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Home My WebLink About11-11623 CITY OF ZEPHYRHILLS v 5335 - 8TH STREET �` (sis) �so-oo20 11623 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 11623 Address: 39602 AMETHYST WAY LOT 5 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: EMERALD POINTE RV RESORT Est. Value: Parcel Number: 24-26-21-0020-00000-0050 Improv. Cost: Date Issued: 3/10/2011 Name: EMERALD POINT RV Total Fees: 50.00 Address: 39602 AMETHYST WAY LOT 5 Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 3/10/2011 Phone: (920)840-7890 Work Desc: FPM- ANNUAL SPRINKLER/FIRE ALARM-EMERALD POINT A , 5. � �� ,��-<< ina 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." �,. P IT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal �ce - 813-780-0041 a�saso-oo2o City of Zephyrhills Fire Fax-sisaso-ooz� Permit Application Date Received �—_� Phone Contact for Permit �,�'3 9 y 2 1 q q 3 .:-....:_..:-.._�_ ..__ _x.� ::-.._:._ - - z�-�- ��-� � - - - - - -_•_.-.-.-_- �_= -.- . .,.� - --:, _.__: ..--- -� ...__ - _� --- _ �._ _.. -.. �. - -° - --- - - _.. : �;.-.: _,. . . ,., . ...._ _... :.��: .,,...._,- . __ ��.:� �.��:_ ��.�:_...,.�,._:..._.a� Owner's Name f.� ` Owner's Phone Number �� Owner's Address y A i / j S� Fee Simple Titleholder Name Titleholder Phone Number �� Pee Simpie THleholtler Address : - --v; . .,,_; _. .... _ ,:_° - - - _ _ . ,..._ ,...,..., .?:::..:. °--...� - .wz�._. ,..,,,. s.. _ ,. �, . �_.,.. . Y . � .... _. _....m.,..:-..:�,m,.:-.r.t -r' : .::..n<� .c 9.; __ -::_ rNr��' :.�r;._ .i�".=r '=' � ' " _ —' " --' - r�r - - - r ' " ' •�'" �,�, . . _ � .�. .� ... � ,_ - .- .. ... . �,�._ �.. -.-. . .. .. � .�.:.ya _ -..- :..-.ssro e�- : .. . ��,,;,;_'_.. � . .._: Job Address Q F G Z � $ �• 3�� yQ Lot # � Sub Division ParCei tt ... ..-,-: _...�:-_.... ,_.,., _... . . _ . .c� � ..:.. — v ._ _� .. .... � , k':r...:. _ _ _ _ . �.___.. - x� _svC1x`.v._ .. '_ "__ ._'._:e:rc::.:_::vs;-,.a-,'3'..::Yi:>_4i:..�.ur::r._�."<]="_+..-i-c.v"�.v�:;�..._>i;.:,.Y�_...:.:_'_... � . _,... -._� i3y;w - -_. _ '_ ..:�.��..:y......�_..'... ' _i:L... - —______—____,�� .��i' '..+..�:.�.�..� � Bio-Hazard Waste Storage - ANNUAL a Hazardous Material (Tier II or RQ Faciliry) ANNUAL � Comm Exhaust Kitchen HoodlDuct � liood Instaliation � Controlled Burn � LP/Natural Gas-Installation � Emergency Generator < 30 kw � LP/Natural Gas-ANNUAL Sale � Emergenc:v Gererator> 30 kw Q Places otAssembly-ANNUAI � Fire Protection Maintenance - ANNUAL a Recreational Burn ry emi �n er � Sprinkler � ❑ ❑ ❑ B � Sparklers f � �r 4t� Fire Alarm �❑ ❑ SfNi Sprinkier System Installations � � � � Hood Cleaning � ❑ ❑ �� Standpipes (Sprinkler Sys) Hood Suppression �❑ ❑ ❑� � Torch Roofing/Tar Kettle � Fire Alarm Instaliation � Waste Tire Storege ANNUAL � Fire Pumps Fire Works � Flammabie ApplicaGon- ANNUAL ValuatiQn of Project � Fuel Tanks �] Other: - . .. _.. _ _..,... �_:,._.:__.:. _. - - - - - - ., w�x.=_.�� .._:.:,�.:=.�,_ s...v_._,:. ._ �, __ ��..�. . _ - �. - - _ _. _._ ...._.a�,..:_�. -�._�__.��.- :.,�: ..��...,.,�- � � - - - - �-.:._.:.,.... ,.... .. . ,,.:. -�..r _......�:.:.<� —�y ��. .. . .. —�-- --- �__�...�. _.�, _ ,._ :.: - , . , .. . - = ;_--_; � �u-�a.X.