HomeMy WebLinkAbout11-11796 CITY OF ZEPHYRHILLS
' S335 - 8TH STREET '
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ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11796 Address: 39345 6TH AVE
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book:
Proposed Use: MOBILE HOME PARK Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 12-26-21-0026-00500-0000
Improv. Cost:
Date Issued: 4/19/2011 Name: SIXTH AVENUE LLC
Total Fees: 25.00 Address: 39345 6TH AVE
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/19/2011 Phone:
Work Desc: FPM- HOOD ANNUAL- SIXTH AVE MHP CLUBHOUSE
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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
s�saao-oo2o City of Zephyrhills Fire Fax-813-780-0021
Permit Application
Date Received Phone Contact for Pertnit ��� �
Owner's Name � 1 Owners Phone Number ��� ��
Owner's Address � S 'r�
Fee Simple Titleholder Name TiUeholder Phone Number �� ��
Fee Simple Titleholder Address
Job Address 3 � J'"� � �Y� Lot # �
Sub Division Parcel #
� Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent
a Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL
� Controlled Bum � Hood Installation
� Emergency Generator < 30 kw /, ,` Q LplNatural Gas-Installation
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Emergency Generator> 30 kw � LP/Natural Gas-ANNUAL Sale
� Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL
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Sprinkler � ❑ ❑ O � � Recreational Bum
Fire Alartn � ❑ ❑ ❑ � � Sparklers � %/ � �iC�'
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Hood Cleaning � ❑ ❑ �� � Sprinkler System Installations
Hood Suppression � ❑ ❑ ❑ � � Standpipes (Sprinkler Sys)
� Fire Alarm Installation � Torch RoofinglTar Kettle
n Fire Pumps � Waste Tire Storage ANNUAL
�� Fire Works
� Flammable Application- ANNUAL Valuation of Project
Fuel Tanks
Q Other:
Contractor /> Company Ye S Ut WA, ,n
Signature Registered / N Fee Cu nt Y/ N
Address License #
ELECTRICIAN Company
Signature I Registered Y/ N Fee Current Y/ N
Address
License #
PLUMBER
Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
MECHANICAL Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
OTHER
Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
Directions:
Fill out application completely
Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner)
If over $2500, a Notice of Commencement is required (Mechanical work over $5000)
Supply two (2) sets of drawings with applicable documentation
Allow 10-14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (http:!/appraiser.pascogov.com)