HomeMy WebLinkAbout11-11682 CITY OF ZEPHYRHILLS
I 5335 - 8TH STREET
�ai3� �so-oo20 11682
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11682 Address: 6938 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: 02-26-21-0290-00000-0070
Improv. Cost:
Date Issued: 3/23/2011 Name: LENDALL, KNIGHT& CHRISTINA
Total Fees: 25.00 Address: 4901 SEMINARY RD
Amount Paid: 25.00 ALEXANDER VI 22311
Date Paid: 3/23/2011 Phone: (571)312-1243
Work Desc: FPM- FIRE ALARM SEMI - NORTH WIND PROPERTIES
, l �
- �
�� �
�
;
ina
i
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 activiry 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."
�,.
P IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Offce - 813-780-0041
aisaao-oo2o City of Zephyrhills Fire Fax-813-�BO-0021
Permit Application
Date Received �
. _..,..,.,,-!!--- ..� :�,�.. ,,.,"��:�,�, _-. _: _-�::::_ - .. Phone ContaCt for Permit .� �l 44 Q I q
_._,__..,,_ . _.�. ...._- _:;> ,.:_:-,...:_�--_ -
. .. ..' ' . -'.. ' ' -.. ._. - _ _' -.,=�._ , ,._. .:s,_:_: � - = - - - �`i `� r
...._. ,�.-r.-o-�:.. � �..,....>.;:'Q.,. __
... , _. _. ._".""3,.�:.: �' .ssxp�_ __ __ •S. . ..� "'_ .
. . . ." _ '_r:.._ v...�r_�.....,��..._. .._ ....... .......
Owner's Name - ��/ ,� Owner's Phone Number �� �
t��..!
Owner's Address � � a � S 1' +- ' 1>
r� d >
Fee Simple Titleholder Name Titleholder Phone Number �l � •�(�
Fee S�mpie Titleholder Address
�.:.._ .:,_,_„ ._,. .__ ..._._
,._.-�,.. -:._. �::. - ..w�� ..--,...,:.:_.�.
._ ,a,,._....
� ._ ._. ..�.,.. , �__._... _ : .�.. _ ..:_.,.
-,.„._,�,_.,.._"_:-..�::-:_t � ;-":.-. �._..,-... -..�_.
a_z.__ � za. ��. , ___ ...,,.,, �..: . . _.ti - --
--
. .,..... __,_.. z=�.-„ . T_zu.+=�.'r'.4ai�wYs�� ��.--s.e �.�.._,_.. .... �
- - =�;�'_'^- - .. - : �_.
Job Address Lot # �
Sub Division
_.. ... � _._...._..
Parcel #
.._ .::. .:. ___._'sex_:i+iue.v�iv-�c'ie..':-v''c�a�i-:4�.u.�.6::�s=-=*.v:.F_%i "i:i5':�r';.._.._.i_y " r� '
_ . . . . , ' S '_, � �'.:..'G_'':_'.__"""_.
� Bio-Hazard Waste Storage - ANNUAL a Hazardous Material �er II or RQ Facility) ANNUAL
� Comm Exhaust Kitchen Hood/Duct � Hood �nstaliation
� Controlled Burn � LP/Natural Gas-Instaliation
� Emergency Generator < 30 kw � LP/Natural Gas-ANNUAL Sale
� Emergency Generator > 30 kw a Places of Assembly-ANNUAL
� Fire Protection Maintenance -ANNUAL � RecreaUOnal Burn
ry emi � er ' ��
Sprinkler � ❑ ❑ � � � Sparklers � `�
Fire Alarm � ❑ � � � ❑ �
Sprinkler Systam Installations
Hood Cleaning �❑ ❑ p� � Standpipes (Sprinkler Sys)
Hood Suppression � ❑ ❑ ❑� � 7orch RoofinglT'ar Kettle
� Fire Alarm Installation Q Waste Tire Storage ANNUAL
� Fire Pumps
Fire Works
� Flammable Application- ANNUAL
a Valuation of Project
Fuel Tanks
� Other:
- �.: _. _. .� ,- r.-, __..::_�.:,_...: ;_ _.:. : -
-. .,..,..�.. ... . .._.._._�..��W�-_.__�: _:.��:----..:.,;_ .�.,�.::._ ;.� :,__��n,-=�:�•_= �.--� : ----. -
_���-,-"` _,...e� ��:=��_.�.:��-�F�-..�.__ .
�����_� � :��_=:�..�...:�: __.
Contractor -
Company —�^ � 1 ( �'o „�
Signature Registered Y/ N Fee Current Y/ N
Address 35 31 l�e ,}� Rd, License# E.FO000 �) !
ELECTRICIAN
Company
S�gnature Registered Y/ N Fee Current Y/ N
Address License # �—
PLUMBER
S�gnat�re
Company �
Registered Y/ N Fee Current Y/ N
Address
License #
MECHANICAL
Company �
Signature Registered Y/ N Fee Cunent Y/ N
Address
License #
OTHER
Company
Signature Registered Y/ N Fee Current Y/ N
Address
,..... _ .__._._. .
_.:.: _ ._.: „ _:::_.2.�_-;�e,�:� �-�� _. .
_._.. __..�... :_.,_ ,_....--
.
Directions - _�._--_, :._._ _. :.. � - • -_.�.:c' .-_.:' -_-..:;,�-.w:=�=:.Se�-..'__-----��.,�. ...-- _.._._._._.. - - - �
Fill out application completely
Owner & ConVactor sign back of application, notarized (Or, copy of signed contract with owner)
If over 325Q0, a Notice of Commencement is required (Mechanical work ov�r 55000)
Supply two (2) sets of drawings with applicable documentation
Aliow 10-14 days for review after submittal date. Parcel #- obtained from Property Ta�c Notce (http:l/appraiser.pascogov com)