HomeMy WebLinkAbout11-12220 ' CITY OF ZEPHYRHILLS '�
5335 - 8TH STREET
(si3) �80-0020 1 � 20
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12220 Address: 36841 CLUBHOUSE DR
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: SILVER OAKS
Est. Value: Parcel Number: 04-26-21-0000-00100-0020
Improv. Cost:
Date Issued: 8/09/2011 Name: S& R DEVELOPMENT LLC
Total Fees: 25.00 Address: 36841 CLUBHOUSE DR
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/09/2011 Phone:
Work Desc: FPM-HOOD CLEAN SEMI- SILVERADO COUNTRY CLUB
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Chapter 633, Florida Statutes, authorizes the City to charge and wllect user fees to pay for the wsts 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 $100.00, whichever is greater. All
work shall be pertormed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE
OF COMMENCEMENT."
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P IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
a�3-��Cwozo City ofZephyrhillsFir�� Fax-s13-780-0021 _
Permit Application � -�-�
Phone Conhact for Perrnit
Date Received
Owners Pho�e Number . !� 7�� r 22�
Owners Name � _
Owners Address �$ �'i u �• v�W 1 •` + � 2 • - l` ' �
Fee Simple Titlehdder Name Titleholde� P�w�e N��r �� C�
Fee Simple TiGeholder Address =
Lot # �
Job Address
Par�el #
Sub Divislon
� Bio-Hazard Waste Staage - ANNUAL a Fumigatian Tent
� Comm Fxhaust Kitchen FbodlDuct � �-�az�rdo�S Material (fier 11 or RQ Facility) ANNUAL
� ConUolled Bum � liood Instailation
a Emergency Generator < 30 kw a LPMatural Gas-Instal{aUon �
o Emerger�y Generator> 30 kw � LP/NaWral Gas-ANNUAL Sale �,� —
Q � Places of Assembiy ANNUAL / yl � v
Fre Protection Maintenance - ANNUAL i• y
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Sprinider � ❑ ❑ ❑ Recreational Bum
Fire Alartn �❑ O D C� � SPa►�rs
Hood Cleani�g ❑ r �� � SPn�r System Installations
Hood Suppression �❑ 0 O StarxiPiPes (Sprir�Cler Sys}
� Ftre Alartn lnstallation � Torch Roofingffar Kettle
Fire Pumps � Waste Tire Storage ANNUAL
Fire Works
Fl ��� B �� � Valuation of Project
Fuei Tanks
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Coritractor � � . Company
5 ���� Reg;scered Y/ N Fee curreM Y/ N
Address ''� License #
ELECTRICIA CO
signature Resistered Y/ N Fee Currern Y/ N
Address U0 � #
PLUMBER CO
siynaame Resis�ered Y/ N Fee Current Y/ N
Address ucense #
MECHANICAL COT ��
stgnawre Registered Y/ N Fee currern Y 1 N
Address ���� #
OTHER �rn
Si9 ��� Registered Y/ N Fee Curtent Y/ N
�� License #
Directfons:
Fiil out applicadon completefy.
Owner & Contractor sign back of applicatio�. notarized (Or. c�Y of signed contract with owner)
If over 52500. a Notice of Commencemerrt is requirad (Mechanical work over �5000)
Supply two (2) sets of d�awi�gs with applicable docur►errtatlon
Allow 10-14 days for review after s�mittal date. Pareel #- obtained from Property Ta�c Notice (hCp:Uappraiser.pascogov.com}