HomeMy WebLinkAbout10-10174 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10174
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 10174
Address: 38357 CR 54 EAST
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: 02- 26- 21 -001A- 00000 -0110
Improv. Cost:
Date Issued: 3/01/2010 ,, ,g ,�,
Name: BLESSING, L. BRANT
Total Fees: 25.00 Address: 38357 CR 54 EAST
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/01/2010 Phone: (813)788 -5314
owfav;i:=7:7;:i7:Tizsl Iwo Work Desc: FPM- ANNUAL FIRE ALARM FOR STATE FARM SCHEDULED FOR 3/2/2010
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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."
1 ■
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 -780 -0021
Permit Application
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ate Received »ems r r 1 1 _
)wner's Name / a A
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-ee Simple Titleholder Name Titleholder Phone Number (I I I
:ee Simple Titleholder Address I
Job Address
Lot #
Sub Division I
Parcel
n Bio- Hazard Waste Storage - ANNUAL Fumigation Tent
E Comm Exhaust Kitchen Hood/Duct n Hazardous Material (Tier II or RQ Facility) ANNUAL
n Controlled Bum n Hood Installation
n Emergency Generator < 30 kw ri LP /Natural Gas - Installation I/
p Emergency Generator> 30 kw I ( LP /Natural Gas - ANNUAL Sale /
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Fire Protection Maintenance - ANNUAL n Places of Assembly - ANNUAL j( /I 0 /
•; (Semi 1 1 !tither
Sprinkler 1 ❑ ❑ ❑ Recreational Bum
Are Alarm ❑ ❑ 1 1 n Sparklers
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Hood Cleaning ❑ ❑ 0 1 1 1 Sprinkler System Installations
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Hood Suppression ❑ ❑ ❑ 1 ` I Standpipes (Sprinkler Sys)
rI Fire Alarm Installation n Torch Roofing/Tar Kettle
n Fire Pumps I I Waste Tire Storage ANNUAL
n Fire Works
Flammable Application- ANNUAL Valuation of Project
Fuel Tanks
[1 Other: I
Contractor Company kucuk,ry yll n
J i- S � C
Signature
Registered / N j e Current 4.,...D N f
Address 3'�j Ci Hke,LbaS� t �� Q C I '
ELECTRICIAN Company
Signature 1 Registered Y / N I Fee Current I Y / N j
Address I I License #
PLUMBER
Signature
Company
Registered Y / N Fee Current Y / N
Address I I License #
MECHANICAL I Company
Signature Registered Y / N j Fee Current I Y/ N I
Address I License # I
OTHER ` I Company
Signature II 1 Registered Y/ N j Fee Current I Y/ N I
Address
.... �„w� .. License #
Directions: ..,,kaa =u,k x: :Ma
Fill out application completely.
Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner)
If over 52500, 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)