� .. _ concractor company To -i�a 1 3c tu �'or� . tnc„ Signature Registered Y/ N Fee Current Y 1 N Address 3531 1�+e ,�4-ane. Rati. License# E,FO000 �II ELECTRICIAN Company —� Signature RegiStered Y/ N Fee Current Y/ N Address License # PLUMBER � Company � S�gnature Registered Y/ N Fee Current Y/ N address License # MECHANICAL Company �— Signature Registered Y/ N Fee Current Y/ N Address License # OTHER Company S�gnature Registered Y/ N Fee Current Y/ N Address ... .�.. _...._�.._.�__.�,.�___:.�."��_��._.___. -- z --- _ = - � :,:._:..._.,.._ �.,__-.�,.... ..,,.;.. -- - - a icense ;_ :,..„ . ............._.,. Directions: �.. . -:� �-� .�-�-:T__..�.._�.=.y.,.�_x_ FiA out app�ication completely Ownet & Contraetor stgn back of applicaLOn, notarized (Or, copy of si5red contract with owner) If over 52500, a Notice of Commencement is reqwred (MechaniC21 work ove; 55000'� Supply two (2) sets of drawings with applicabie documentation Al�ow 10-14 days for review after submittal date. Parcei #- ootained !ram Properry 1"ax Notice (http://appraiser pascogov.com) ais-�so-oo2o Ci of Ze h rhills Fire � p y Fax-813-780-002� , Permit Application Date Received _ Phone_Contact for Permit �,Y'�- 9�{ ,'Z � q Q 3 Owner's Name � 'Prtti N 1/ Owner�s Phone Number � C� � Owner's Address � {� � � S � �� . Fee Simple Titleholder Name � � Titleholder Phone Number Fee Simpie Titleholder Address ._,.. . t _.�..,... . -_.-, - - - _ ,_ _ Job Address 3 O p� �-� .{ � � � � , � � - - �� - - �� Lot # Sub Divlsion Parcel # � Bio-Hazard Waste Storage - ANNUAL � Hazardous Material (Tier II or RQ Facility) ANNUAL � Comm Exhaust KitChen Hood/Duct � Hood Installation � Controlled Burn � LP/Natural Gas-Installation � Emergency Generator < 30 kw � LP/Natural Gas-ANNUAL Sale � Emergency Generator> 30 kw � Places ofAssembly-ANNUAL � Fire Protect�on Ma;ntenance -ANNUAL � Recreational Burn try emi � t er ❑ j f/ .-7 `7 Sprinkler � p � � /n � � "1 ❑ Sparklers /� �'� (/ __J Fire Alarm ❑ ❑ ❑� � Spnnk�er System Instatlations Hood Cleaning � ❑ O ❑ Standpipes (Sprinkler Sys) Hood Suppression � ❑ ❑ ❑� � Torch Roofing/Tar Kettle Q Fire Alarm Installation � Waste Tire Storage ANNUAL � Fire Pumps � Fire Works � Flammable Application- ANNUAL ❑ Valuation of Project Fuel Tanks Q Other• ContraCtor . ,. -- -. :. • - - - �..,_ . ... _._ . _ , Company -�-- Signature � Registered Y/ N Fee Current Y/ N aaaress 3531 Yt �or► q 35 �g 12pp �, � License # ELECTRICIAN Signature Company Registered Y/ N Fee Current Y/ N Address License # — � PLUMBER Company Signature � � Registered Y/ N Fee Current Y/ N Address License # MECHANICAL Signature Company Registered Y/ N Fee Current Y/ N Address license # vTHER � Sigratu�e � � Company —""----� Registered Y/ N Fee Current Y/ N Address � � License # Directions: - __ - _ � _ . _ - - Fill out application completely Owner & ContractOr Sign back of applicalion, notarizad (Or, copy of signed con;ract with owner) If over $2500, a Notice of Comm2ncement is required (Mechanical work over $5000) Supply two (2) sets of drawings with 3ppiicable documentation Allow 10-14 days for review after submittal date. Parcel #- obtained from Property Tax No6ce (htcp://appraiser.pascogov com)