HomeMy WebLinkAbout11-11563 CITY OF ZEPHYRHILLS �
5335 - 8TH STREET
` (si3) �80-0020 11563
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11563 Address: 38051 MARKET SQUARE 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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0010-03900-0020
Improv. Cost:
Date Issued: 2/25/2011 Name: FMC MARKET SQUARE INC
Total Fees: 25.00 Address: 38135 MARKET SQUARE
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/25/2011 Phone:
Work Desc: FPM- QUARTERLY FIRE SPRINKLER- FMC MARKET SQUARE
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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
313-7&0-00-0 Cil�/OfZ ephyrhi(IS FIC rex-oio-�ov-vvci
Permit Applica±ion — -
Dats r:�ceiv=d � � Phone Con,act for Partnit 8l ,3 Z� �5�
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Own=r's Nam� ��1'�C,'. �Yl �2 l_� VI-��. ��-' Owner's Phone Number �� �� C�
Own°�s Address � L 3� ��2-1LC.?F -`� �I�ki�-ts `7�?a'`� Y1' 1 lLS 2.. �J3 �}'L
Fee Simple Titleholder Nams Titieholder Phone Number �� �� �
ree SimpleTitlsfiolderAddress
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JobAddress �J' }�� 1�2.1�-(r� VI'�1.� �YC- Z!%�ik`{�LI�ILL-S Lot# �
Sub Division ) t�lF Z�--.�•�l�/ 1 CLS Parcel n Z- (� • Z • l D • • Ob c�
� a Bio-Hazard Wast= Storage - ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Hazartious Material (Tier II or RQ Faciiity) ANNUAL
� Con;rotled Bum � Hood installation
� Emergency Generator < 30 kw Q LPlNatural Gas-fnstallation
� Emergency Generator> 30 kw a LP/Naturel Gas-ANNUAL Sale
� Fire Protection Maintenance - ANNUAL � Places of Assembly ANNUAL ��
tr y erni Qn ar � �
Sprinkler �] ❑ ❑ � � Recreational Bum 3 //
Fire Alarm � 0 O ❑� � Sparkl=rs
Hood Cleaning � ❑ ❑ O� � Sprinkler System fnstalfations
Hood Suppression � ❑ ❑ ❑ � � Standpipes (Sprinkler Sys)
� Fire Alarm instatlation � To�h RoofinglTar Kettle
Fire Pumps � Waste Tire Storage ANNUAL
Fre Works
Flammable Application- ANNUAL Z�, � 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 Registered Y/�l Fee Current l� / N
Address l.icense #
PLUMBER Company
Signature Registered Y/ N Fee CuRent Y/ fV
Address License #
MECHANICAL Company
Signature Registered Y! N Fee Current Y/ N
Address Licanse #
OTHcR Company �pl�� �1rLCs _��11�j..�1..5. �tilC-
Signature Registered � N Fea Current / N
Address Z�1 �T, '�'p'M (a. �.-• '�'3l. � License # t.�.{p � pj ZDt�Z� � 1_
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Directions:
Fifl out appiication completely.
Owner & Contractor sign back of application, notarzed (Or, capy of signed contrect with owrter)
tf over 52500, a Notice of Commencement is required (Mechanicat woric over 55000}
Suoply two (2) s=ts of drewings with appliczbie documentation
Allow 10.14 days for review aft>r submittai date. Paroe! r- obtained from Property Tax No,i�e (��ttp://ap�:�iset.pascogov.com)