HomeMy WebLinkAbout11-11503 �- . /
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(si3) �so-oozo 11503
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11503 Address: 4330 20TH ST
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 Nurr�ber: 13-26-21-0070-07400-0000
Improv. Cost:
Date Issued: 2/18/2011 Name: ZEPHYRHILLS CORP.
Total Fees: 25.00 Address: 777 W. PUTNAM AVE
Amount Paid: 25.00 GREENWICH, CT 068305091
Date Paid: 2/11/2011 Phone:
Work Desc: FPM-QUARTERLY FIRE SPRINKLER FOR ZHILLS BOTTLED WATER PLANT
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Chapter 633, Florida Statutes, authorizes the City to charge and collect user fees to pay for the wsts 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."
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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
8�3-780-0020 City of Zephyrhilis Fire Fax-813-780-0021
PeRnit Application
Date Received �. � � � ' � Phone Contact for Pertnit � � �
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Owner's Name ����� �% C S �✓ � 12 � Owners Phone Number ���
Owners Address
Fee Simple Titleholder Name TiUeholder Phone Number �� �
Fee Simple Titleholder Address
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Job Address F � � v � � � �� Lot # �
Sub Division Paroel #
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� Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL
� Controlled Bum � Hood Instailation
� Emergency Generator < 30 kw � LP/Natural Gas-Installation
� Emergency Generator > 30 kw � LP/Natural Gas-ANNUAL Sale /. —� - '
� Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL
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Sprinkler � ❑ ❑ � Recreational Bum . ��D`3
Fire Alarm � ❑ ❑ ❑ � � Sparklers �� �l
Hood Cleaning �❑ ❑ ❑� � Sprinkler System Installa ns �
Hood Suppression � ❑ ❑ ❑ � � Standpipes (Sprinkler Sys) '
� Fire Alartn Installation � Torch Roofinglfar Kettle
� Fire Pumps a Waste Tire Storege ANNUAL
� Fire Works
Flammabie Application- ANNUAL Valuation of Project
� Fuel Tanks
Q Other:
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Contractor Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
ELECTRICIAN Company
Signature t Registered Y/ N Fee Current Y/ N
Address License #
PLUMBER Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
MECHANICA Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
OTHER Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
Directions: . ... __ . .. .. � . , ..�> � . , . , >
Fill out application completely.
Owner 8 Contractor sign back of application, notarized (Or, copy of signed contrect with owner)
If over $2500, a Notice of Commencement is required (Mechanical work over $5000)
Supply two (2) sets of drewings with applicable documentation
Allow 10-14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (http://appraiser.pascogov.com)