HomeMy WebLinkAbout11-11524 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(si3) �so-oo20 11524
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11524 Address: 6907 DAIRY RD
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0010-01000-0000
Improv. Cost:
Date Issued: 2/17/2011 , Name: CITY OF ZEPHYRHILLS
Total Fees: 25.00 Q �� Address: 6907 DAIRY RD
Amount Paid: - . ZEPHYRHILLS, FL. 33542
Date Paid: 2/17/2011 Phone:
Work Desc: FPM-ANNUAL HOOD SUPPRESSION FOR ZHILLS FIRE STATION #1 FEE WAIVED
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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 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
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. Permit Application
Dace Received �'- t� 2 O �� Phone Contact for Pertnit j3 9 p b b yb9
Owners Name Z�Q j� �p�tJ -� � Owner's Phone Number rrS/3 75'�� Oo�f/
Owner's Address � D �] ��
Fee Simple Titleholder Name Titleholder Phone Number �� �
Fee Simple Titleholder Address
�x�a .. ...
Job Address � � � .� � ,� �t • /Z p� Lot # �
Sub Division Parcel #
� Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent e
� Comm Exhaust Kitchen HoodlDuct � Hazardous Material (Tier 11 or RQ Facility) ANNUAL
Controlled Bum � Hood Installation
� Emergency Generator < 3� kw � LP/Naturel Gas-Installation �
� Emergency Generator > 30 kw � LP/Natural Gas-ANNUAL Sale � �,
� Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL �i
�y emi �n er �� �� y
Sprinkler � ❑ ❑ ❑ � Recreational Bum
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Fire Alartn � ❑ ❑ ❑ � � Sparklers
Hood Cleaning � ❑ ❑ ❑� � Sprinkler System Installations
Hood Suppression � ❑ ❑ �( � � Standpipes (Sprinkler Sys)
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Fire Alarm Installation �' Torch Roofing/Tar Kettle
Fire Pumps � ., Waste Tire Storage ANNUAL
Fire Works i f �
Flammable Application- ANNUAL / / �'��� o f� — Valuation of Project
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Fuel Tanks
Q Other:
, � . ., . , .� . • - , , , , .,. .. .. _ .,. ..,. . , ,� . .. . .
Contractor � • Company 7�e, ! � (sr�
Signature Registered Y/ N Fee Current Y/ N
Address O Qa Lcta-�d U � La t�e 3Y� 3' License #
ELECTRICIAN Company
Signature � Registered Y/ N Fee Current Y/ N
Address License #
PLUMBER Company
Signature Registered Y/ N Fee Current 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
Address License #
Directions: ' � '� �
Fill out application 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 aftar submittal date. Parcel #- obtained from Property Tax Notice (http://appraiser.pascogov.com)