HomeMy WebLinkAbout10-10596 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10596
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 10596 Address: 6340 FT KING RD
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number:
Improv. Cost:
Date Issued: 6/15/2010 Name: JOHN, DR KT
Total Fees: 25.00 Address: 6340 FORT KING RD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/15/2010 Phone:
Work Desc: FPM - ANNUAL FIRE ALARM FOR K.T. JOHN, MD
- E FERMI ES 25.00
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FIRE A CEPTANCE 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."
/A
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 -0020 /' City of Zephyrhills'Fi
Permit Application Fax-813-780-0021
)ate Received
Phone Contact for Permit
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s Name v 1r1 )/ ► , r Owner's Phone Number lLl Cl / 3 j 17 d l, l (QJJy
)wnersAddress ` tO . 3 ‘k b VA . ,e-Nc 2e e \'s1,`S 1 3359 --
=ee Simple Titleholder Name I Titleholder Phone Number ( I
=ee Simple Titleholder Address I
Job Address 1 Lot #
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l S P arce l # 103 • AG, a 0100 - 00:307 - f)000
Sub Division l
n Bio Hazard Waste Storage - ANNUAL E Fumigation Tent
ID Comm Exhaust Kitchen Hood/Duct n Hazardous Material (Tier II or RQ Facility) ANNUAL
n Controlled Burn I Hood Installation
I - I Emergency Generator < 30 kw El LP /Natural Gas - Installation
Emergency Generator> 30 kw n LPINatural Gas - ANNUAL Sale /� 516 Flre Protection Maintenance - ANNUAL n Places of Assembly- ANNUAL / v
L.7F7 t�ii 1 ma Unbar
Sprinkler I—I ❑ ❑ ❑ I Recreational Bum
Fire Alarm E ❑ ❑ i I I a Sparklers C )
Hood Cleaning CI C3 I 1 1 Sprinkler System Installations VV
Hood Suppression D ❑ ❑ ❑ I I El Standpipes (Sprinkler Sys)
El Fire Alarm Installation I Torch. Roofing/Tar Kettle
Fire Pumps n Waste Tire Storage ANNUAL
•
Fire Works
Flammable Application- ANNUAL I Valuation of Project
Fuel Tanks
n Other.
Contractor 1 Company S . -. .1�� eitec, 0 4 — 5 .
Signature 1 1 _ Registered 16120111 Fee Current N
Address • ' L_ ( • `'Tmi+-^•�darU: License # 0 D O t O y lQ 1
sLECTRICLAN Company
Signature Registered Y / N Fee Current Y / N
Address I 1 License # I (
PLUMBER Company
Signature Registered Y / N Fee Current Y / N
Address I J License # I I
MECHANICAL Company
Signature Registered Y/ N I Fee Current I Y / N I
Address I 1 License # I
OTHER Company
Signature Registered Y / N Fee Current Y / N
Address I License #
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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)