HomeMy WebLinkAbout11-11580 CITY OF ZEPHYRHILLS
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5335 - 8TH STREET
(sis) �so-oozo 11580
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11580 Address: 4330 20TH ST
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book:
Proposed Use: LIGHT INDUSTRY Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 13-26-21-0070-08900-0020
Improv. Cost:
Date Issued: 3/02/2011 Name: NESTLE WATERS NA, INC
Total Fees: 25.00 Address: 4330 20TH ST
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/02/2011 Phone: (813)783-1959
Work Desc: FPM- SUPPRESSION SEMI- NESTLE WATERS
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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
81 ���� City af Zephyrhilis Fire Fax�1378Q0021
Permit Application
oate R��a PFwne Cor�tact for Permit `�o�- y7 / C�S'" - O
Owner's Name �� `,t lt/ � j N Owner's Phone Number ����
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oW�rs aad�� �O �� 5 LL S L- 3.3 �� 2
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Fee Simple T�leholder Address — J
JobAddress 3JU �c(�)� �ji ` r y� S (� �7�2 Lot# �
Sub Division �� �
a B ��� �� ��� - A � U � a (Tier II or RQ FacA' ANNUAL
Hazardous �Aaterial �Y)
� Comm Exhaust Kichen FfoodlL�uet � 1�iood 1ns1a1tation
� CO � O �� �� � LPMaturaf Gas-Installation
� Emergency Generator < 3p �y � LP/Natural Gas-ANNUAL Sale
� Emergency Genetator > 30 kw Places of Assemby-ANNUAL �"��� �
Fire Protection Mair�tenance - ANNU/U. � Recreatiorral Bum (i(j� ���7�{
❑� � �� ❑ �
Sprinkler ❑ ❑ ❑ Spar}ders � �
Fire Alarm � ❑ ❑ ❑ � � SprinMer System Installations � 'b � G � � • �►'� .
Hood Cleaning � ❑ p p �� ❑
Standppes (Sprinkler Sys)
M�sd Suppressiori � ❑ � ❑ � � Torch Ro�ng/Tar Kettle / C � �
� Fire Alartn Inslatlation � Waste Tire Storage ANNUAL ��� �[ J
Fire Pumps �
Fire Works
Flamrr�ble Application- ANNUAL r
1 Valuation of Project
Fuel Tanks
� Other
Corriractor
Signature _ �.v�'�l� ''��" ��� ro � � i✓L
Registered f N Fee CuReM /(�
Adchess 31bi �,T i� C�Y�S J r (. / �icense � � 2p(�
ELECTRICiA
Company
Signature Regis6ered Y/ N Fee Current Y/ N
Address
License #
PLlANBER
Si�ature
�P�nY
Ra9�red Y/ N Fee curre�t Y/ N
Address
License �
MECHAf�CAL
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Signature Regisbered Y J N Fee Curre�t Y! N
Address
L.icense �
OTHER
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Signahrre R�g'rsSered Y/ N Fee Currertt Y/ N
Address
License �C
Directions:
Fill out application completey.
Owner & Cor�r-actor sign �ck of appfication, ndar¢ed (or, copy of signed co�rad wi7� owner)
If over $25Q0� a Notice ofi Comrtiencert�ent is required (Mecherucal work over j5U00)
Supply two (2) sets of drawings w�th appicable do�ume��n
Albw 10-t4 days for review after submittal date. Parce1 #_ obfained from Property Tax Notice (MtpJ/a
PP►a iser. pa scogov. com)