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HomeMy WebLinkAbout10-10670 CITY OF ZEPHYRHILLS V 5335 - 8TH STREET (813) 780 -0020 10670 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 10670 Address: 6937 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 - 0060 Improv. Cost: W „ a °3 a' ,t1 4 $ F, a a''lg Date Issued: 7/01/2010 Name: JG HOUSING SOLUTIONS LLC Total Fees: 25.00 Address: 18711 CHAVILLE ROAD Amount Paid: 25.00 LUTZ FL 33558 Date Paid: 7/01/2010 Phone: (813)833 - 9301 Work Desc: FPM - ANNUAL FIRE ALARM FOR V.A. OUTPATIENT CLINIC ( SD I ��.� FIRE PERMIT FE S 25.00 IP a a 3 C i 4;; ..:, •.� a s _ s � ink � x _ s FIRE AC - AN 'E ''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." s ��-� 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 Fire Fax -813 -780 -0021 Permit Application Date Received I 1 Phone Contact for Permit 111 1 I 444 2 t g q 3 Owners Name j MINI, , �2 , 0 -)- r' et r - ' Owner's Phone Number l C5/(3 1 3 f ?Q f I Owner's Address 1 / ) 1 (4l (y / /40 Id G f/ 7 ? F I 3 3 ,SS Fee Simple Titleholder Name I , Titleholder Phone Number Fee Simple Titleholder Address I Job Address � 3 2 �( d /(^ ( 0/ PGv G� z 4,47, T Lot # .. Sub Division Parcel # 1 •s:: ._.. .:. _...w ,i•eg i.kisi _;,...'v.u.s ;:,, ..'web. .a.,._.:,m yew s's: =_ _ _. _._ . .... . ED Bio -Hazard Waste Storage - ANNUAL El Hazardous Material (Tier II or RQ Facility) ANNUAL Comm Exhaust Kitchen Hood /Duct n Hood Installation Controlled Burn LP /Natural Gas - Installation E Emergency Generator < 30 kw n LP /Natural Gas - ANNUAL Sale n Emergency Generator > 30 kw Ei Places of Assembly- ANNUAL © Fire Protection Maintenance - ANNUAL L.__..I Recreational Burn ry ems (;l Other Sprinkler ❑ ❑ ❑ D Sparklers / 7 (_ Fire Alarm E ❑ ❑ XI I n Sprinkler System Installations ,/ / - Hood Cleaning 0 ❑ ❑ ❑ [ 0 Standpipes (Sprinkler Sys) ' ( // Hood Suppression 0 ❑ ❑ ❑ I ( LJ Torch Roofing/Tar Kettle n Fire Alarm Installation = Waste Tire Storage ANNUAL El Fire Pumps Fire Works El Flammable Application- ANNUAL 1 I Valuation of Project Fuel Tanks n Other: I ,� - -� ., ..:. : _. .�._� �,_.1 .� � Z - .�____.La <_ _ a � tg,6tEn.g Oyu — , � .�_.e,,,, _- _ ...- . Contractor Company A 'T" 4-o ( So (u 4'1•on . hG I Signature Registered Y / N I Fee Current I Y/ N I Address J 3531 1 e9 ,4•13n Rd. j License# E. 7' 0000 ELECTRICIAN Company Signature Registered Y/ N j Fee Current I Y/ N I Address I I License # PLUMBER Company Signature Registered Y/ N I Fee Current I Y/ N I Address I n License # MECHANICAL Company Signature Registered Y/ N I Fee Current 1 Y/ N I Address 1 I License # OTHER Company Signature Registered Y/ N I Fee Current I Y/ N I Address 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)