HomeMy WebLinkAbout11-12616 - ' CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(sis) �so-oo20 12616
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12616 Address: 38357 CR 54 E
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: 02-26-21-001A-00000-0110
Improv. Cost:
Date Issued: 12/13/2011 Name: BLESSING LELAND B TRUST
Total Fees: 25.00 Address: 35420 BASELINE DR
Amount Paid: 25.00 DADE CITY FL 33525
Date Paid: 12/13/2011 Phone: (813)788-5554
Work Desc: FPM- ANNUAL FIRE ALARM- STATE FARM
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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��-�ao-oo2o City of Zephyfiills�Fi�- Fax-al3aso-oa21
Permit Application
)ate Received _ - Phone Contact far Permit (���
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hvners Name � G� � n h a n �� 1�1.� �►e�s Pho�e Nurttber � ��
�wner's Address ? J � �`- b � C,t s'� � ` h -�„ '�' e L � '3 �js a S
=ee Simple Titleholder Name lideholder Pfione Number ���
=ee Simple Titlehvlder Address �,.�a�
� 3 3 5 L R 5 �C. � e. t' `a s �oc #
Job Address C
Sub Oivision 1 p� �� + Paroel # " a � � � (�' OAI�U� ' U � ��
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� Bio-HazaRi Waste 5torage - ANNUAL Q Fumigation Tent
� Comm Exhaust Kitchen HoodlDuct � Haza►dous Matedal ('Rer {i or RQ Facilify) ANHUAL
� Controiled Bum a Hood InstallaUon
� Emergenoy Generator < 30 kw � LPlNaturef Gas-Installation
Emergeney Generetor> 3D kw Q LPlNatural Gas-ANNUAL Sale .�� ��
Fire ProtecBon Mairstenance - ANNUAL Places of Assembly-ANNUAL ��
� ami � er �
Sprinkler �❑ O O RecreaHonal Bum
Fre Alartn ❑ � }�1 � � Sparklers
� � � Sprinkler System installations
Hood Cleaning ❑ � �
Hood Suppression �❑ Q O� � S1andPrPes (Sprinklar Sys)
� Fire Alarm Installation � Toccfi Roofingfiar FCettle
Fire Pumps a Waste Tire 5torage ANNUAL
Fire Works '
Flammable Applicatlon-ANNUAL Valuation of Project
Fuel Tanks
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m"'�y.�,K'sa'�
'Contraotor Company ��� ��- ��"� �L�
Signature i ' Registered Y N Fee Current �l
Address 1 � license # i� tl � t7
ELECTRICiAN Company
5lgnature Registered Y/ N Fee Current Y/ N
Address Ucense #
PLUMeER Company _
Signature Reglstered Y/ N Fee Gurrent Y/ N
Address License #
MECHANICAL Company
Signature Registered Y 1 N Fee Current Y/�
Address License #
OTHER Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
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Directions:
Fill aut appiicaUon complstely.
Owner & Contractor sign back of applicatior�, noiarized (Or, copy of signad contraci with owner}
If over 52500, a Notice of Commencemant fs required (Mechanicai work over 35000) .
Supply two (2) sets of drewings with applicabie dacumerrtation
Allaw 10-14 days tor review aiter submittal date. Parcal #- abtained from Property Tax Notlas (http:l/appraiser.pascogov.com)