HomeMy WebLinkAbout10-10593 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10593
ANNUAL FIRE PROTECTION MAINTENANCE
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Permit Number: 10593 Address: 40343 AIR TIME AVE
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE - PROTECTION MAINTENAN eE Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 18- 26 -22- 0010 - 04400 -0000
Improv. Cost:
Date Issued: 6/15/2010 Name: URAGALLO, TONY
Total Fees: 25.00 Address: 5334 FRONTIER DR
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/15/2010 Phone: (813)788 -4753
Work Desc: FPM - ANNUAL FIRE ALARM
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FIR 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 - S HOUR NOTICE REQUIRED .
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813 - 780 -0041
SPECIALTY ELECTRONIC SYSTEMS, INC. 017736
City of Zephryhills 6/10/2010
25.00
Wachovia 25.00
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813 -780 - 0020 1 ,✓ -/ 0 City of Zephyrhills'Fire. Fax -813 -780 -0021 0"(0); ,/, Permit Application
late Received Phone Contact for Permit I
)wner's Name /g v in Owner's Phone Number ( l 1
)wners Address 1 5 3 3 1 r On ` e Dr 2'Q,p r i �' I— J S ( 3 35 W 7 /7
=ee Simple Titleholder Name F n Titleholder Phone Number l 87 ! 1 71/ k 9'7 :
:es Simple Titleholder Address I
Job Address d 1 „ t k s. v v 'e. Pitt/ e • 2' LI Is Lot #
Sub Division IIE UOMEV C • On P arcel # - J / - 0000
n Bio- Hazard Waste Storage - ANNUAL Fumigation Tent
ED Comm Exhaust Kitchen Hood/Duct n Hazardous Material (Tier II or RQ Facility) ANNUAL
in Controlled Burn = Hood Installation
n 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
•;� 'Semi) (� Vther / j � /�
/ L,
Sprinkler 0 ❑ ❑ ❑ n Recreational Bum
Are Alarm E ❑ ❑ % 1 1 ED Sparklers
Hood Cleaning ❑ ❑ ❑ I I n Sprinkler System Installatio
Hood Suppression Ej ❑ ❑ ❑ I 1 n Standpipes (Sprinkler Sys)
Fire Alarm Installation n Torch_Roofing/Tar Kettle
R Fire Pumps n Waste Tire Storage ANNUAL
Fire Works •
Flammable Application- ANNUAL l I Valuation of Project
Fuel Tanks
n Other. I
Contractor Company MEMiI ±RU �M d, rc
Signature rr...∎ _ Registered mum F . Current rR
Address ��L L s -e !,MPSIII - e ' TIF21 License # E fr 1 ' U ( 4 Li, I
ELECTRICIAN 3 4 S) Company
Signature Registered Y / N Fee Current Y / N
Address I I I # I I
PLUMBER Company
Signature Registered Y / N Fee Current Y / N
Address i ( License # I
MECHANICAL Company
Signature Registered Y/ N I Fee Current I Y/ N I
Address I I License # I
OTHER Company
Signature Registered ` Y/ N I Fee Current I Y / N I
Address I I license #
, . 1
Directions: q;
Fill 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 (Mechanical 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 (http: / /appraiser.pascogov.com)