HomeMy WebLinkAbout10-10940 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10940
ANNUAL FIRE PROTECTION MAINTENANCE
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Permit Number: 10940 Address: 38530 5TH AVE
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: 11- 26 -21- 0010 - 16800 -0010
Improv. Cost:
Date Issued: 9/17/2010 Name: HELP PROPERTIES LLC
Total Fees: 25.00 Address: 38530 5TH AVE
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/17/2010 Phone: (813)788 -7026
Work Desc: FPM- FIRE ALARM ANNUAL- CLASS B
- IAL - • . IN - - - 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." oriPP
1i
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
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late Received • - Phone Contact for Permit
rnmers Name A ! , th `k- /s �-CN 47 a 7, h L; , 1 Owner's ' Ph ' one Number ��� 12 �� t
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owners Address I 3 i E3 0 No e- Ze pkir Vi + t 1'S ■ 1 1 3 3 6 y . )-.. =ee Simple Titleholder Name 1 1i Titleholder Phone Number
;es Simple Titleholder Address
Job Address • a a V ty ` C ♦ :_ l / 115 Lot #
Sub Division
1 ( o "v ®/
1
Parcel #
l� \a��
.. ter. _ .. .
n Bio-Hazard Waste Storage - ANNUAL ED Fumigation Tent
ED Comm Exhaust Kitchen Hood/Duct I Hazardous Material (Tier 11 or RQ Facility) ANNUAL
n Controlled Bum a Hood Installation �f I, 0
I — 1 Emergency Generator < 30 kw h LP /Natural Gas - Installation i V /tl'
f Emergency Generator> 30 kw LP /Natural Gas - ANNUAL Sale V
Fire Protection Maintenance - ANNUAL In Places of Assembly- ANNUAL
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Sprinkler ❑ ❑ ❑ n Recreational Bum / 0 Fire Alarm ❑ ❑ I I E Sparklers
Hood Cleaning ❑ ❑ / ❑ - I I I I Sprinkler System installations
Hood Suppression CI ❑ ❑ ❑ I I Ii Standpipes (Sprinkler Sys)
a Fire Alarm Installation ED Torch_Roofing!Tar Kettle
Fire Pumps I Waste Tire Storage ANNUAL
Fire Works '
Flammable Application- ANNUAL I Valuation of Project
Fuel Tanks
❑ Other
_.,
Contractor � Company 1 " � . Jn IC. �'� 5 t-K'te.
.0- ,
Signature Re �� N Fee Current MEI
Address 1'r.7gTi. 1 R! , t alin yonlairgn License # F P l 0Q6 (0 L I
ELECTRICIAN Company
Signature Registered Y / N Fee Current Y / N `
Address I License # I I
PLUMBER l Company
Signature Registered Y / N Fee Cu rre nt Y/ N
Address I License # f
MECHANICAL Company
Signature Registered Y/ N I Fee Current ` Y/ N l
Address I I License # I
OTHER Company
Signature Registered Y / N Fee Curr Y / N
Address I ( License #
License , .. .......-licreastintr
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)
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SPECIALTY ELECTRONIC SYSTEMS, INC. 017928
City of Zephryhills 9/13/2010
25.00
Wachovia 25.00