HomeMy WebLinkAbout11-11681 CITY OF ZEPHYRHILLS ✓•
5335 - 8TH STREET
(si3) �so-oo20 11681
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11681 Address: 6937 MEDICAL VIEW LN
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: 02-26-21-0290-00000-0060
Improv. Cost:
Date Issued: 3/23/2011 Name: JG HOUSING SOLUTIONS LLC
Total Fees: 25.00 Address: 18711 CHAVILLE ROAD
Amount Paid: 25.00 LUTZ FL 33558
Date Paid: 3/23/2011 Phone: (813)833-9301
Work Desc: FPM- FIRE ALARM ANNUAL- JG HOUSING SOLUTIONS
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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
sis-�so-oo2o City of Zephyrhiils Fire Fax-813-780-002
Permit Application
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Date Received � � Phorie Contact tor Permit Q�l Q I q
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Owner's Name V• � i /� Owner's Phone Number C� C� �
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Owner's Address , Cq G , /�/ � �
Fee Simple Titleholder Name Titleholder Phone Number �6 /� y� �
Fee Smple Titleholtler Address
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Job Address Lot # C�
Sub Division Parcel #
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� Bio-Hazard 4Vaste Storage - ANNUAL � Hazardous Material �er II or RQ Facility) ANNUAL
� Comm Exhaust Kitchen Hood/Duct � Hood Installation
� Controiled Burn � LP/Naturai Gas-Installation
� Emergency Generator < 30 kw � LP/Naturai Gas-ANNUAL Sale
� Emergency Generator > 30 kw a Places of Assembly-ANNUAL
� Fire Protection Maintenance • ANNUAL � Recreational Burn
ry emi � er ❑
Sprinkler � � � ❑ Sparkiers
fire Alarm � ❑ ❑ � � � Sprinkler System Installations 1( �/ � �
Hood Cieaning ❑ ❑ O Stan i �
� � � dp pes (Spnnkler Sys)
Hood Suppression � ❑ ❑ O� � 7orch Roofing/Tar Kettle
� Fire Alarm Installation a Waste Tire Storege ANNUAL
� Fire Pumps
Fire Works
� Flammable AppiicaGon- ANNUAI � Valuation of Project
� Fuel Tanks
� Other:
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Contractor COmpany '�" � � j,�' h �
Signature Registered Y/ N Fee Current Y/ N
Address 3531 l�s¢ ��nQ, j7�d, License# EFOODO y1
ELECTRICIAN Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
PL'JMBER
Company
S�gr.ature Registersd Y/ N Fee Current Y/ N
Address License #
MECHANICAL Company
Signature Registered Y/ N Fee Current Y/ f�f
Address
License #
OTHER Company �—�
Signature Registered I Y/ N I Fee Current Y/ N
Address LiCense #
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Directions: � � � — •
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Fill out appliption completely
Owner & ConVactor sign back of application, notarized (Or, copy of siyned contract with or�ner)
If over 52500, a Notice of Commencement is required (Mechanical work over 55000)
Supply Nvo (2) sets of drawings w�th applicable documentation
Allow 10-14 days for review after submittal date. Parcel #- obtained from Property Tax NoGce (http://appraiser.pascogov com)
j A TOTAL S�LUTION, IIVC.
Security � Fire Protection
Proudly Serving Fiorida Since '1 J88
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� IBCIS�H nCWSl" '�!.°..,LA^�T"
March 21, 2011
Zephyrhills Building Department
5335 8 Street
Zephyrhills, FL 33542
Re. Fire Inspection
To Whom It May Concern.
I am requesting four inspections for fire alarm annual and semi-annual inspections. Included with this letter
are the two completed permitting applications and a check for $50 If there are any questions please call me
at the number below. If I am not available please ask to speak with Joe Velez.
Thank you,
Amanda Stephan
Engineering Representative
A Total Solution, Inc.
727-942-1993
3487 Keystone Rd.
Tarpon Springs, FL 34688
STATE FIRE SPRINKLER LICENSE #92353800012002 STATE FIRE ALARM LICENSE #EF0000441
3487 Keystone Road, Tarpon Springs, Florida 34688-7815
Local (727) 942-1993 Central Florida 1-888-ATS-FIRE Fax (727) 943-5919
www.atota Isol utio n.com