HomeMy WebLinkAbout11-11541 . CITY OF ZEPHYRHILLS
5335 - 8TH STREET ,.,.���
(813) 780-0020 11541
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11541 Address: 38300 11 TH 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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11 -26-21-0010-06600-0011
Improv. Cost:
Date Issued: 2/23/2011 Name: THOMAS, CATHY A
Total Fees: 50.00 Address: 3606 AUTUMN PALM DR
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/23/2011 Phone: (813)782-4894
Work Desc: FPM- SEMI HOOD/SUPPRESSION - EL PANCHOS VILLA
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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 re�ated 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 A7TORNEY 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
813-780-0020 City of Zephyrhills Fire
Fax-813-780-0021
� Permit Application
Date Received Phone Contact for Pertnit r_�
Ovmer's p .�l�. <. . ..._. d.�.a �..._. , , . . .. , , , ,.. < ,z�. • . . . r d.� �, �,—,�J
Name � � Owners Phone Number tl/3 7�-� ��Z
Owner's Address .�'�jD�'j � �(�� z / �„�� /
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Fee Simple Titleholder Name � r� �
TiUeholder Phone Number I
Fee Simple Titleholder Address �—.–_
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Job Address �
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 Installation
� Emergency Generator < 30 kw � LP/Natural Gas-Instaliation
a Emergency Generator> 30 kw � LP/Natural Gas-ANNUAL Sale
� Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL
❑ � emi �n er ❑
Sprinkler ❑ ❑ ❑ Recreational Bum
Fire Alarm � ❑ ❑ ❑ � � Sparklers
Hood Cleaning �:JC �� ❑ ❑� � Sprinkler System Installations
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Hood Suppression � y � ❑ � � �� ❑
a Standpipes (Sprinkler Sys)
Fire Alartn Installation � Torch RoofingRar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
� Fire Works
� Flammabte Application- ANNUAL
Fuel Tanks
Valuation of Project
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Contractor " ° ° °` ��;.� :�+u.
Signature Company
Registered Y/ N Fee Current Y/ N
Address
License #
ELECTRICIAN
5ignature Company
Registered Y/ N Fee Current Y/ N
Address
License #
'LUMBER
iignature Company
Registered Y/ N Fee Current Y/ N
Address
License #
dECHANICA
iignature Company
Registered Y/ N Fee Current Y/ N
Address
License #
)THER
'�ignature Company �v�,� c .� ��
Registered N Fee Current / N
Address
License #
irections: , ... , .. _.. . , .. ,. , � .. 7 S 4� ! 9
Fill out application completely. m �'"�'
Ovmer 8 Contractor sign back of application, notarized (Or, copy of signed contrect with ovmer)
If over $2500, a Notice of Commencement is required (Mechanical work over $5000)
Supply two (2) sets of drawings with applicable documentation
A�low 10-14 days for review after submittal date.
Parcel #- obtained from Property Tax Notice (http://appraiser.pascogov.com)