HomeMy WebLinkAbout09-9964 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9964
ANNUAL FIRE PROTECTION MAINTENANCE
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Permit Number: 9964 Address: 38361 CR 54 EAST
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 -0018- 00000 -0050
Improv. Cost:
Date Issued: 1/05/2010 X
Name: FOTOPOULOS, WILLIAM & FLAX', JOH
Total Fees: 50.00 Address: 38361 CR 54 EAST
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1/05/2010 Phone: (813)783 -1623
Work Desc: FPM- SEMI HOOD /SUPPRESSION JOHN'S STEAK & SEAFOOD - SCH 1/12/10
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S U'1 F - •UI- EN LLC Fl - R IT S 50.00
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FIR A AN Final 1I .., ... . .... ...__ _.
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."
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
Date Received /' --a too
Owner's Name e
/ Phone Contact for Permit
e .�l �� Owner's Phone Number 2f3 /60Z3
Owner's Address 38 Z z��iy ,-4 /is ,
Fee Simple Titleholder Name Titleholder Phone Number
Fee Simple Titleholder Address
... .... n. r. )a .n. , F E0. :F'("4. .. f .` ' ,1t,a: " r W M.,. ...+. -{ ,, ..., . {, r Cr. ....e
Job Address
Lot*
Sub Division Parcel #
ri Bio Hazard Waste Storage .. w� 4 _. . . :: _. ,.:. : . _,�, .W_ .,., . ....... . .. . . . ..
e - ANNUAL I I Fumigation Tent
n Comm Exhaust Kitchen Hood /Duct n Hazardous Material (Tier II or RQ Facility) ANNUAL
FT Controlled Bum n Hood Installation
I - 7 Emergency Generator < 30 kw n LP /Natural Gas - Installation
Emergency Generator > 30 kw n LP /Natural Gas - ANNUAL Sale
Ti Fire Protection Maintenance - ANNUAL n Places of Assembly - ANNUAL
l Utnyl Item) FE11 other
Sprinkler n ❑ ❑ ❑ I I Recreational Bum
Fire Alarm n ❑ ❑ ❑ I I I I Sparklers
Hood Cleaning ❑ iii ❑ I ( I Sprinkler System Installations
Hood Suppression .:, ❑ Af ❑ I 1 I 1 Standpipes (Sprinkler Sys)
Fire Alarm Installation I I Torch Roofing/Tar Kettle
I I
Fire Pumps I Waste Tire Storage ANNUAL
I I Fire Works
I
Flammable Application- ANNUAL I I Valuation of Project
El Fuel Tanks
I I Other: 1
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Contractor Company
Signature Registered Y / N I Fee Current I Y / N j
Address I I License #
ELECTRICIAN Company
Signature Registered Y / N . 1 Fee Current I Y / N I
Address (
1 License #
PLUMBER Company
Signature Registered Y / N I Fee Current I Y / N
Address I
License*
MECHANICAL Company
Signature Registered Y / N j Fee Current I Y / N
Address I
License #
OTHER Company G
Signature P �CG� 4(.vt�t_ Registered DV`� Fee Current LIj'r�
Address b , s License # I - SO Z 5 -� (a( e, j t
D 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)
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