HomeMy WebLinkAbout10-10477 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10477
ANNUAL FIRE PROTECTION MAINTENANCE
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Permit Number: 10477 Address: 37815 1 5TH AVE
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: N/A
Est. Value: Parcel Number: 10- 26 -21- 0600 - 00000 -0010
Improv. Cost: l qen : : , sl 11177:E7,577
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Date Issued: 5/14/2010 Name: JOSEPH, JOSEPH
Total Fees: 25.00 Address: 37815 15TH AVE WEST
Amount Paid: 25.00 ZEPHYRHILLS FL
Date Paid: 5/14/2010 Phone:
Work Desc: FPM -SEMI FIRE ALARM FOR WELLSPRING ALF
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FIRE A EPTAN 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."
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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
613-780-0020 City ofZephyrhills Fire, Fax- 813-780 -0021
. Permit Application
eceived 14 ,.._, Phone Contact for Permit I
lees Name /j rip�fSQr/y AIL Owner's Phone Number 1 F/3 l 205 U3,7
Owner's Address 37 s J.- /3 p,1
Fee SimpleTitleholder Name Titleholder Phone Number
Fee Simple Titleholder Address I
Job Address , 3 7S/5 /4 64 /rive Lot #
Sub Division Parcel #
n Bio- Hazard Waste Storage – ANNUAL I I Fumigation Tent
El Comm Exhaust Kitchen Hood/Duct n Hazardous Material (Tier II or RQ Fa ' • ANNUAL --.‘,
Controlled Bum n Hood Installation
n Emergency Generator < 30 kw n LP /Natural Gas - Installation t� /�
n m
Eergency Generator> 30 kw n LP /Natural Gas - ANNUAL -ale f /
n Fire Protection Maintenance - ANNUAL n Places of Assembly -ANNU
f I Semi) Other
1 %:Lpr! er _ fd i` ) ❑ ❑ n Recreational Bum
'', i - Alarm MI ❑ 3a ❑ I ( Sparklers
Hood -:ning . ❑ ❑ ❑ I I ( Sprinkler System Installations
_-----
❑
Hood Suppression ❑ ❑ ❑ . I 1 n Standpipes (Sprinkler Sys)
I Fire Alarm Installation n Torch Roofing/Tar Kettle
Fire Pumps Tire Storage ANNUAL
Fire Works
Flammable Application- ANNUAL i 1 Valuation of Project
Fuel Tanks
Q Other: I
Contractor Company _
Signature a7----
� Registered �� Fee Current 21041.
Add _. i I
License #
ELECTRICIAN Company
Signature Registered Y / N Fee Current I Y/ N
Address I License # I
PLUMBER Company I
Signature Registered Y/ N I Fee Current I Y / N
Address I License # I I
MECHANICAL Company
Signature Registered Y / N J Fee Current I Y / N
Address I License #
OTHER Company
Signature Registered Y/ N j Fee Current I Y/ N j
Address
License #
Directions: • , .. _ .t _t
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)