HomeMy WebLinkAbout12-12668 CITY OF ZEPHYRHILLS
- 5335 - 8TH STREET �
(si3) �so-oozo 12668
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12668 Address: 38505 10TH AVE
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book:
Proposed Use: NOT APPLICABI.E Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: � Parcel Number:
Improv. Cost:
Date Issued: 1/03/2012 �i(;t,�� Name: RAYMOND B STEWART MIDDLE SCHOO
Total Fees: 00�� � Address: 38505 10TH AVE
Amount Paid: �0 ZEPHYRHILLS, FL. 33542
Date Paid: 1 /03/2012 Phone:
Work Desc: FPM- QUARTERLY FIRE ALARM- RAYMOND STEWART MS FEE WAIVED
5.
C� �--
�
(,��'�
c.
ma
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
st s-7eo-oo2c City of Lephyrh ills F ire Fax 13
Permit Application
Date Re��iLed �� N Phone Contact for Permit � J��� �� i�
�,...,�.�g .,. �,�.. . ��"' , `
` � � � �
Owner's Name � � Owner's Phone Number ��pr
Owner's Address � � �
Fee Simple Tftleholder Name Titleholder Phone Number ���
Fee Simple Titleholder Address
. '.�d�?.R"'1�� 3 .&•?, .. ., ,•w;.�,Y".w ,�..�pX, . .a :i � t:..• � i.�..
Job Address Lot # ' �
Sub Division Parcel #
c� . .. , -- � ,. .� ._ > . . . <, x = . . .. ,. .. > , . .,, , �µ
� 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 � LPlNatural Gas-ANNUAL Sale �
Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL r„
ry emi �n er � � ����
Sprinkler � ❑ ❑ ❑ � � Recreational Burn /�
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
� Other�
, :ai.i 4». ' 't..3:i ,e.�h. ... r.., . . .t . .� ... . r . ....o. ..�.... .. x >s ,. 'i..
Contractor Company
Signature �( Registered Y/ N Fee Current Y/ N
Address �f' License #
ELECTRICIAN Company
Signature Registered Y/ N Fee Current Y! N
Address License #
PLUMBER Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
MECHANICAL Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
OTHER Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
�&P. .. . .H...,_.. ,., ....... _ s.... . . � ' .., ' i .. . , x. .. ....,<., . . ._ .. ' .. . .. ..... .. ... •3`��'f.�
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)