HomeMy WebLinkAbout10-10966 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10966
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number , ,:
Permit Type: FIRE PROTECTION MAINTENANC Address: ZEPHYRHILLS, 20TH ST
Class of Work: FIRE - PROTECTION MAINTENAN•E Township: FL.
Proposed Use: COMMERCIAL p� Bock Book:
Lot(s): Feet: ot(s): Block: Section:
Est. Value: Subdivision: N/A
Improv. Cost: Parcel Number: 13 26 - 21 - 0070 - 07400 - 0000
Date Issued: 9/24/2010 �
Total Fees: Name: ZEPHYRHILLS CORP.
25.00 Address: 777 W. PUTNAM AVE
Amount Paid: 25.00 GREENWICH, CT 068305091
Date Paid: 9/24/2010 Phone:
Work Desc: FPM- SUPPRESSION SEMI- NESTLE WATER
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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."
Awier
P IT
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION OFFICER
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813 - 780 -0041
813-780 -0020 City of Zephyrhills Fire - 1' ([! " Fax- 813-780 -0021
Permit Application l
Date Received I I Phone Contact for Permit IrtMli 1 y2 / 1 1 cg6 C) 1
Owner's Name I! Y e h \i -as /4, AMA / I AJ L I Owner's Phone Number I 11 1 I 1
Owner's Address I L 1330 0267 ,ST 21- 70 ' PL 5.35
Fee Simple Titleholder Name I I TTbehotder Phone %amber I 1 1 1 1 I
Fee Simple Titleholder Address I
Job Address 19330 l Y\-- 5r 2 1" 1 l 14 ► I' LL..5 FL 335 I Lot# I
Sub Division I I Parcel* I - I
ET Bio-Hazard Waste Storage - ANNUAL n Hazardous Material (Tier II or RO Facility) ANNUAL
Q Comm Exhaust Kitchen Hood/Duct El Hood Installation
a Controlled Bum 10 LP/Natural Gas - Installation
n Emergency Generator < 30 kw n LP/Natural Gas - ANNUAL Sale
IN Emergency Generator > 30 kw ED Places of Assembly - ANNUAL w ' ,
:CA Fire Protection Maintenance - ANNUAL Recreational Bum �CLnGc�Urz'Cl
ED ® ® ® 'Other
Sprinkler ❑ ❑ ❑ El Sparklers �� "` " QAµ "
Fire Alarm ID ❑ ❑ ❑ I 1 Sprinkler System Installations �' " `'
Hood Cleaning El ❑ fin ❑ I El Standpipes (Sprinkler Sys)
bieartSuppression El ❑ !m' ❑ 1 + EJ Torch Roofing/Tar Kettle
ED Fire Alarm Installation V \ n Waste Tire Storage ANNUAL
Fire Pumps
Fire Works
Flammable Application- ANNUAL
Valuation of Project
Fuel Tanks
ED Other: I I
Contractor / , a0
Vol / J 1 /+ Company lft , _ L £t P 17'. •.�
Signature J `_S'C, � / V /
Registered non Fee Current "Mal
Address 112oc I Ali :'fii room N ?-", i'L S.E, 1J. 1% L 317/6' License # I ?COL. aMO/WOO I
ELECTRICIAN Company I
Signature f Registered I Y/ N 1 Fee Current I Y/ N 1
Address I
I License* I 1
PLUMBER 1 Company
I
Signature Registered I Y/ N 1 Fee Current I Y/ N I
Address 1
1 License It 1
1
MECHANICAL 1 Company I
Signature Registered I Y/ N I Fee Current I Y/ N 1
Address ( I License it I 1
OTHER 1 m I
Signature Regis I Y/ N . 1 Fee Current I Y/ N I
Address I I License* I I
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 wlth applicable documentation
Allow 10-14 days for review after submittal date. Parcel t - obtained from Property Tax Notice (httpi /appraiser.pascogov.com)