HomeMy WebLinkAbout10-11316 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 11316
ANNUAL FIRE PROTECTION MAINTENANCE
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Permit Number: 11316 Address: 38357 CR 54 E
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: 02- 26- 21 -001A- 00000 -0110
Improv. Cost:
Date Issued: 12/14/2010 Name: BLESSING LELAND B TRUST
Total Fees: 25.00 Address: 35420 BASELINE DR
Amount Paid: 25.00 DADE CITY FL 33525
Date Paid: 12/14/2010 Phone: (813)788 -5554
Work Desc: FPM - ANNUAL FIRE ALARM FOR BLESSING LELAND B TRUST
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1 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."
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
SPECIALTY ELECTRONIC SYSTEMS, INC. 018128
City of Zephryhills 12/8/2010
25.00
Wachovia
25.00
F '
813 -780 -0020 City of Zephyrhills'Fire.. Fax - 813 -780 -0021
Permit Application
.4 Ill AM
late Received r,AY —
Phone Contact for Permit l 1
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hvners Name e 5 r n P `Gl yt e' 13 T� to ‘+ Owner's Phone Number `Xi 3 , ��/ _� .4c
owners Address , 5 1 n •u Y' 1 n t_ ‘ e,, • , I •
=ee Simple Titleholder Name ( Titleholder Phone Number I 1 ( I
:ea Simple 'Titleholder Address I .
Job Address • . . _. r . 1 Lot # I
Sub Division Parcel # I , — - • 'a. - apt A - .A-0 / v
n BIo-Hazard Waste Storage - ANNUAL El Fumigation Tent
E Comm Exhaust Kitchen Hood/Duct n Hazardous Material (Tier II or RQ Facility) ANN
n Controlled Bum n Hood Installation
n Emergency Generator < 30 kw h LP /Natural Gas - Installation l (/
Emergency Generetor> 30 kw n LP/Natural Gas - ANNUAL Sale
•
Fire Protection Maintenance - ANNUAL I { Places of Assembly- ANNUAL >>
j �ieml) 6,0 Uarer
Sprinkler 0 ❑ ❑ ❑ n Recreational Bum
Fire Alarm ❑ / I I E Sparklers
Hood Cleaning LJ ID ❑ ❑ ❑ I I n Sprinkler System installations
Hood Suppression [J ❑ ❑ 0 I . I n Standpipes (Sprinkler Sys)
Q Fire Alarm Installation 1=3 Torch.Roofing/Tar Kettle
R Fire Pumps = Waste Tire Storage ANNUAL
Fire Works •
®
- Flammable Application- ANNUAL I 1 Valuation of Project
Fuel Tanks
I-I Other: I
Contractor _ Company FN. 1 _.G -�, Mit __
�p •
Signature )U l k � Registered �1d� Fee Current �9' - �
Address 3 1 . - r s License # I E F. )t ) b 1 O ii k` I
ELECTRICIAN
Company
Signature Registered Y / N Fee Current Y 1 N
Address 1 License #
PLUMBER
Company
Signature Registered Y / N J Fee Current 1 Y / N I
Address I
I License #
MECHANICAL Company
Signature Registered Y / N 1 Fee Current I Y / N 1
Address I I License # I
OTHER Company
Signature
Registered Y / N Fee Curre Y
nt / N
Address License #
Directions: - ,�-
Ril out application completely.
Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner)
•
If over 52500, a Notice of Commencement is required (Mechanical work over 55000)
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.pascagov.com)
. .