HomeMy WebLinkAbout11-11521 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(sis) �so-oozo 11521
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11521 Address: 6036 GREEN DR
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: ZEPHYRHILLS COLONY
Est. Value: Parcel Number: 01-26-21-0010-12000-0011
Improv. Cost:
Date Issued: 2/17/2011 Name: ZEPHYRHILLS RRH LTD
Total Fees: 25.00 Address: 7865 SOUTHSIDE BLVD
Amount Paid: 25.00 JACKSONVILLE FL 32256
Date Paid: 2/17/2011 Phone: (904)642-1759
Work Desc: FPM-SEMI HOOD SUPPRESSION FOR CYPRESS GREEN APTS
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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 pertormed 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 OfFce - 813-780-0041
s 813-780-0020 City of Zephyrhilis Fire
Fax-813-780.0021
Permit Application
Date Received 2- 17 - ZCJ 1( Phone Contact for Pertnit $13 �R (� �,' (��
Owner's Name L � (T� V1 �j' � � �
Ovmers Phone Number
Owner's Address �v O 3(o � r�o� /Jri J � 'j(' 3 3 S
Fee Simple Titleholder Name Titleholder Phone Number C� �� �
Fee Simple Titleholder Address
Job Address c� O 3� �-/'�e� ��� �_ �3 S-C� Z �
Lot #
Sub Division
Paroel #
� Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent
� Comm Euhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL
� Controlled Bum � Hood Installation
� Emergency Generator < 30 kw � LP/Natural Gas-Installation
a Emergency Generator> 30 kw a LP/Natural Gas-ANNUAL le /
� Fire Protection Maintenance-ANNUAL � ��..
Places of Assembly-AN AL J/ �
❑[ r y emi �n er a / -
Sprinkler ❑ ❑ ❑ Recreationai Bum
Fire Alartn � ❑ ❑ ❑ � � Sparklers ) � �
� ,� vT
Hood Cleaning ❑ ❑ ❑�� � Sprinkler System Installatio s
Hood Suppression � ❑ �( ❑ � � Standpipes (Sprinkler Sys) �`--1-
� Fire Alartn Installation � Torch RoofinglTar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
� Fire Works
� Flammable Application- ANNUAL ��� �
Valuation of Project
Fuel Tanks
[� Other:
Contractor '
Company /_;��_ �',
- k r� �
Signature � Registered Y/ N Fee Current Y/ N
Address � � �v 8 d 0' L.a 3�1G 3 License #
ELECTRICIAN
Company
Sig�ature � 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
Direc a �" ° - -� � - . . , � License # , � M � ` i — '1
t ons: ,
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Fill out appiication completely.
Owner 8 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)