HomeMy WebLinkAbout10-10145 CITY OF, ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10145
ANNUAL FIRE PROTECTION MAINTENANCE
m.. �.r , F3,$° ' f , a ° �, 1. . �„� ` 3§ ; , -� � ... ' "i €. ; ` €, ' . d t,i . ? � '4 C ��''
Permit Number: 10145
Permit Type: FIRE PROTECTION MAINTENANCE Address: RHtL RD
Class of Work: FIRE- PROTECTION MAINTENANCE Township: ZEPHYRHILLS,
B RHILLS, :
Proposed Use: NOT APPLICABLE Book:
Lot(s): Block: : Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02- 2 6 -21- 0010 - 03900 -0060
Improv. Cost:
Date Issued: 2/22/2010
Name: FLORIDA SENIORS PROPERTIES INC
Total Fees: 25.00 Address: 6701 DAIRY RD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/22/2010 Phone:
Work Desc: FPM QUARTERLY FIRE SPRINKLER FOR FL SENIORS PROP INC
� 11: ;: 7 . u , I -, 17:F .
•X - --• N 7 1-
25.s0
3
(1.7
t__ A AN
a nal
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 $100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE
OF COMMENCEMENT."
Ana,
P IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813 -780 -0041
813- 780 -0020 City of Zephyrhills Fire
AO
Fax -813- 780 -0021
.,)/741ftej Permit Application
Date Received I Q ('
,/ - - ( I 8/3 11 217 I I `r�� 1
.... Phone Contact for Permit
Owners Name [ PO n Clc �..L
F S o - �fT Pi I l-es -reiC . ( Owner's Phone Number 1 / 3 1 1 782- - I 14C// 9 1
Owner's Address I 40 70 l , rid y ze p -1 r k t 1 tS ` PC. , Z
/ J
Fee Simple Titleholder Name I I I 1 1 1 1 I
Titleholder Phone Number l
Fee Simple Titleholder Address I
` n
Job Address I�-(„c>_O —� D(.1,1,�' -- Ci I-tl rk, 1l$ k- 3 - 35- `12-- J LL J I Lot # I I
Kul
Sub Division h f� t 11.5 Parcel # I 0 2 - 2 ( o - 2 1 — 0 0 . 0 - 0
n Bio- Hazard Waste Storage - ANNUAL n Hazardous Material (Tier II or RQ Facility) ANNUAL 1
[ J Comm Exhaust Kitchen Hood /Duct El Hood Installation
Controlled Bum a LP/Natural Gas - Installation
0 Emergency Generator < 30 kw LP /Natural Gas - ANNUAL Sale
El Emergency Generator > 30 kw [J Places of Assembly- ANNUAL
®
::::: Maintenance - ANNUAL
::::: Bum 2 , ❑ ❑ ❑
b> 212 Fin; Alarm El ❑ I:1 0 I I n Sprinkler System Installation
Hood Cleaning CI ❑ ❑ ❑ I I Ej Standpipes (Sprinkler Sys)
Hood Suppression ❑ ❑ ❑ I I E Torch Roofing/Tar Kettle
n Fire Alarm Installation n Waste Tire Storage ANNUAL
0 Fire Pumps
n Fire Works
n Flammable Application- ANNUAL
n Valuation of Project
Fuel Tanks
n Other: I
Contractor
Signature :•••• ��, �� CV!. I Company f , Registered �comi Fee Current mug
Address d .e SI e /2) .T t p FL 33 6 37I License #
ELECTRICIAN' I
Signature I Company I
Registered Y/ N I Fee Current 1 Y/ N I
Address I
I License # I
PLUMBER
Signature I Company I
Registered Y / N I Fee Current I Y / N I
Address I
I License #
MECHANICAL' I
Company 1
Signature
Registered Y / N I Fee Current I Y / N I
Address
I License #
OTHER
Signature I Company I
Registered Y / N j Fee Current I Y / N I
Address I
I License # 1
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)