HomeMy WebLinkAbout10-10391 – — V
CITY OF ZEPHYRHILLS
5335 - 8Th STREET
(813) 780- 0020 10391
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 10391 Address: 5006
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: 11- 26 -21- 0010 - 1900 -0130
Improv. Cost:
Date Issued: 4/23/2010 Name: ZEPHYR ANGELS PRE - SCHOOL
Total Fees: 25.00 Address: 5006 5TH ST
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/23/2010 Phone: (813)317 -3257
Work Desc: FPM-ANNAUL FIRE ALARM FOR ZEPHYR ANGELS PRE - SCHOOL SCH TODAY 4/23/10
.£ .i= `� ¢ 9' x s i i�: ; `av 5 " _° o°`' mss`... t t`'.
P IAL LE - •NI EM'. IN FIRE - RMI ES 25.00
IRE A EP A inal
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."
.
/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
813- 780-00 / 4(.7,0._ City of Zephyrhills Firms Fax-813-780-0021
I
/ , ,- ''r 1 -G� Permit Application - _
/ate Received
Phone Contact for Permit
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)wner's Name 7 G a, y III, a : - MIIIPM � � Owner's Phone Number l v3
owner's Address 5O c) LIP 5-4 s4- 2 e hr 41 V C I 3 3 54 a.
zee Simple Titleholder Name I I Titleholder Phone Number I I ,
=ee Simple Titleholder Address
Lot #
Job Address
Sub Division I Parcel #
n Bio -Hazard Waste Storage - ANNUAL ED Fumigation Tent
ED Comm Exhaust Kitchen Hood/Duct n Hazardous Material (Tier 11 or RQ Facility) ANNUAL ,�i
n Controlled Bum
n ,
Hood Installation Lr P � , '�.
' � 0 -� 10
n Emergency Generator < 30 kw LP /Natural Gas - Installation
Emergency Generator > 30 kw LP/Natural Gas - ANNUAL Sale
ji
Fire Protection Maintenance - ANNUAL \
I 1 Places of Assembly- ANNUAL
Clai ,semi �i f"� li l •-
Sprinkler Recreational Bum
Fire Alarm El ID 1 ❑ A( I I n Sparklers )
Hood Cleaning
I 1 1 1 Sprinkler System Installatio s vJ
� El a r:3
Hood Suppression Ej ❑ ❑ ❑ I y n Standpipes (Sprinkler Sys)
n Fire Alarm Installation n Torch Roofing/Tar Kettle ..
Fire Pumps n Waste Tire Storage ANNUAL
Fire Works
Flammable Application- ANNUAL II Valuation of Project
Fuel Tanks
n Other:
Contractor Company I 7•ai:l APP _ , L'ii�T� G
Signature 7 Z Registered r $ Fee mint
Address I • 3' igiFTMIMIC?S NsE€j -_ 5 License # IE F 1 (9O O 13 L Lo I
ELECTRICIAN Company I
Signature Registered — 77 - 11 Fee Current 1 Y/ N I
Address I I License # I
PLUMBER Company
Signature Registered Y / N Fee Current Y / N
Address I 1 License # I I
MECHANICAL Company I
Signature Registered , Y/ N I Fee Current I Y / N I
Address I License # I
OTHER Company I
Signature Registered Y/ N I Fee Current I Y/ N I
Address License #
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 submittal date. Parcel # - obtained from Property Tax Notice (http: / /appraiser.Pascogov.com)