HomeMy WebLinkAbout11-12345 — CITY OF ZEPHYRHILLS �
5335 - 8TH STREET 12345
(813) 780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
Address: 5353 5TH ST
Permit Number: 12345 ZEPHYRHILLS, FL.
Permit Type: FIRE PROTECTION MAINTENANC Ran e: Book:
Class of Work: FIRE-PROTECTION MAINTENAN E Lot sSh'p� Blo k: Section:
Proposed Use: NOT APPLICABLE Subdivision: CITY OF ZEPHYRHILLS
Square Feet: parcel Number: 11-26-21-0010-097
Est. Value:
Improv. Cost: Name: HUSSEY, STEPHEN E
Date Issued: 9/13/2011 Address: 5353 5TH ST
Total Fees: 25.00 ZEPHYRHILLS, FL. 33542
Amount Paid: 25.00
Date Paid: 9/13/2011 Phone:
Work Desc: FPM- FIRE ALARM ANNUAL- THE BROACH SCHOOL
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Chapter 633, Florida Statutes, authorizes the City to charge and collect user fees to pay for the costs of fre
prevention and protection related a�iv� �'s�u� ��e�rementioned.1eW� administrative fees, and other
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 RECO �OR MPROVEMENTS
COMMENCEMNT MAY RESULT IN YOU D TO OBT N CONSULT
TO YOUR PROPERTY. IF YOU INTEN
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� �-�ao-oo2o City of Zephyrhills'Fire�
Fax-813-780-0021
Perrnit Application •
)ate Received =
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Job Addr=ss ,3 S � ,��-_���
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Sio-Hazard Waste 5torage - ANNI! L � Fumigatlon Tent
� Comm Exhaust Kitchen HoodlDuct � Hazarclous Material (Tler I� or RQ Facllity} ANNUAL
� ConVolled Bum a Hood Installatlon
� Emergency Generator < 30 �r � LP/Naturel Gas-Installation
Emergency Generator> 30 kw � LP/Natural Gas-ANNUAL Sale
Fire Proteation Mairrtenance -ANNUAL � places of Assembly-ANNUAL
� � y emi nT er �
Sprinkler O ❑ p Recreadonal Bum ���5
Fre Wartn � � �
�� � SparWers �
Hood Cleaning � ❑ p ❑ S rinkler
❑ � o P System Installatlons
Hood Suppresslon ❑ ❑ O Standpipes (Sprinkler Sys)
Q Fire Alarm Installation � Torcfi. Roofingf!"ar Kettle
Fire Pumps o Waste lire 5torage ANNUAL
Fire Works •
Fiammable Applicatlon- ANNUAL ^---�
Fue( Tanks � I Valuation of Project
[� Other;
Contraotor � � �\ m�,��_e,.n.
Signature Y \ . Comparry << �` ,� � L.
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Registerecl Y N Fee Current nj
Address � �
� License # � �y i �
ELECTRICIAN
Signature Company
Reg(stered Y/ N Fee Current Y/ N
Address
Licanse # �
PLUMBER
Signature Company
Address
Registered Y/ N Fee Current Y/ N
Ucense #
MECHANICAL
Signature Company —
Registered Y/ N Fee Current Y/ N
Address
OTHER License # —"-�
Signature Company
Address
Regiatered � 1f / IV � Fee Current �' / N
���'� _ Lioense #
D aechons: `""`'�==-� =.�'-�-�...d.W°-° --
Fill out appUcation completely. x '"'" ''` � ��
Owner & Contractor sign back of applica6or�, nota�ized (Or, copy of signed contract with owner)
If over $250D, a Noti�e of Commencement fs required (Mechanica! work over 35000)
Supply two (2) sets of drayvings uvith apPficab�e documentation �
Allow 10-14 days for review aiter submittal date. Parcet #- obtained from Property Tax Notice (http://appraiser.pascogov.com)