HomeMy WebLinkAbout10-10143 CITY OF ZEPHYRHILLS 9/
5335 - 8TH STREET
(813) 780 -0020 10143
ANNUAL FIRE PROTECTION MAINTENANCE gg
Per � it
Number: 10143 Address: 5930 8TH ST
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE - PROTECTION MAINTENAN Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11- 26 -21- 0010 - 00700 -0220
Improv. Cost: k(. ' 0 € ., t ,,, ..-: - ti ',,,a ., "3 i i ; :_ , 3 a : , , ti ,N1
Date Issued: 2/19/2010 Name: JOHNSON, DEAN
Total Fees: 25.00 Address: 5930 8TH ST
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/19/2010 Phone:
Work Desc: FPM - ANNUAL FIRE ALARM FOR VACANT BLDG.
S E TR.NI - . IN FI 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.”
a..
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 - 78040021
Permit Application
late Received IA «iMIIIII
- Phone C Permit • Contact for MAW
5
)wner's Name I Owner's Phone Number 5( — '
) wner's Address 9 30 /S � S 1 2e104 r , f ' F1 33_5-4/,),
=ee Simple Titleholder Name I Titleholder Phone Number I I I
=ee Simple Titleholder Address I `
Job Address ei3d S J iI .5 1 Ze r i,, ',//5 } F j 3 SL�.)-�' Lot #
Sub Division
Parcel # I
n Bio - Hazard Waste Storage - ANNUAL Q Fumigation Tent
ED Comm Exhaust Kitchen Hood/Duct n
.Hazardous Material (Tier II or RQ Facility) ANNUAL
I - 1 Controlled Bum n Hood Installation
n Emergency Generator < 30 kw n LP /Natural Gas - Installation ti '''''..
Emergency Generator> 30 kw I ( LP /Natural Gas - ANNUAL le Fire Protection Maintenance - ANNUAL o Places of Assembly -AN AL /r/
® ® ®W'�
/ Sprinkler n' r - I n l. Recreatlonai Bum 4
Fire Alarm ❑ I Spanners /t ly , 1 I [
Hood Cleaning E3 ID ID CD I El Sprinkler s
ler System Installations
Hood Suppression 0 ❑ ❑ ❑ I 1 n Standpipes (Sprinkler Sys)
ED Fire Alarm Installation n Torch RoofingfTar Kettle
Fire Pumps n Waste Tire Storage ANNUAL
Fire Works
Flammable Application- ANNUAL
Valuation of Project
Fuel Tanks
n Other, I
Contractor Company I � - 1i I
Signature /73 `7
Registered / N Fee Current Y / N
Address I %9 /y ffCe., /iy ?/6 Z.4-- I License# 5i o /0y6 I
ELECTRICIAN
Company
Signature Registered Y / N Fee Current Y / N
Address
I License #
PLUMBER Company
Signature
Registered Y / N Fee Current Y / N
Address I
I License #
1
MECHANICAL Company
Signature Registered Y / N Fee Current Y / N
Address I I License # I
OTHER Company
Signature Registered Y/ N I Fee Current I Y 1 N j
Address I t
=� . ,�1 License # I
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: /lappraiser.pascogov.com)