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09-9471
CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9471 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 9471 Address: 685) 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- 0010 - 01200 -0000 Improv. Cost: Date Issued: 8/26/2009 Name: ELKS LODGE Total Fees: 25.00 Address: 6851 WIRE RD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 8/26/2009 Phone: (813)782 -4604 Work Desc: FPM -FIRE SPRINKLER ANNUAL FOR ZEPHYRHILLS ELKS LODGE #2731-8/26/09 W IN E 11 � s ..� ..r, �• m a 3. 2a � � �-.,� .�� �".. � „' ��,§ � "' - VI S L REP -MI FE 25.00 (03..Q r FI - E A E - TAN Final ~.."••° • . ^, ....E . -.:: 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." j P ;T 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 r "G/10/2008 /SUN 11:15 AM ZEPHYRHILLS BUILDING FAX No. 813 P. 001 • 813-700-0020 C OfZe h • City p yrhills'Fi1id.- • Fax -813- 780 -0021 J Permit Application Date Received o C l� Phone ContaetforPennit Owner's Name I .Z,,CANy4 HrcC S 11 -KS L04€ _ 2.7 3 I I Owners Phone Number .I S /3 117 8 G I 14604- Owner's Address 1 6 85 £tl. 4 K R a Pi - r Fee Simple Titleholder Name • I W G s S v Sp sic ; e.J �Zt y.t j S, LL-L•1 Titlehoder Phone Number 1 2.1 1 I s. S S I 146/9 Fee Simple Titleholder Address I P o 6 plc / 6 2-o L•o. t G ' /'4 3 3 7 '79 _ 111 Job Address' I 68.6"7 . 1,114.!. . /C o .s 4 L 1 Lot# Sub Division I Parcel # I Ii Blo-Hazard Waste Storage -ANNUAL J 1 I Fumigation lent • •A Comm Exhaust Kitchen Hood/Duct n Hazardous Material (Tier II or RC Facility) ANNUAL n Controlled Bum. El Hood Installation . ` Emergency Generator < 30 kw • • • • n , LP/Natural Gas- Installation Emergency Generator > 30 kw LNatural n 1 / ® t•.= 9 Sprinkler ❑ d ❑ k{ a Recreational Bum • ' • Fire Alarm I ' p • ❑ p El Sparkle Hood Cleaning I ] ❑ 0 • 0 J s n Sprtrdder System Installations • . Hoad Suppression E in ❑ o ( 1 El Standpipes (SprknklerSys) • Q( l Fire Pumps Fire Alarm Installation ��''``''�� Torch Roofing/Tar • l 1 ' tor Kettle ' I f 1 Waste Tire Storage ANNUM Fire Works - HI Flammable Application- ANNUAL Fuel Tanks sr 2 op, er 'Valuation of Project F Other: o4..., cit.( � 9» —'N L 1N . a/ fTlfi '. Sni -r, ©.✓ I Contractor � ' C W SC -o+�AC74 LLC Signature ‘. ( sl�lN. I Registered Y! N 1 Fee current ( Y/ N 1 1 Addree 20'$ 712o0.c '4v4 .,c, L.o,apor / 3.3770 I •I • Ucense# • j ‘2386 /tool ELECTRICIAN' 1 _ Signature • Company 1 • Registered • • Y / N ' 1 Fee Current 1 Y / N ' Address I 1 , • License # I PLUMBER I - • Signature l Company Registered Y N Kee Currant Y/ N 1 Address I • . (• License # L - 1 MECHANICAL Signature Company • I • • - Registered -Y/ N 1 Fee Current 1 Y/ N 1 Address 1 1 License # I O 1 THER • Signature .. • Company 1 • • - Registered I . Y/ N J Fee Current 1 Y/ N 1 Address Directions: License # Fill out application completely. • Owner & Contractor sign back of application, notarized (Or, copy of elgned comma with owner) If over $2500, a Notice pf Commencement Is regulred.(Mechanical work over $6000) Supply two (2) sets of drawings with applicable documentation - Allow 10-14 days for review after submittal date. Parcel # - obtained from Tax Notice �opertY (hltpJ /appnaissr pasco9ov.com) ' • • • • • • •