HomeMy WebLinkAbout10-10184 CITY OF ZEPHYRHILLS
5335 - 8TH STREET 10184
(813) 780 -0020
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 10184 Address: 36841 CLUBHOUSE DR
Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL.
Class of Work: FIRE - PROTECTION MAINTENANCE Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: SILVER OAKS
Est. Value: Parcel Number: 04- 26 -21- 0000 - 00100 -0020
Improv. Cost: ;:. m tiq
Date Issued: 3/03/2010 Name: S & S DEVELOPMENT LLC
Total Fees: 25.00 Address: 36841 CLUBHOUSE DR
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/03/2010 Phone:
Work Desc: FPM -HOOD CLEAN SEMI- SILVERADO CLUBHOUSE
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L L ANIN L 25.00
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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 $100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE
OF COMMENCEMENT." 010!
1i l e r
P � IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813 - 780 -0041
81'3 -1$SZ OOZO City Of ZePhyrhillS •Fire- f 1 V t PA Fez-813-780-0021
Application - _ --
Phone Contact Permit Date Received
.
e.ct:.. 1 Owners Phone Number � s$ 1 `2Ls 1
Owners Name : ■t.+2A --�
Owner's Address 1 1 I I 11
f 1 - fiteholder Phone Number Fee Simple Titleholder Nine
Fee SimpleTitleholderAddress I
W
1 Lot# l
Job Address 1 1
Parcel # 1
Sub Division
INIONNUMMINIAMMIM
E3 Bio- Hazard Waste Storage - ANNUAL ED Fumigation Tent
CI Comn Exhaust Kitchen Hood/Duct a Hazardous Materiel (Tier II or RQ Facility) ANNUAL
0 Controlled Bum 10 Hood Installation
Emergency Generator < 30 kw n LP!Natual Gas
ED Emergency Generator > 30 kw a LP/Natural Gas ANNUAL Sale
ED Fire Protection Maintenance - ANNUAL ®® = Places of Assembly-ANNUAL
sprinkler o o❑❑ I 1 n Recreational Burn
Are Alarm ❑ ❑ ❑ ❑ I I Spas
Hood Cleaning ❑ ?If. ❑ I I n A SP System Installations
Hood Suppression LJ ❑ ❑ ❑ 1 1 Standpipes (Sprirlder Sys)
ED Fire Alarm Installation a Torch Roofing/Tar Kettle
Fire Phmps a Was The Storage ANNUAL
Fire Works I I Valuation of Project
Flammable Applicalan- ANNUAL
Fuel Tanks I
III a' `. ( ComanY
corhaacmr r —` f S IA ,, Y/ N I Fee Current I Y/ N
Signature , _ O
Address IIIIIIIIIrX L — _ � : ♦_ A . 'License#
ELECTRICIAN 1 Company I
Signature Registered I Y/ N I Fee Currant I Y/ N I
Address I License */ I
Signal re I I Rimed l Y/ N I Fee Current I Y/ N I
Signature I
Address I I License # I
MECHANICAL I
Comps y
I I Registered Y/ N I Fee Current I Y/ N I
Signature I License # I
Address I I
OTHER I Registered I Y/ N I Fee Current I Y/ N 1
Signature I License #
Address
Directions:
Flt out Contractor completely.
& Com
Owner & ractor sign back of application. notarized (Or, copy of signed contract with owner)
If over $2500, a Notice of Comment is required .(Mechanical work over 55000)
Supply two (2) sets of drawings with appRCabie documentation Tax Notice {ihttpJfappraiser pascogov.ccrmh)
Allow 10-14 days for review after submittal date. Parcel * - obtained from Property