HomeMy WebLinkAbout11-11880 • � � CITY OF ZEPHYRHILLS
5335 - 8TH STREET
�sis) �so-ao2o 11880
ANNUAL FIRE PROTECTION MAINTENANCE
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Permit Number: 11880 Address: 38145 15TH AVE
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: 11-26-21-0010-00800-0070
Improv. Cost:
Date Issued: 5/17/2011 Name: MEALS ON WHEELS
Total Fees: 25.00 Address: 38145 15TH AVE
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/17/2011 Phone: (813)782-7859
Work Desc: FPM-ANNUAL HOOD CLEANING FOR MEALS ON WHEELS
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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
e�a-�aaoozo U� City of.Zephy�hiUs Fir:e� FaX-eta-�ao-oozi
I� �j?%�d'GGjC Permit Application
)ate Received � � �� a.s� /S /l Phone Contact for Pertnit � � ��� J.� /,
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)wner's Name L: �� %/�/� �� Owners Phone Number g/ ��� .-/ 3� I
)wner's Address T, O• O'\ /�cJ / / �� 3 3 67
ee Simpie Titleholder Name Titieholder Phone Number �� �
ee Simple l'itleholder Address
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ob Address ��/ � C.- J � � �� Lot � �1
;ub Division �3 /T � /�� � � � Parcel #
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� Bio-Hazarti Waste Storage - ANNUAL a Fumigation Tent
a Comm Exhaust Kitchen Hood/Duct a Hazardous Material (fier II or RQ Facility) ANNUAL
� Controlled 8um � Hood Installation
� Emergency Generator < 30 kw a LP/Natural Gas-InstallaUon _
� Emergency Generator > 30 kw � LP/Natural Gas-ANNUAL Sale
� Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL
�y emi �n er
Sprinkler � O ❑ ❑ a RecreaGonal Bum ��
Fire Atarm � ❑ � � � � Sparlclers �
Hood Cleaning � ❑ O �� a 5prinkler System Instailatio s`�� �
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Hood Suppression ❑ ❑ ❑ � � Standpipes (Sprinkter Sys) c /
� Fire Alartn Installation � 7orch Roofing(Tar Kettle
� Fire Pumps a �Naste Tire Storage ANNUAL
� Fire Wo�lcs
a Fiammable Appiication- ANNUAL Valuation of Project
� Fuel Tanks
� Other
�ontractor Company �
5ignature �L� Registered �( / N Fee Current Y/ N
Address License #
ELECTRICIAN Company
Signature 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/ nl Fee Current Y/ N
Address �icense #
OTHER Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
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Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner)
If over 52500, a Notice of Commencement is required (Mechanical work over $50D0)
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)