HomeMy WebLinkAbout11-12262 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(s13) �so-oozo 12262
� ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12262 Address: 5216 7TH ST HISTORIC
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: 11-26-21-0010-16700-0180
Improv. Cost:
Date Issued: 8/16/2011 Name: ZEPHYRHILLS TOURIST CLUB
Total Fees: 25.00 Address: 5216 7TH ST. HISTORIC
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/16/2011 Phone:
Work Desc: FPM- FIRE ALARM ANNUAL- TOURIST CLUB
. 5.
I ; c�" "
v � �' I �� I
,
.. . ✓
ina
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."
�..
P IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal OfFce - 813-780-0041
s�a-7ao-oo2o City of Zephyrhills�Fire- F�-8t3-7ao-oo2�
Permit Application •
)ate Received ��� � ,(. � . �� .—V— � ,yr _______,
a�,a:s_4��cr•ssi�y��;,,.,,,,_,,..,,,,__,��, , ' � Phone Contactfor Permit �
•� ��:�r,����� �r� - �+,�--
huners Name �;,, � ,� �
^,�� � LL �' � L� � Ovmer's Phone Num6er � �� rt � C,� (,�:
�wner's Address � � �
'�7 � ' � r � �'"' ? ' a 'rj !.. �-...
?ee Simpl= TiUefiolder Name Titleholder Phone Number � ��
-ee Simple Titleholder Address
��. "�"'°ss.=�+�'-v�o!x�,�
xmaen ��, .a�w��3�ii�..�el�'�'.�.�"�'a��v{�d�i�i".:��`�`�?C�;�-�e=_�s
1ob Address �� t 4 � , ."�_ � . ..
,.� Lot # �
Sub Division ` '� i ,� ,t J / � f .^�
'� �' � Parcel# // �1v " <*�� � L � ` �4r% /� L�Lr '"L�/ �
i�,.r_.,�2� +�ro� _s�..�,..nt.,�_ _ a
.-.c�+a"nwr-4..r..,_:.�—'__"� _ '
� - _`.. '.v�C' yr«'-?YS.Ie ��':r�4'.w::4 �°^ ��.�i'�3�.-`.�,"r"'w-i.
8io-Hazard Waste 5torage - ANNUAL a FumigaUon Tent
�----�
— r"� ��---.�_.._ F ('�o� �� � Rc1 Faciliivl ANNUAL
� Controlled Bum � Hood InstaAation
� Emergency Ganerator < 30 kw � LPlNaturai Gas-Installation
Emergancy Generator> 30 kw � lP/Naturel Gas-ANNUAL 5ale
Fire Protection Mairtenance - ANNUAL � Places of Assembly-ANNUAL
�y emi � ar
• 5prinkler � ❑ O O� � Recreational Bum
Fre Alarm ❑ ❑ � � � 5parklers
Hood Cleaning ❑ p ❑ C� a Sprinkler System Installatlons
Hood Suppression � ❑ ❑ O�� � Standpipes (Sprinkler Sys}
a Fire Alartn InstallaUon o Torcfi RoofinglTar KetUe
Fire Pumps � Waste Tire Storage ANNUAL
Fire Works
Flammable Applicadon-ANNUAL � Valuation of Project
Fuel Tanks
� �ff12f:
tA�,$ . �
. ' : ` '• YL'�.'Y3lYAG�'�PYI'c:411niasa-.�.rr.�rrf �'�h'Vr .
� ._•__—_....____._...._vu6Q'd" �� .�Jy-��"�`y
Contraotor Comparry � -'� � �� �jt'� `��
.a:. r fe�
Signature Registered Y N Fee Current I�1
Address � 1� - �� 3�� ° Lice�e # j v � �:;
ELECTRICIAN
Company
Signature Registsred �Y / N Fee Current Y 1 N�
Address License il
PLUMBER Company
Signature Registered Y/ N Fee Current Y/ N
Address
Licensa #
MECHAN1CAl Company
Signature Registered Y/ N Fee Current Y/ N
Address
License #
OTHER Company
5ignature Registered Y/ N Fse Current Y 1 N
Address
y .�.� � � Lioense #
. .
Directions: _.,�r.�� - - -- --- - .�. :sz:
. _.._....� .�._- ___.._... ___�,.z.�.�.._. � - �•�-
_ y- � - - _-_-.�_;��' -
Fill out application completely.
Owner & Contractor sign back ofi appiicatior�, notarized (Or, copy of signed oontract with owner}
If over $250D, a Notice of Commencament is required (Mechanicai work over 3500Q)
Suppfy two {2) sets of drawings with appiicahle daoumentation �
Allow 10-14 days for revfew after submittaV date. Parcel #- obtained from Property Tax Notfce (http:l/appreisar.pascogov.00m)
SPECIALTY ELECTRONiC SYSTEMS, INC.
City of Zephryhills 018684
8/12/2011
� 25 00
Wachovia
25.00