HomeMy WebLinkAbout09-9914 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9914
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 9914 Address: 4645 AIRPORT 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: 13- 26 -21- 0080 - 00000 -0020
Im rov. Cost:
Date Issued: 12/18/2009 Name: ZEPHYR PALMS EVENT CTR
Total Fees: 25.00 Address: 4645 AIRPORT RD
Amount Paid: 25.00 1 , ; ,s� ZEPHYRHILLS, FL. 33542
Date Paid: 12/18/2009 .` Phone:
Work Desc: FPM- FIRE ALARM- ZEPHYR PALMS- ALREADY SERVICED KB
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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."
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/P AOVY
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 Fax- 813 - 780 -0021
Permit Application 4
)ate Received W - Phone Contact for Permit
»4 !:� . s:. - •:try. •e r . _ , r r .r,... ..,�.
)wner's Name d re ►.. , P. .... Owner's Phone Number 1 I l
■ 1 _ -
) )wner's Address I LI (t) y S. t o c a c T P- & 7-pp 1 a k.. t t , a' s a s -1 •
=ee Simple Titleholder Name Titleholder Phone Number 1Y1 1 997 I 61 5
zee Simple Titleholder Address
Job Address (j L .■ r . L -, it r, ( i 3 35 Lot #
Sub Division Parcel #
I
Bb- Hazard Waste Storage - ANNUAL a Fumigation Tent
ED Comm Exhaust Kitchen Hood/Duct I f Hazardous Material (Tier II or RQ Facility) ANNUAL
n Controlled Bum Hood Installation
r -- 1 Emergency Generator < 30 kw 1 LP /Natural Gas - Installation
Emergency Generator> 30 kw ( I LP /Natural Gas - ANNUAL Sale
Fire Protection Maintenance - ANNUAL = Places of.Assembly- ANNUAL
P mr raj tither
Sprinkler /1 ❑ ❑ n Recreational Bum
Fire Alarm ❑ ❑ I 1 7 Sparklers
Hood Cleaning ❑ ❑ ❑ I I El Sprinkler System Installations
Hood Suppression El ❑ ❑ ❑ I ) n Standpipes (Sprinkler Sys)
ED Fire Alarm Installation I Torch- Roofing/Tar Kettle
IN
Fire Pumps ri Waste Tire Storage ANNUAL
1 Fire Works •
Flammable Application- ANNUAL Valuation of Project
Fuel Tanks
I—I Other.
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Signature Company �� >!3� 1 5
g Registered Y/ N Fee Current Y / N
Address (' 'r L:,-, f License* Ef 600 (D' - -7n I
ELECTRICIAN Company
Signature Registered Y / N Fee Current Y / N
Address I I License # I
PLUMBER Company
Signature Registered Y / N e Current Y / N
Address I I License # I
MECHANICAL Company
Signature Registered Y / N _I Fee Current 1 Y / N 1
Address 1 I License #
OTHER
Company
Signature
Registered Y / N Fee Current Y / N
Address License it
Directions:
Fill out application completely.
Owner 8 Contractor sign back of application, notarized (Or, copy of signed contract with owner)
If over S2500, 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 It - obtained from Property Tax Notice (Mtp:! /appraiser.pascogov.com)