HomeMy WebLinkAbout11-12009 , . CITY OF ZEPHYRHILLS /
5335 - 8TH STREET ��
�si3� �so-oo20 12009
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12009 Address: 38906 NORTH 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: 11-26-21-0010-04400-0140
Improv. Cost:
Date Issued: 6/16/2011 Name: JJ PABLO INC
Total Fees: 25.00 Address: 38906 NORTH AVE
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/16/2011 Phone: (813)715-0560
Work Desc: FPM- FIRE ALARM ANNUAL- AZALEA
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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
aisaso-oo2o Ciry of Zephyrhills Fire Fax
Permit Application
Date Received Phone Contact for Perm
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Owner's Name f� k C� C. Owner's Phone NumbEr
Owner's Address 1��. � ,/ �� 3 3s y
Fee Simp�e Titleholder Name Titleholder Phone Number �� ��
Fee S�mpie Tdleholder Atldress 1
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Job Address • Lot #
Sub Division Parcel #
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� Bio-Hazard Waste Sforage - ANNUAL a Hazardous Material �er II or RQ Facility) ANNUAL
� Comm Exhaust Kitchen HoodlDuct � Hood �nstallation
� Controlled Bum � LPINatural Gas-Install:3tion
� Emergency Generator < 30 kw a LP/Naturat Gas-ANNUAL Sale
� Emergency Generator > 30 kw � Places of Ass�mbly :ANNUF,L
� Fire Protection Maintenance - ANNUAL � RecreaUOnal Burn
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Sprmkler � 0 ❑ ❑ � Sparklers �� j �
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Fire Alarm �❑ ❑ �� � Sprinkler System Instailations �'' �
Hood Cieaning �❑ � ❑� � Standpipes (Sprinkier Sys)
Hood Suppression �❑ ❑ O� � Torch RoofinglTar Kettte
� Fire Alarm Installation a 4Vaste Tire Storage ANNUAI
n Fire Pumps
�� Fire Works
� Ftammable Application- ANNUAL Valuation of Project
� Fuel Tanks
� Other:
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Contractor Company — "j — o �u � sp (u '�'1'pn . 1nG �
S�gnature Registered Y/ N Fee Current Y 1 N
Address 35 31 l�¢ ,�1,on� Ra�. License# E.F00004N �
ELECTRICIAN Company —�
Signature RegiStered Y/ N Fee Current Y/ N
Address License #
PLUMBER Ccmpar,y —�
S�gnature Registered Y/ N Fee Current Y/ N
Adtlress License #
M ECHAN I CAL Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
OTHER Company �
Signature Registered Y/ N Fee Current Y! N
Address LIC@n5e #
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Duections
Fili 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 reqwretl (Mechanical work over 55000)
Supply two (2) sets ot drawings with applica6le documentation
Altow 10-14 days for review after submittai date. Parcel #- obtained from Propsrty Ta�c NoGce (http:l/appraiser.pascogov com)