HomeMy WebLinkAbout10-10527 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10527
ANNUAL FIRE PROTECTION `MAINTENANCE
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Permit Number: 10527 Address: 36841 CLUBHOUSE DR
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE - PROTECTION MAINTENAN eE Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: SILVER OAKS
Est. Value: Parcel Number: 04-26-21-0000-00100-0020
Improv. Cost:. 7:77-17777,,' . .
Date Issued: 5/28/2010 Name: S & R DEVELOPMENT LLC
Total Fees: 25.00 Address: 36841 CLUBHOUSE DR
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/28/2010 Phone:
Work Desc: FPM- SUPPRESSION SEMI- SILVERADO GOLF COUNTRY CLUB
1E "f;17 - I - E I - ,IN - IREP - MI E 25.00
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FIR A N 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." e!
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
Ma' 26. 2010 11:12AM FIRE FIGHTER, INC No• 8245 P. 1
., of Zephyrhills'Fir Fax -813- 780 -0021
. Permit Application
.Date Received \ 0 I%y
�� Ph one Contact for Permit r!
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Owner's Name 1 - c11Vf Q-{�,j- 1 (
Go l 4 17 ,A4it L D , Owner's Phone Number . F Q) 3 ter 7 g
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Owners Address 1 - w >- \ C,1.Vb1"+Olr oft_ 1 (J
Fee Simple Name I Titleholder Phone Number [ 1 1 i t I
Fee Semple Titleholder Address .
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Job Address : _ 3 L% 1 ti tat S.+- i t2 Lot # f
Sub Division Parcel #
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D BIo- Hazard Waste Storage - ANNUAL Q Fumigation Tent
7 Comm Exhaust Kitchen Hood /Duct ED Hazardous Material (Tier II or RQ Facility) ANNUAL
n Controlled Bum El Hood Installation
Q Emergency Generator < 30 kw 1 LP /Natural Gas- Installation
E Emergency Generator > 30 kw 1 LP/Natural Gas- ANNUAL Sale
r - 1 Fire Protection Maintenance - ANNUAL r1 Places of Assembly- ANNUAL
r y l Utn
Sprinkler n ❑ ❑ ❑ - E Recreational Bum
Fire Alarm 71 CI ❑ M f 1 E Sparklers
Hood Cleaning 0 ❑ [ 1 n Sprinkler System Installations
Hood Suppression Z ❑ P ❑ I I Standpipes (Sprinkler Sys)
0 Fire Alarm Installation El Torch Roofing/Tar Kettle
IR Fire Pumps L--J Waste Tire Storage ANNUAL
Fire Works
Flammable Application- ANNUAL I I Valuation of Project
1 - 1 Fuel Tanks
Other: 1 1
Contractor , . Company e.__
Signature _ Ss , ii P Q1Vr ^- w�yI 77�� l , L � �.. Registered � j1 Fee urrent Y / N
Address �e 1'�`!il�el�L'> • License# f j1SUSDoo )
ELECTRICIAN Company
Signature , Registered Y/ N I Fee Current I Y/ N I
Address I I License # ( (
PLUMBER Company 1
Signature Registered Y / N 1 Fee Current I Y/ N I
Address l 1 License # I
MECHANICAL Company I
Signature Registered Y/ N 1 Fee Current I Y / N I
Address r _1 License # 1
OTHER Company —1
Signature Registered HN 1 Fee Current I Y/ N I
Address License #
Directions: m.y.�k rm.uc
FIII out application completely.
Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner)
If over 52500, a Notice of Commencement Is required.(Machanical work over 55000)
Supply two (2) sets of drawings with applicable documentation
Allow 10-14 days for review after submittal date. Parcel # - obtained from Property Tax Notice (help: / /appralser.pascogov.com)