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10-10301
CITY OF ZEPHYRHILLS 5335 - 8TH STREET • (813) 780 -0020 10301 ANNUAL FIRE PROTECTION MAINTENANCE ' "ate { ` + , .� a ; . "•, ' '° €§ y e .fp ` , Permit Number: 10301 Address: 4330 20TH ST Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL. Class of Work: FIRE - PROTECTION MAINTENANCE Township: Range: Book: Proposed Use: LIGHT INDUSTRY Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 13- 26 -21- 0070 - 08900 -0020 Improv. Cost: �;�a ���� ;., Date Issued: 3/26/2010 Name: NESTLE WATERS NA, INC Total Fees: 25.00 Address: 4330 20TH ST Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 3/26/2010 Phone: (813)783 -1959 Work Desc: FPM- SUPPRESSION SEMI- NESTLE WATER- SCH 4/12/10 <` g k ; 2500 5 7 +' y C OS 7 ( (0- i flb FI'EA - A 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." eg.' P IT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 3 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813- 780 -0041 813-780-0020 City of Zephyrhills Fire CG 3O 1 Fax - 813-780 -0021 Permit Application -- Date Received J 1 Phone Contact for Permit 1'72_7 (I t/7/ I I nO //V Q 1 Owner's Name 11 >17-E V•I 1S NI . � a1©U (k ` I , / J ( , Owner's Phone Number ) I V 3 1 1 / 3 III (S ! 1 Owner's Address I L 1330 my i �i �� �eTfl u, LL '3c I Fee Simple Titleholder Name I I Titleholder Phone Number I 1 1 1 1 I Fee Simple Ttleholder Address I I Job Address 1 -1330 c -n-k ) 'r 2 4 ( K-H"\ LLS e L e39-/Z__ C__ I Lot # I I Sub Division I I Parcel # I _ I n Bio- Hazard Waste Storage - ANNUAL n Hazardous Material (Tier II or RQ Facility) ANNUAL Q Comm Exhaust Kitchen HoodfDuct Hood Installation CD Controlled Bum LP/Natural Gas - Installation I - I Emergency Generator < 30 kw n LP/Natural Gas - ANNUAL Sale Q Emergency Generator > 30 kw [J Places of Assembly- ANNUAL / Z) D ZJZ Fire Protection Maintenance - ANNUAL 1 1.1 Q Recreational Bum r , lal Sprinkler Ii UA ❑ ❑ ❑ 0 Sparklers /0 , OQA , • / 1/1 • Fire Alarm Ii ❑ ❑ ❑ I l fJ Sprinkler System Installations Hood Cleaning [J ❑ ❑ ❑ I 1 D Standpipes (Sprinkler Sys) Ws Suppression 0 ❑ j< ❑ 1 1 J Torch Roofing/Tar Kettle J ] Fire Alarm Installation I Waste Tire Storage ANNUAL Fire Pumps Fire Works Flammable Application- ANNUAL Valuation of Project Fuel Tanks ED Other: I I Contractor • lip r t;. 00 L Signature Registered MM. Fee Current ran Address I UDo 3 Lrr Ccx 1�T SI . FE16�S 13J `� � b License s I I ELECTRICIAN Company I Signature I Registered I Y / N I Fee Current I Y / N Address I 1 License # I I PLUMBER Company I Signature Registered I Y/ N I Fee Current I Y / N I Address I I License • I I MECHANICAL Company I Signature Registered I Y/ N 1 Fee Current I Y/ N Address I I License # I I OTHER I Company I I Signature Registered Y/ N I Fee Current I Y/ N Address I I License # I 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 submtl date. Parcel # - obtained from Property Tax Notice (Mfpi /appraiser.pascogov.com) AJ LlJAl1LiJJ 1 LLA 1JLiLU1A a wL,. v a va a Home December 8, 2009 City of Pinellas Park, Florida P.O. Box 1100 Pinellas Park, Florida 33780 -1100 BUSINESS TAX RECEIPT Business No: 151209 Business Name: UNITED FIRE PROCTECTION INC Business Location: 12001 31ST CT , ST PETERSBURG, FL 33716 Code: 1731 Description: ELECTRICAL CONTRACTOR FIRE PROTECTION Tax Fee: L80.00� Penalty: 0.00 Credits: 0.00 TOTAL FEES PAID: 8/3/2009 11 80.001 This Receipt does not permit the holder to operate in violation of any city law or ordinance and is not an endorsement of competence or business practice. Any change in Location or Ownership must be approved by the City, subject to zoning restrictions. Use your Browser Print Function to print this Receipt. Done This site best viewed with Microsoft Internet Explorer 4.0 or higher, at a minimum screen resolution of 800 x 600. https:// online. pinellas- park.comBTOnlineBTReceipt.aspx 12/8/2009