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10-10027
CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 10027 ANNUAL FIRE PROTECTION MAINTENANCE s :If_ y ; ? `�£ tS §s' „' : '` Permit Number: 10027 Address: 3708 COPELAND DR 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: mprov. Cost:;, r Date Issued: 1/22/2010 Name: BAHR'S PROPANE GAS & NC Total Fees: 50.00 Address: 3708 COPELAND DR Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 1/22/2010 Phone: Work Desc: FPM- LP NATURAL GAS- ANNUAL SALE- 1 45,000 TANK RMI 50.00 \\ 3 I I► FIR A - A 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 $100.00, whichever is greater. All work shall be performed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.” �! ArA P � IT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813 - 780 -0041 813 - 80 -0020 City of Zephyrhills Fire Fax- 813- 780 -0021 Permit Application Date Received Phone Contact for Permit Owner's Name IP .I, /� � ' � r • L? J .; 4- -� � ' T'7� � Owner's Phone Number 13/ 3 117821156/31 Owners Address 3 7d A ,C� ©�, Jc � �J- ""/� • I Fee Simple Titleholder Name / Titleholder Phone Number O / 1 ( 7 e9 15 Fee Simple Titleholder Address I I Job Address ( a . , � I Lot# Sub Division I Parcel # v5 a/ A' 461410 w" El Bio- Hazard Waste Storage - ANNUAL n Hazardous Material (Tier II or RQ Facility) ANNUAL El Comm Exhaust Kitchen Hood /Duct In Hood Installation ` L / Il Controlled Burn n LP /Natural Gas - Installation i ^ 9.-000 649Z: n Emergency Generator < 30 kw ® LP /Natural Gas - ANNUAL Sale J Emergency Generator > 30 kw n Places of Assembly- ANNUAL / �^ E Fire Protection Maintenance - ANNUAL n Recreational Burn L r / £4..$ 0 )'' pi r y emT " ' I Other Sprinkler n ❑ ❑ ❑ n Sparklers Fire Alarm 0 ❑ ❑ ❑ I 1 D Sprinkler System Installations Hood Cleaning 0 ❑ ❑ ❑ 1 1 n Standpipes (Sprinkler Sys) Hood Suppression E ❑ ❑ ❑ 1 1 11 Torch Roofing/Tar Kettle n Fire Alarm Installation In Waste Tire Storage ANNUAL n Fire Pumps 0 Fire Works 0 Flammable Application- ANNUAL I I Valuation of Project El Fuel Tanks Q Other: I I Contractor Company I Signature Registered Y/ N I Fee Current I Y / N Address I I License # I ELECTRICIAN Company I Signature Registered Y/ N I Fee Current I Y/ N Address I I License # PLUMBER Company I Signature Registered Y/ N ] Fee Current I Y / N Address 1 I License # I MECHANICAL Company I Signature Registered Y/ N I Fee Current 1 Y / N Address I I License # OTHER / ,•,_ _ p A ,._ {— ' C- „ZVC: Signature Registered lQ all Fee Current Y / N • - License # r Address �{�•; �;. !., 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)