 Company 1 I
Signature 1 Registered Y/ N I Fee Current I Y/ N I
Address I I License # I
MECHANICAL Company
Signature Registered Y / N ] Fee Current I Y / N
Address I I License # I
OTHER Company
Signature Registered Y/ N I Fee Current I Y/ N I
Address I I License # 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 from Property Tax Notice (http: / /appraiser.pascogov.com)