HomeMy WebLinkAbout11-12096 CITY OF ZEPHYRHILLS
5335 - 8TH SIREET
�sis� �so-oo20 12096
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12096 Address: 6340 FT KING RD
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:
Improv. Cost:
Date Issued: 7/06/2011 Name: JOHN, DR KT
Total Fees: 25.00 Address: 6340 FORT KING RD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 7/06/2011 Phone:
Work Desc: FPM-ANNUAL FIRE ALARM FOR DR K.T. JOHN
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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��-7ao-ao2o � City of Zephyrhills'Fir.e� Fax-813-7so-o021
�,L'� �'� Permit Applicaflon
)ate Received - Phone Contact for Permit
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hvners Name K -�c� �1 � Owne�s Phone Number � I��� ��
Tnmer's Address �J � � � �
=ee Simple TiUeholder Name Titleholder Pfione Number �� C
=ee Simple Titlehvlder Address �, �.��z
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Job Address v
Sub Division � Parcel# ''� - � "� - �G '����
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� BiaHazard Waste Starage - ANNIlAL � FumigaUon Tent
� Comm Exhaust Iatchen HoodlDuct a Hazardous Material (Tler �I or RQ Facility) ANNUAL
� CoMrolled Bum � Hood Installatlon
� Emergency Ganerator < 30 kw a LP1Natural Gas-Insta11a8on
Emergeney Generator> 30 kw � LPlNatural Gas-ANNUAL Sale �-
Flre Protectton Mairtenance - ANNUAL a Ptaces of Assembly-ANNUAL - /,,, �
�r'�y em� � r � � � {G'
Sprinkler � ❑ ❑ ❑ � � �reational Bum �� � .
Fre Alartn Q a � Sparklers
Hood Clesning � ❑ O ❑� a Sprinkler System Install
Hood Suppression � O ❑ ❑� � Standpipes (Sprinkler Sys)
� Fire Alartn installatlon � Torcfi RoofingfTar Kettle
Fire Pumps � Waste Tirs Storage ANNUAL
Fire Wotics '
Flammable Applicatlon-ANNUAL Valuation of Project
Fus{ Tanks
Q Other:
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ConVactor ^ Comparry � �-�'� - •�- �� L+
Signature �� �. ' Ragistered Y N Fee Cutrent N
Address 1 � Liceree # �+�3 � c`�
ELECTRtCIAN Company
5ignature Regisiered Y/ N Fee Cutrent Y/ N
Address l.tcense #
PLUMBER Company _
5ignaiure Registered Y 1 N Fee Curtent Y/ N
Address Licensa #
MECHANICAL Company
Signature Registered Y! N Fee Currant Y/�
Address License #
OTHER Company _
5tgnature RegiaEered Y/ N Fee Current Y/ N
Address License #
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FII out applicaUon completely.
Owner 8 Contractor sign back of applicatior�, notarized (Or, aopy of a(gnad contract with owner)
if over 32500, a Notice of Commencsment is required (Mechanicat work over 3500Q) .
Supply two (2) sets of drawings with appiicable documerrtation
Allaw 10-'14 days for revfew after submittal date. Parcel #- obtained from Property Tax NoUce (http:Uappraiser.pascogov.00m)