HomeMy WebLinkAbout11-11496 CITY OF ZEPHYRHILLS s•
5335 - 8TH STREET
(813) 780-0020 11496
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11496 Address: 37815 15TH AVE
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: N/A
Est. Value: Parcel Number: 10-26-21-0600-00000-0010
Improv. Cost:
Date Issued: 2/09/2011 Name: JOSEPH, JOSEPH
Total Fees: 50.00 Address: 37815 15TH AVE WEST
Amount Paid: 50.00 ZEPHYRHILLS FL
Date Paid: 2/09/2011 Phone:
Work Desc: FPM- FIRE ALARM/ SPRINKLER QUARTERLY-JOSEPH WELL SPRING
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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 commerciai 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 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
s;:�Zao-od2o City of.Zephyrhills Fire Fax-813-780-0021
Permit Application
Date Received 2' ^/� Phone Contact for Pertnit
�ss
Owner's Name � �' Owner's Phone Number �� ��
05 �o�_
Owner's Address G�
Fee Simple Titleholder Name TiUeholder Phone Number �� C
Fee SimpleTitleholderAddress
Job Address 78fS ,�� �
Lot # ��
Sub Division Parzel #
� BiaHazard Waste Storage - ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Hazarclous Material (Tier II or RQ Facility) ANNUAL
� Controlled Bum � Hood Instailation
a Emergency Generator < 30 kw � LP/Natural Gas-Installation
� Emergency Generdtor> 30 kw � LP/Natural Gas-ANNUAL Sale
� Fire Prntection Maintenance - ANNUAL � Places of Assembly-ANNUAL
� emi � er
Sprinkter � � ❑ ❑ � � Recreational Bum
Fire Alarm � � ❑ ❑ � � Sparklers
Hood Cleaning � ❑ ❑ ❑� � Sprinkler System Instaltations
Hood Suppression � ❑ p ❑� a Standpipes (Sprinkler Sys)
� Fire Atartn Installation � Toroh RoofinglTar Kettte
� Fire Pumps � Waste Tire 5torage ANNUAL
Fire Works
� Ftammable Application- ANNUAL Valuation of Project
� Fuel Tanks
Q Other:
r
Contractor Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
ELECTRICIAN Company
Signature � Registered Y/ N Fee Current Y/ N
Address License #
PLUMBER Company
Signature Registered Y/ N Fee Cument Y/ N
Address License #
MECHANICAL Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
OTHER
Company
Signature Registered Y/ N Fee Current Y/ N
Ad ss License #
Directions:
FII out application compfetely
Owner & Contrector 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 applieable documerrtation
Aliow 10-14 days for review after submittsl date. Parcel #- obtained from Property Tax Notice (http://appraiser.pascogov.com)