HomeMy WebLinkAbout10-10343 CITY OF ZEPHYRHILLS
5335 - 8T1-1 STREET
(813) 780 -0020 10343
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 10343 Address: 62 ABBOTT STATION #108
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: 03- 26 -21- 0200 - 00000 -0000
Improv. Cost: ASE
Date Issued: 4/08/2010 Name: ASHINGTON MANAGEMENT LLC
Total Fees: 25.00 Address: PO BOX 48155
Amount Paid: 25.00 TAMPA, FL 336470
Date Paid: 4/08/2010 Phone:
Work Desc: FPM -FIRE ALARM ANNUAL- WOUND CENTER- SCH 4/8/10
SP IAL - ■ NI M . N - - - M ES 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." !IPP
- i�
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
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813 - 780 -0020 ` City of Zephyrhills •Fire 4 O y, J i # 5 Fax - 813 -780 -0021
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Permit Application - _
)ate Received Phone Contact for Permit elriEll
)wners Name ` 1 5 \ to C.- 0A4 11 . i—L C I Owner's Phone Number
't-C) 3 LI O 15 5 i a leY∎ a. 3 3l, q 7a
owners Address �
Titleholder Phone Number
=ee Simple Titleholder Name I I = I 1
Titleholder Address
es Simple _. ,... , , � .rH ,.. u r .�T
I c.Q�k5 PtU (AV S * uA = tDn -l ( K Li 114 t 1 Lot
#
::: � l /_
Ci • Parcel # l 0 3 - d(o
Sub Division • 1
U� �ov v
ri Bio- Hazard Waste Storage - ANNUAL a Fumigation Tent
0 Comm Exhaust Kitchen Hood/Duct r --- 1 Hazardous Material (Tier II or RQ Facility) ANNUAL
I - I Controlled Burn El Hood Installation
I — I Emergency Generator < 30 kw n LP /Natural Gas - Installation
Emergency Generator> 30 kw n LP /Natural Gas - ANNUAL Sale
Fire Protection Maintenance - ANNUAL n Places of Assembly- ANNUAL
map ISemiJ �utrier
Sprinkler ❑ ID ID FT Recreational Burn
Fire Alarm ❑ 0 7r 1 1 n Sparklers
Hood Cleaning ❑ ❑ ❑ I 1 1 I Sprinkler System Installations
Hood Suppression El ❑ ❑ ❑ I I in Standpipes (Sprinkler Sys)
ED Fire Alarm Installation a Torch Roofing/Tar Kettle
1M Fire Pumps n Waste Tire Storage ANNUAL
Fire Works
Flammable Application- ANNUAL , I Valuation of Project
Fuel Tanks
n Other: ,;a�
Contractor Company �►�� ' . IMOIt `'
Signature Registered Mal Fee C rrent [OM"
Address +1 eN Illr "MM ��NEN M.. 5 License # k 00 n 0 q
ELECTRICIAN � Company
Signature nature Registered Y / N Fee Current Y / N
Address I I License # I 1
PLUMBER Company
Signature Registered Y/ N I Fee Current 1 Y / N I
Address I ( License # I 1
MECHANICAL Company I
Signature Registered Y / N I Fee Current I Y/ N I
Address I 1 License # } 1
OTHER Company
Signature Registered Y/ N I Fee Current I Y / N j
Address License #
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)