HomeMy WebLinkAbout11-12007 CITY OF ZEPHYRHILLS L
5335 - 8TH STREET
�sis) �so-oo20 12007
• � ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12007 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: 6/16/2011 Name: NORTHWIND PROPERTY MANG LLC
Total Fees: 25.00 Address: 5850 CAMERON RUN TERR #916
Amount Paid: 25.00 ALEXANDER VI 22303
Date Paid: 6/16/2011 Phone: (813)780-2550
Work Desc: FPM- FIRE ALARM ANNUAL- NORTHWIND PROPERTIES
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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
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aisaso-oo20 �/� �y p,.,� �� Ciry of Zephyrhills Fire Fax-813-780-002
fV 1"rvw� � ' Permit pplication
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Owner's Name �—� C W� .-
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Owner's Address ! a
Fee Simple Titleholder Name Titleholder Phone Number l3 70 � �� �
Fee Simple Titleholtler Address
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Job Address � �(� 4 i Lot #
Sub Division Parcei #
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� Bio-Hazard Waste Storage - ANNUAL � Hazardous Material (Tier 11 or RQ Facility) ANNUAL
� Comm Exhaust Kitchen Hood/Duct � Hood Installation
� Controlled Bum � LP/Natural Gas-Instaliation
� Emergency Generator < 30 kw � LP/Natural Gas-ANNUAL Sale
� Emergency Generatcr> 30 k�v � Places uf Assemblyti4NUA�
� Fire Protection Maintenance - ANNUAL � Recreational Burn
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Sprinkler � ❑ ❑ ❑ � � Sparklers �"
Fire Alarm �❑ ❑ � � Sprinkler System Instailations
Hood Cleaning � 0 ❑ ❑ � Standpipes (Sprinkler Sys)
Hood Suppression �❑ ❑ O� � Torch RoofinglTar Kettle
� Fire Alarm Installatlon a Waste Tire Storage ANNUAL
� Fire Pumps
Fire Works
� Flammable ApplicaGon- ANNUAL � Valuation of Project
� Fuel Tanks
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Contractor COmpany "'�'o �}, � $ p (u ��On . {,�G
Signature Registered Y/ N Fee Current Y/ N
Address 3 5 31 1� ¢,�an ¢. Ra�. License # E, F 0000 �4y �
ELECTRICIAN Company �_
Sfgnature RegiStered �( /�I Fee Current Y/ N
Address Ucense #
Pl'JMBER ��;�yG��y
S�gnawre I Registered Y/ N Fee Current Y/ N
Address License #
MECHANICAL Company �
Signature Registered Y/ N Fee Currant Y/ N
Address License #
OTHER Company �_
Signature Registered Y/' N Fee Current Y/ N
Address LiCense #
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Fill out application completely
Owner 8 Contractor sign back of application, notarized (Or, copy of signed contract with owner)
If over 52500, a Notice of Commencement is required (MeChaniCat work over $5000}
Supply two (2) - �ts of drawings wfth appiiCable documentation
Alfow 10-14 days for review after submittal date. Parce! #- obtained from Property Tax Notice (http://appraiser pascogov.com)