HomeMy WebLinkAbout10-10141 1 7 .
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10141
ANNUAL FIRE PROTECTION MAINTENANCE
, $ h 4tt a • ¢ ; . ' I a .s .... $€ .. ..t.. °. < : s `. 5 fl a '
Permit Number: 10141 Address: 37411 EILAND BLVD
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE - PROTECTION MAINTENAN •E Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 03- 26 -21- 0010 - 05300 -0000
Improv. Cost: �E . � . , � .. r; 11 -
Date Issued: 2/19/2010 Name: GOLDEN HEALTH SERVICES INC
Total Fees: 25.00 Address: 2424 CURLEW RD
Amount Paid: 25.00 PALM HARBOUR, FL 34683
Date Paid: 2/19/2010 Phone: (727)781 -5885
Work
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•. Desc: FPM-ANNUAL FIRE ALARM FOR WESTWINDS ZHILLS LLC
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ALER SE U-I Y INC FIR PERMIT F E 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."
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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 7 City of Zephyrhills Fire
Permit Application Fax- 813 -780 -0021
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Date Received Mali Phone Contact for Permit
1� •r.,�
Owners Name 1 _ I..fa _ Ze�h��t'l l l Inl 1 ( fB 1 I �5
�� . ` j i Owners Phone Number Q 1 X,
Owners Address I2y2 e\A I('i ) , t` 14CICtY� fl 3j t P )' I
Fee Simple Titleholder Name I I Titleholder Phone Number I 1 1 I
Fee Simple Titleholder Address I
Job Address Ian y U E.1IC1c1C\ BI V� 7� 1' h - 2,9-,f. -- 31-1 \ ►� �s Ti 'i 2_ , I Lot # I I
Sub Division I 1-i I Parcel # b3 2tp -Zi - C:\0 7 cIf
, ,.... ... ,*,.:¢ ,� •:s � 'B+¢, �.�,� �°.r #'v ^,`roar krtn;w r,. �.,,� „.
II Bio -Hazard Waste Storage - ANNUAL = Hazardous Material (Tier II or RQ Facility) ANNUAL
E Comm Exhaust Kitchen Hood /Duct = Hood Installation
Controlled Bum = LP /Natural Gas - Installation
Emergency Generator < 30 kw = LP /Natural Gas - ANNUAL Sale j'
Emergency Generator > 30 kw Places of Assembly - ANNUAL,. - //� sL f
® Fire Protection Maintenance - ANNUAL Recreational Burn - J
fQNU•„i l loll m maim j �
Sprinkler 1=1 ❑ ❑ ❑ n Sparklers
Fire Alarm E ❑ ❑ ( I n Sprinkler System Installations
Hood Cleaning ❑ ❑ ❑ I I n Standpipes (Sprinkler Sys)
Hood Suppression 0 ❑ ❑ ❑ ( I n Torch Roofing/Tar Kettle
El Fire Alarm Installation n Waste Tire Storage ANNUAL
0 Fire Pumps
Fire Works
Flammable Application- ANNUAL I ( Valuation of Project
Fuel Tanks
0 Other: 1
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Contractor LI[Ji��►rrlf�Yl l_St�
i e 1 1 , /P Registered ream rIhif F N�
Address / 01 . • - i, . 4 - St -' t D License # I E/ [ ) /pf — 7
ELECTRICIAN Company I
Signature Registered Y/ N I Fee Current I Y / N,I
Address License # I I
PLUMBER Company
Signature Registered Y/ N I Fee Current I Y/ N I
Address I I License # I I
MECHANICAL Company
Signature Registered Y/ N I Fee Current 1 Y/ N I
Address I
I License # I
I
OTHER Company I
Signature Registered Y/ N I Fee Current I Y/ N I
Address License #
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)
Company Name:
Alert Security DBA Signature Systems of Florida
Address:
150 Wilshire Blvd
Casselberry, F132707
Phone :
407 - 644 -8990
Fax:
407 - 644 -9626