HomeMy WebLinkAbout11-12351 CITY OF ZEPHYRHILLS ` J r
-� 5335 - 8TH STREET 12351
(813) 780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12351 Address: 5347 8TH ST
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Seation:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-13400-0010
Improv. Cost: ,
Date Issued: 9/14/2011 Name: ZEPHYRHILLS PUBLIC LIBRARY
Total Fees: .00 �,� �� Address: 5347 8TH ST
Amount Paid: 2. 0 <�' ZEPHYRHILLS, FL. 33542
Date Paid: 9/14/20 1 �-� � Phone: (813)780-0000
Work Desc: FPM- FIRE LARM ANNUAL- CITY LIBRARY- FEE WAIVED
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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."
�..
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
813-780-0020
City of Zephyrhills Fire Fax-813-780-0021
Permit Application
� Phone Contact for Permit � � � �
Date Fceceived
Owner's Name LI
, h � h��� � (C�( Owner's Phone Number D I 3 � U� �'
Owner's Address 3 �"r 7 D�% '�e-� �--� �� �
Titleholder Phone Number
Fee Simple Titleholder Name
Fee Simple Titleholder Address
Lot # �
Job Address
Parcel #
Sub Division
� Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL
� Controlled Burn � Hood Installation
� Emergency Generator < 30 kw � LP/Natural Gas-Installation
� Emergency Generator > 30 kw �jC �� u-�t � � LPlNatural Gas-ANNUAL Sale
� Fire Protection Maintenance - ANNUAL �f �-��"� � � Places of Assembly-ANNUAL �� �
❑ ry emi �n er ❑ /�
Sprinkler ❑ ❑ ❑ Recreational Burn � � / /,�
� � ❑ /O
Fire Alarm ❑ ❑ Sparklers
Hood Cleaning � � � ❑� � Sprinkler System Installations
Hood Suppression � ❑ ❑ � � � Standpipes (Sprinkler Sys)
� Fire Alarm Installation � Torch Roofing/Tar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
� Fire Works
❑ Flammable Application- ANNUAL Valuation of Project
� Fuel Tanks
a Other
Company �l�C'7''�onllC STGGI.c�ST'J S'J' S'►'�/>'�S�'
Contractor �
Signature Registered / N Fee Current Y/ N
Address �//p L` Gt,83 License# r� ddoo�'
ELECTRICIAN Company
Signature Registered Y/ N Fee Current Y/ N
License #
Address
PLUMBER Company
Signature Registered Y/ N Fee Current Y/ N
License #
Address
MECHANICAL Company
Signature Registered Y/ N Fee Current Y/ N
Address
License #
OTHER Company
Signature Registered Y/ N Fee Current Y/ N
Address
License #
Directions:
Fill out application completely
Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner)
If over $2500, a Notice of Commencement is required (Mechanical work over $5000)
Supply two (2) sets of drawings with applicable documentation
Allow 10-14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (http://appraiser pascogov.com)
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