HomeMy WebLinkAbout09-9027 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9027
ANNUAL FIRE PROTECTION MAINTENANCE
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Permit Number: 9027 Address: 38445 5TH AVE
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE - PROTECTION MAINTENANeE Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11- 26 -21- 0010 - 15300 -0080
Improv. Cost: ..,:: : E - @`. 4 .
Date Issued: 4/15/2009 Name: ABED, HAZEM G.
Total Fees: 25.00 Address: 38445 5TH AVE
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/15/2009 Phone:
Work Desc: FPM- SEMI SUPPRESSION- MANDO'S
TAMPA BAY FIREEQUIPMENT INC FIRE PERMIT FEES 25.00
,2 9,067
FIRE 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."
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 7 . Phone Contact for Permit
Owner's Name I 7)/ / &C S A ' / 5 7 1- 4 - "Z r Owners Phone Number 1 9 ) 3 1 1 7 / S . 1 1 70 72
Owners Address 1 3 '1 4 �� 5 11 -4 - /`
Fee Simple Titleholder Name Titleholder Phone Number I
Fee Simple Titleholder 1 I
Job Address Lot #
Sub Division Parcel #
q
n Bio- Hazard,Waste Storage - ANNUAL = Fumigation Tent
n Comm Exhaust Kitchen Hood /Duct n Hazardous Material (Tier 0 or RQ Facility) ANNUAL
n Controlled Bum n Hood Installation
n Emergency Generator < 30 kw n LP /Natural Gas - Installation
n Emergency Generator> 30 kw • n LP /Natural Gas - ANNUAL Sale
® Fire Protection Maintenance - ANNUAL n Places of Assembly- ANNUAL
Litd J 'Semi' Lad Other
Sprinkler ❑ ❑ ❑ n Recreational Bum
Fire Alarm El ❑ ❑ ❑ I I n Sparklers
Hood Cleaning IT ❑ ❑ . ❑ I 1 n Sprinkler System Installations
Hood Suppression I I ❑ X ❑ 1 I n Standpipes (Sprinkler Sys)
Fire Alarm Installation I Torch Roofing/Tar Kettle
Fire Pumps . n Wdste Tire Storage ANNUAL
Fire Works
Flammable Application- ANNUAL
1 5 `12- I Valuation of Project
Fuel Tanks
n Other: I
Contractor iin', ! �rd Company //Gi Arai., "" ,� — c
Signature / Registered rgEll Fee Current n ilyx s
Address lea • / 0.4 z ,e 23 J eM I , Q R lam--- 3377X) License # ) 5 / c o I
ELECTRICIAN Company I
Signature Registered Y / N J Fee Current I Y/ N
Address I • License # I
PLUMBER Company I
Signature Registered Y / N 1 Fee Current I Y / N J
Address I I License # I I
MECHANICAL Company I
Signature Registered Y/ N I Fee Current I Y/ N I
Address I I License # I
OTHER Company I
Signature Registered Y/ N I Fee Current I Y/ N J
Address License #
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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)