HomeMy WebLinkAbout10-10922 CITY OF ZEPHYRHILLS
5335 - 8Th STREET
(813) 780 -0020 i0 22
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 10922 Address: 535 5TH ST
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: 11- 26 -21- 0010 - 09700 -0070
Improv. Cost:
Date Issued: 9/13/2010 Name: HUSSEY, STEPHEN E
Total Fees: 25.00 Address: 5353 5TH ST
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/13/2010 Phone:
Work Desc: FPM- FIRE ALARM ANNUAL- THE BROACH SCHOOL
- AL L - • - - - i 25.00
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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." �!
P T 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
F? 3- 780 - '1020 City of Zephyrhills'Fire 7 Z 2- Fax-813-780-0021
Permit Application
)ate Received - Phone Contact for Permit 3 2 .-107
Soya
)wner's Name , 1 S* eel') e h SS t ie bJ{ D� f Owners Phone Number 1 si j 1 h a
timers Address 1 53 5 3 5+v r i• Ze t+ t I s ' / 3 3S C.�
. • J/
=ee Simple Titleholder Name Titleholder Phone Number
=ee Simple Titleholder Address
Job Address 3 6+k- t.-.-.,.. - I a + S 5 _ Lot #
Sub Division EIMLI i I LIMILlM Parcel # — A.,# '7 0 `" 0976
El Blo-Hazard Waste Storage - ANNUAL = Fumigation Tent
ED Comm Exhaust Kitchen Hood/Duct n Hazardous Material (Tier II or RQ Facility) ANNUAL
a Controlled Burn Hood Installation
F - 1 Emergency Generator < 30 kw n LP /Natural Gas - Installation
Emergency Generator> 30 kw LP /Natural Gas-ANNUAL Sale
Fire Protection Maintenance - ANNUAL n Places of Assembly- ANNUAL
•; (Semis (;j LAM' ri
Sprinkler In ❑ ❑ ❑ n Recreational Burn
Are Alarm ❑ ❑ lf I I n Sparklers
Hood Cleaning ❑ ❑ ❑ I I n Sprinkler System Installations
Hood Suppression Ej ❑ ❑ ❑ I 1 f -1 Standpipes (Sprinkler Sys)
D Are Alarm Installation n Torch Roofing/Tar Kettle
B Fire Pumps a Waste Tire Storage ANNUAL
Fire Works
Flammable Application - ANNUAL ` Valuation of Project
Fuel Tanks
El Other I
'. k.:. a.;.: iu -: . _ Y.. f: ... ,r ..c �— ..,.., ._r i. .._,�I.• rr.�✓.'_ -. ,v_..
Contractor i'7 - 1�� / �J' Company L. = 10k. dell C... . �iC.
Signature Registered Waal Fee Current 41i7 N
Address • A.' ► - . , ' License # 1E, F (o (E y Ler I
ELECTRICIAN Company
Signature Registered Y / N Fee Curren Y / N
Address I License # I I
PLUMBER Company
Signature Registered Y / N Fee Current Y/ N I
Address 1 ( License # I
MECHANICAL Company
Signature Registered Y/ N I Fee Current I Y / N 1
Address I I License # I I
OTHER Company
Signature Registered Y/ N I Fee Current I Y/ N j
Address L icense # ( I
Directions:
Fill out application completely.
Owner 8 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:l /appraiser.pascogov.com)