HomeMy WebLinkAbout11-12565 - CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(si3) �so-oozo 12565
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12565 Address: 37815 15TH AVE
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: 10-26-21-0600-00000-0010
Improv. Cost:
Date Issued: 11/28/2011 Name: JOSEPH, JOSEPH
Total Fees: 25.00 Address: 37815 15TH AVE WEST
Amount Paid: 25.00 ZEPHYRHILLS FL
Date Paid: 11/28/2011 Phone:
Work Desc: FPM- SUPPRESSION SEMI- WELLSPRING ALF
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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 $100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE
OF COMMENCEMENT."
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P IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
s�s�eo-oozo City ofZePhyrh�ills'Fir�:� Fax-s�3aao-ooz�
�/ :��? Permit ApPlication
Date Re�eived .l .: - � , :Plicrie ,Co�rrtacf for Pertnft � '
C1�nmer's Name , - '�vC�t� ,�lq! . � - -. �• E�eda Phone Nnmber
-- T
Owne�'s Address 3� ��� � • - - • -
Fee. Simple Titlehold�r Nante Titlahtiltlen Rhone:Number �� ;� ��
Fee Simple?IUeholder•Add�ess ' " -
Job Address a �"'� �,. ' �
Lot #
Sub Rivision • ParCel #
, 0 BlaFfazA Waste Stot�ge -1kNNUAL
� FuYntgaticn �ent��
� Gom►n Exkis�uat Kltchen Wo,od/puct �� Nazardous Matei�al (Tlar II or RQ��eillty) ANNIIlk!
� Controlled Bum a Hood In�tallation
Emergeitey.Ganeratar < 90 kw � 1.P/t�laturaF Gas-Instapatfon
� •Emergehcy �enetater> 3U kw , � LWJNetyral.Gas-AMNUAL Sale
� Flre I�rotection 1ulalnteaance - ANN�r�1L • �. plecds:of Asse�bly-ANNUAL. �
�y em ��,: r ..
- '5prinkl�r � "C! ❑ D : ., .� RecreaUonai Bum � / �'
° Ffro Rlarm / � t �
❑ q O " • - SRarklbrs
Hood Cleaning O O. ❑ Sprinkler�ystam:an�tallations �
Hood Supp�sslon �. p � ❑ � Standpipes (Sprinkl�r8�e,$)
Flre NarFn IhstaNation � Torch Rooflng/Tar Kettle
Fire Pumps . . '� W�sta'flte-5torage:AN1�lUAL
Fire Works • .
Flamrriable ApplicaUon- ANNUAL �
- Valuation of�Proje�t
Fuei Tenks ' •
o �,e�:
Contractor Company � _
Signature " Registered Fe CUrreAt �' / {V
AddPess a � �, `
7 ' , Licens� #
ELECTRICIA •. ���
Signatu�e Reg"istered /��: Fee Curtent ��: Y/•N
Address • License #
PLUMBER Company
Signature Registerod Y/ N Fee Current Y/-N.
Address
License #
MECHANICAL Company
Signature � Registered Y/ N Fee Curront Y/ N
Address License #
OTHER • � Company
Signature � Regtstered Y/ N Fee Currefit Y/ N
Addrees � '
License #�
Diroctlons: .
Fill out applicetlon completely. -
Ovmar 8 Contractor s(gn back of applieatlon; notarized (Or, cqpy of gigned co�t[act with owner)
If over 52�00, a Notica of CommencemenY Is roquired,(Mechartfcal work over �50Q0)
Supply Mrq (2) sets of drawings with appficable documentadon
Allow 10-14 days for review after submRtal-date. Parcel #- obtain�d from Property Tax:Nodce (httpJlappraiser.pascogov.com)
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