HomeMy WebLinkAbout09-9234 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9234
ANNUAL FIRE PROTECTION MAINTENANCE
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Permit Number: 9234 Address: 38445 5TH AVE
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: 11- 26 -21- 0010 - 15300 -0080
Improv. Cost:
Date Issued: 6/11/2009 Name: ABED, HAZEM G.
Total Fees: 25.00 Address: 38445 5TH AVE
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/11/2009 Phone:
Work Desc: FPM- HOOD CLEAN SEMI- MANOLO'S
R & L CLEANING LLC FIRE PERMIT FEES 25.00
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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.” ♦ r
P Z. 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. 4 �� Z �� Fax - 813- 780-0021 _
Permit Application - =--
Date Received - Phone
eceived
Larseameassonastaraxv
Phone Contact Permit for Pet
Owners Name
1 i1a C V5 1 Owners Phone Number - 1 13 4 - 71
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Owners Address I .p A" , l S 6
Fee Simple Titleholder Name
I l Titleholder Phone Number I l 1 11
Fee Simple Titleholder Address
Job Address � Lot#
1 I I
1 Parcel #
Sub Division
ED Bio-Hazard Waste Storage -ANNUAL a Fumigation Tent
I Comm Exhaust Kitchen Hood/Duct n Hazardous Material (Tier II or RQ Facility) ANNUAL
El Controlled Bum ED Hood Installation
El Emergency Generator < 30 kw ED LP/Natural Gas-Installation
El Emergency Generator> 30 kw n LP/Natural Gas - ANNUAL Sale
Fire Protection Maintenance - ANNUAL n Places of Assembly- ANNUAL
El . ®I cnner I
Sprinkler ❑ ❑ ❑ Recreational Bum
Fire Alarm - ❑ ❑ ❑ Sparklers
N
Hood Cleaning ❑ ❑ 1 1 n Sprinkler System Installations
Hood Suppression 1:1 ❑ ❑
I I I1 Standpipes (Sprinkler Sys)
Fire Alarm Installation I Torch Rooting/Tar Kettle
FR Fire Pumps n Waste Tire Storage ANNUAL
Fire Works
Flammable Application- ANNUAL I Valuation of Project
R Fuel Tanks I
Contractor ti 1 a - Company Y/ N Fee Current Y/ N
Signature 4111,V1/411111)
,l�∎... A Registered I
Address " License #
� h. _ � el c 1
ELECTRICIAN Cony
Signature Registered Y/ N 1 Fee Current I Y/ N 1
Address I .1 License #
PLUMBER Company I
Signature Registered Y/ N 1 Fee Current 1 Y/ N
Address I I License # ( I
MECHANICAL Company I
Signature Registered Y/ N f Fee Current I Y/ N I
Address f I License # I
OTHER Company I
Signature Registered l Y/ N I Fee Current L Y/ N
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)
tf over $2500. a Notice of Commencement is required (Mechanical work over $5000)
Supply two (2) sets of drawings with applicable documentation Tax (htlpJlappreiser.pascogov.com)
Allow 10-14 days for review after submittal date. Parcel # - obtained from Property