HomeMy WebLinkAbout10-10839 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10839
ANNUAL FIRE PROTECTION MAINTENANCE
Per Number: 10839 Address: 5216 7TH ST HISTORIC
Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL.
Class of Work: FIRE - PROTECTION MAINTENANCE Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 1 1- 26 -21- 0010 - 16700 -0180
Improv. Cost: � ,
Date Issued: 8/18/2010 Name: ZEPHYRHILLS TOURIST CLUB
Total Fees: 25.00 Address: 5216 7TH ST. HISTORIC
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/18/2010 Phone:
Work Desc: FPM -FIRE ALARM ANNUAL- TOURIST CLUB
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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 - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813- 780 -0041
813 -780 -0020 City of Zephyrhuls Fire 0 j t 37 Fax - 813 -780 -0021
Permit Application
)ate Received Phone Contact for Permit
)wners Name IMP IIMI1 Owner's Phone Number 1 V3 1 7J6 - i To
)wners Address I .5� l 4 1 �� r.L ' 4 i • - C 1 C 22 pLA r 11`,1 Its I. s 3 . H ",., 1/
:ee Simple Titleholder Name I Titleholder Phone Number I (, i
=es Simple Titleholder Address I
Job Address ` a■\, Lk F A 4 11 J \ / , (' \'\:i 1,,S '' 3 S �--- Lot # 1
l � i
Sub Division (7 C r Z e 1- c . l S C Parcel # 111 — a16/ ' - 00 1 1 - kilo() Ji
n Bio- Hazard Waste Storage - ANNUAL n Fumigation Tent
0 Comm Exhaust Kitchen Hood/Duct n Hazardous Material (Tier 1I or RQ Facility) ANNUAL.
ED Controlled Burn n Hood Installation
r --- 1 Emergency Generator < 30 k w E l LP /Natural Gas - Installation •
Emergency Generator> 30 kw n LP /Natural Gas - ANNUAL Sale
Fire Protection Maintenance - ANNUAL n Places of Assembly- ANNUAL
am 1 GLJ Utner
Sprinkler ❑ ❑ ❑ 1 Recreational Bum
Fire Alarm ❑ ❑ / 16 ( 1 El Sparklers
Hood Cleaning ❑ ❑ ❑ ❑ 1 1 a Sprinkler System Installations
Hood Suppression 0 0 ❑ ❑ I 1 n Standpipes (Sprinkler Sys)
El Fire Alarm Installation 1 Torch_Roofing/Tar Kettle
Fire Pumps n Waste Tire Storage ANNUAL
•
Fire Works
Flammable Application- ANNUAL 1 , Valuation of Project
Fuel Tanks
fl Other. I
Contractor Company �, P . r lc " 5 v1 7
j,yiC,
Signature `, Agh _ _ Registered Mai ee Current MEI
Address 1 3 l 9 at ( lieu. ev- `♦ � Lr z „ e C'. \- F1 3 3 License* I E -p• \ Doc) l C) Li L41 1
ELECTRICIAN Company
Signature Registered Y / N Fee Current Y / N
Address 1 I Ucense # I
PLUMBER Company
Signature Registered Y/ N I Fee Current ` Y/ N J
Address I 1 License # I I
MECHANICAL Company
Signature Registered YIN 1 Fee Current Y/ N l
Address I 1 License # 1
OTHER Company
Signature Regiatered Y / N Fee Current Y / N
Address 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:llappraiser.pascogov.com)
I
SPECIALTY ELECTRONIC SYSTEMS, INC.
017864
City of Zephryhills 8/16/2010
25.00
Wachovia
25.00