HomeMy WebLinkAbout10-11246 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 11246
ANNUAL FIRE PROTECTION MAINTENANCE
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Permit Number: 11246 Address: 39602 AMETHYST WAY LOT 5
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE - PROTECTION MAINTENAN •E Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: EMERALD POINTE RV RESORT
Est. Value: Parcel Number: 24- 26 -21- 0020 - 00000 -0050
Improv. Cost: :w
Date Issued: 12/01/2010 Name: EMERALD POINT RV
Total Fees: 25.00 Address: 39602 AMETHYST WAY LOT 5
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 12/01/2010 Phone: (920)840 -7890
Work Desc: FPM- SPRINKLER ANNUAL- EMERALD POINT RV
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- A - •N inal
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." �r
f
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
813 -780 -0020 City of Zephyrhills Fire
cgtli Fax -813- 780 -0021
Permit Application
Dave Received I I Phone Contact for Permit I} 2 111411 I I I q Q3
Owner's Name 1 TP.,,,,-, rn /U` / /v7 k V ,
/ 1 Owner's Phone Number I V ? (I m 1 079, I
Owner's Address 3q 60. flie Ay,9 fc& 4 n P ,� /S - 35 /i
Fee Simple Titleholder Name I ( I r - y
Titleholder Phone Number L , I I I
Fee Simple Titleholder Address I
3 9 6 0 a 474/p40____t ! / I Lot # I
,
Job Address ( � � � to t,‘ r S �/ 3 35Y1./
Sub Division I I I /
Parcel # I
I I Bio- Hazard Waste Storage - ANNUAL n Hazardous Material (Tier II or RQ Facility) ANNUAL
r Comm Exhaust Kitchen Hood /Duct n Hood Installation
ri Controlled Burn LP /Natural Gas - Installation
F - 7 Emergency Generator < 30 kw I I
LP /Natural Gas - ANNUAL Sale
I I Emergency Generator> 30 kw I I
Places of Assembly- ANNUAL
[?5_1 Fire Protection Maintenance - ANNUAL 71 Recreationel Burn
IQtrlyl Feral ter 1 Sprinkler n ❑ ❑
Sparklers
Fire Alarm 1 ❑ ❑ ❑ I - 1 I I Sprinkler System Installations
Hood Cleaning ❑ ❑ ❑ III I Standpipes (Sprinkler Sys)
Hood Suppression n ❑ ❑ ❑ I I I I Torch Roofing/Tar Kettle
Fire Alarm Installation n Waste Tire Storage ANNUAL
n F - ire Pumps
pi F - ire Works
I 1 Flammable Application- ANNUAL 1 j Valuation of Project
F uel Tanks
®, Other: I eaC K -rimA,
1
Contractor ___i
Signature ' �, Company I A - I g (u�i o
4 Registered Y/ N Fee Current 7 Y/ N I
Address 3531 V, �ko „e, I I ,2 3530000 laooz I
License # Q
ELECTRICIAN' I Company
Signature Registered Y/ N I Fee Current 1 Y/ N I
Address I
1 License # I I
PLUMBER I _� —
Address I Company J
Signature Registered Y/ N Fee Current I Y / N 1
I License # I
MECHANICAL'
I Company
Signature Registered Y/ N j Fee Current I Y/ N I
Address I I License # I
OTHER 1 I Company I
Signature ' Registered Y/ N I Fee Current I Y/ N I
Address 1 I License # I J
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)