HomeMy WebLinkAbout10-10668 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10668
ANNUAL 'FIRE PROTECTION MAINTENANCE
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Permit Number: 10668 Address: 6938 MEDICAL VIEW LN
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: 02 26 - 0290 - 00000 - 0070
Improv. Cost: �� °� � `� �'`�:' 1 11 ® � g NSI A: _ € ;8!4
Date Issued: 7/01/2010 Name: LENDALL, KNIGHT& CHRISTINA
Total Fees: 25.00 Address: 4901 SEMINARY RD
Amount Paid: 25.00 ALEXANDER VI 22311
Date Paid: 7/01/2010 Phone: (571)312 - 1243
Work „ Desc: , _FPM- ANNUAL FIRE ALARM FOR NORTHWIND PROPERTY MGMT
A T• AL S• TION IN FIRE PERMIT FE 25.00
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IRE A EP ANCE - 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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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 Fire Fax -813- 780 -0021
Permit Application
Date Received ( 1 Phone Contact for Permit 1121 1 . I 91 4 2 11 t q
Owner's Name gr iirtr.�liallit Q / ' WOE Li j 1(,/Dwner's Phone Number 1 / 3 733 9�o
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Owner's Address r .5 f / 5J . C 0 e r - f (/Ti 71-;/r‘ // N /lie P K cAc/ /ot V , ;#23° 3
Fee Simple Titleholder Name I Titleholder Phone Number
Fee Simple Titleholder Address 1
Job Address 4 ! 3 /t1 c"4'(Ca ( U. e w w -e j f 3 3 5 / ( Lot #
Sub Division Parcel # I
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D Bio -Hazard Waste Storage - ANNUAL a Hazardous Material (Tier If or RQ Facility) ANNUAL
El Comm Exhaust Kitchen Hood /Duct n Hood Installation
El Controlled Burn ED LP /Natural Gas - Installation
E Emergency Generator < 30 kw n LP /Natural Gas - ANNUAL Sale
El � Emergency Generator> 30 kw n Places of Assembly-ANNUAL
^
' 1 Fire Protection Maintenance - ANNUAL Recreational Bum
ry prim Other �F
Sprinkler El ❑ ❑ ❑ El Sparklers J
f
Fire Alarm ® ❑ ❑ I 1 n Sprinkler System Installations ; /°61 1 Hood Cleaning E ❑ ❑ ❑ I I E Standpipes (Sprinkler Sys) /
Hood Suppression 0 ❑ ❑ ❑ 1 I E] Torch Roofing/Tar Kettle
n Fire Alarm Installation Q Waste Tire Storage ANNUAL
R Fire Pumps
Fire Works
lJ Flammable Application- ANNUAL
1 I Valuation of Project
El Fuel Tanks
n Other: I
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Contractor Company A - T .},a 1 So (u :k-Von , tine- I
Signature Registered Y/ N I Fee Current I Y / N
Address I 35 31 lh ¢4 .54•ene. PtcL. 1 License # ( E. V OOOO yL+ 1 I
ELECTRICIAN Company
Signature Registered Y / N _1 Fee Current I Y / N
Address I I License # I I
PLUMBER Company
Signature Registered Y / N 1 Fee Current I Y/ N
Address I 1 License # I I
MECHANICAL Company
Signature Registered Y / N 1 Fee Current I Y / N
Address 1 1 License #
OTHER Company I
Signature Registered Y / N j Fee Current ( Y / N I
Address I I 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)