HomeMy WebLinkAbout11-11522 , I CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(si3) �so-oo20 11522
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11522 Address: 5039 1 ST 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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 10-26 *21-0010-12800-009
Improv. Cost:
Date Issued: 2/17/2011 Name: MIRA ENTERPRISES
Total Fees: 25.00 Address: 5553 BRADDOCK DR
Amount Paid: 25.00 ZEPHYRHILLS, FL 33541
Date Paid: 2/17/2011 Phone:
Work Desc: FPM-ANNUAL HOOD SUPPRESSION FOR MAINE-LY NEW ENGLAND RESTAURANT
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Chapter 633, Florida Statutes, authorizes the City to charge and aollect 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 Ciry 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�3aso-oo2o City of Zephyrhills Fire Fax-813-780-0021
• Permit Application
Date Received 2' ��- Z- 0 l( Phone Contact for Pertnit �' ���(o � 6 q
Owner's Name oit e. — � �. �' Owners Phone Number � 7 g L 7� 7�
Owner's Address Sc� ,3 y / ST T � -e �'
Fee Simple Titleholder Name Titleholder Phone Number �� � C
Fee 5imple Titleholder Address
Job Address �a ; ,�j R � 5 r ,J y/ K�/ �
Lot #
Sub Division Paroel #
� Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent r
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL
� Controlled Bum � Hood Installation
� 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
❑ �y emi �n er ❑ � � �
Sprinkler ❑ ❑ ❑ Recreational Bum �
Fire Alarm � ❑ ❑ ❑ � � Sparklers
Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations - -
Hood Suppression � ❑ ❑ �i � � Standpipes (Sprinkler Sys)
� Fire Alarm Installation � Torch Roofing/Tar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
� Fire Works
� Flammable Application- ANNUAL Z O O Valuation of Project
Fuel Tanks
Q Other:
Contractor Company �; CL F� hf.�../' �,7�
i
Signature Registered Y/ N Fee Current Y/ N
Address , c9, 8 La.,,� p%, /�3 �{63� License #
ELECTRICIAN Company
Signature I 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 Cunent Y/ N
Address License #
Directions: � „ , . . . ' .
Fill out application completely
Owner & Contrector 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 drawings with applicable documentation
Altow 10-14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (http://appraiser.pascogov.com)