HomeMy WebLinkAbout11-11778 CITY OF ZEPHYRHILLS
5335 - 8TH STREET �
(si3) �so-oo20 11778
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11778 Address: 4645 AIRPORT RD
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: 13-26-21-0080-00000-0020
Improv. Cost:
Date Issued: 4/14/2011 Name: ZEPHYR PALMS EVENT CTR
Total Fees: 25.00 Address: 4645 AIRPORT RD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/14/2011 Phone:
Work Desc: FPM- FIRE ALARM ANNUAL- AMVETS
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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 pertormed 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
;.�a-�aa-aa2o City of Zephyrhills�Fire• F�-&13aao-oo21
Permit Application '
7ate Received • Phone Contactfor Permit ��.��:"r�-_�
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7wners Name ��)''1 Owner's Phone Number �� �(�
�wners Address ( (� C' � � _
=ee Simple Titleholder Name itleholder Pfione Number �� �
=es Simple Titleholder Address
�.i � �"°"",""sux�,., i � 13:r7i�?:�?'.',."�.� '.�i,"�:ai
Jab Address -�� Lat # �
Sub Division Parcel #
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� Sio-Hazard Waste 5torage - ANNUAL Q FumigaUon Tent
� Comm Exhaust IGtchen Hood/Duct � Hazardous Material (Tier 11 or RQ Faciliiy) ANNUAL
� ConVoiled Bum � Hoad inslallatlon
� Emergency Generalar < 30 kw � LPlNaturaf Gas-Installa8on �
Emergency Generator> 3D kw � LP/Natural Gas-ANNUAL Sale ^�
Fire Protection Mai�tenance -ANNUAL a Places of Assembly-ANNUAL I � '
�y emi nT er � �
SpRnkler � ❑ a O � � ReereaHonal �um
Rre Alarm � ❑ p �] C� � Sparklers
Hood Cleaning ❑ p C� � Sprinkler System installatlons
Hood Suppression �❑ p O C� a Sta�dpipes (5prinkler 5ys)
Q Fire Alarm Instaliatlon � Toroh Rooflng(Car Kettle
Fire Pumps � Waste Tire Storage ANNUAL
Fire Works •
Flammabla Appilcatlan-ANNUAL ���1 Valuation of Project
Fue{ Tanks
� Other:
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Comparry � ', . , ' �w 'itiLw+�, '��,
Signature ' Registerecl Y N Fee Current Y N
Address � `" 1 c � - � '� � � ' ' � ° Licerue #
�s Ji; �i.3
ELECTRtCIAN Company
5lgnature Registered Y/ N Fee Current �Y / N
Address License #
PLUMBER Company
Signature Reglstered l' / N Fae Current Y/ N
Addrass
License #
MECHANICAL Company
Signature Registered Y/ N Fee Current Y/ N
Address ticense #
OTHER Company
Signature Ftegistared Y/ N Fee Current Y/ N
Address L icense #
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Directions — � �,�.�:�,�..�..,»�...,:smn�^R�u�t, Y.�_ ,, ..�_.�..�..�_>�_� , _.�_.ti�.�:t�r�_—,:�,z�a
Fitl aut application completely.
Owner 8, Contractor sign back of applicatior�, notarized (Or, �opy of signed conUact with owner}
If over $25D0, a Noti�e of Commencement is required (Mectianical work over 35000)
Supply two (2) sets of drewings with applicable dacumentation
Allow 10-14 days for review after su6mitta{ date. Parcel #- obtained from Property Tax NoUce (http:llappraiser.pasoogov.com)