HomeMy WebLinkAbout10-10202 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10202
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 10202 Address: 6937 MEDICAL VIEW LN
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02 26 - 0290 - 00000 - 0060
Improv. Cost:
Date Issued: 3/05/2010 , Q. " , , ��� � �� ` 7 ,
Name: JG HOUSING SOLUTIONS LLC
Total Fees: 25.00 Address: 18711 CHAVILLE ROAD
Amount Paid: 25.00 LUTZ FL 33558
Date Paid: 3/05/2010 Phone: (813)833 - 9301
Work Desc: FPM- FIRE ALARM ANNUAL- JG HOUSING SOLUTION
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A • AL •LU h•N INC 1 =E -E- T E 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."
irleF
P �. IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 FLOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813- 780 -0041
E13- 780-0020 City of Zephyrhills Fire �Z V
Permit Application / Fax- 813 - 780 -0021
Date Received I
-. Phone Contact for Permit 1 717 1 944 2 1 1 9 3
_. 1
Owner's Name eS �I V �
} _co dN 1 S J Owner's Phone Number gf/3 J (? 3 I 1 9 3 0 /
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Owner's Address 1 g 7/f C/ at/1 II ‘ V If Ft 3 ass 9-
Fee Simple Titleholder Name I 1 I
I Titleholder Phone Number I I I 1 1 I
Fee Simple Titleholder Address 1
Job Address 41'37 A -die" / 1 'p' 14/ tiv .. S Z 4 � / ,1 r // 33544,i 1 I
Lot#
Sub Division
I I
Parcel #
( _ f Bio- Hazard Waste Storage ANNUAL
Hazardous Material (Tier 11 or RQ Facility) ANNUAL
Comm Exhaust Kitchen Hood /Duct
E Hood Installation
Controlled Burn
El Emergency Gas - Installation
Emergency Generator < 30 kw 1 I LP /Natural Gas - ANNUAL Sale
n Emergency Generator> 30 kw
Places of Assembly- ANNUAL
l Xl Fire Protection Maintenance - ANNUAL I" I
❑ J Qtrlyl emi E\11)1 'Other I f I Recreational Burn
Sprinkler 0 0 0 ❑
® Sparklers
Fire Alarm ❑ � I I
Sprinkler System Installations
❑ Hood Cleaning 0 0 0 I 1 ❑
❑ Standpipes (Sprinkler Sys)
Hood Suppression .❑ 0 0 I I ❑
Torch Roofing/Tar Kettle
F-7 Fire Alarm Installation
Waste Tire Storage ANNUAL
Fire Pumps
ED Fire Works
0 Flammable Application- ANNUAL I
n Fuel Tanks Valuation of Project
7 Other: 1
Contractor
Signature I Company A "r" 4-c, Sc ( u4 - 1 . 0 n - Int. I
Registered I -"
Y/ N Fee Current 1 Y/ N
Address) 35 31 1 AN z4-on Q. Rd.
1
ELECTRICIAN' License# I E, r 00 00 1 -11-1 I
Signature I Company l
Registered I Y/ N J Fee Current 1 Y/ N
Address I
1 License # 1 I
PLUMBER
Signature
I Company I
Registered I Y / N J Fee Current l Y / N I
Address l
MECHANICAL
I License # l
Signature I Company I
Registered I Y/ N j Fee Current 1 Y/ N l
Address I
I License # ( I
OTHER
Signature I Company
Registered Y / N J Fee Current I Y / N I
Address I
I License #
Directions: --- ...::: _ I
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)