HomeMy WebLinkAbout12-12681 CITY OF ZEPHYRHILLS
, 5335 - 8TH STREET 12681
` (813) 780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Nurr�ber: 12681 Address: 36841 CLUBHOUSE DR
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: SILVER OAKS
Est. Value: Parcel Number: 04-26-21-0000-00100-0020
Improv. Cost:
Date Issued: 1/09/2012 Name: S& R DEVELOPMENT LLC
Total Fees: 25.00 Address: 36841 CLUBHOUSE DR
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1 /09/2012 Phone:
Work Desc: FPM- HOOD CLEAN SEMI- SILVERADO
-� r
�(,Q��-
l- �" ��
ina
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."
4
P IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECiION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
City ofZephyrhiltsFir�� F�-s��-�so-ooz� _
a� a-7so-oo2o Permit Applicafiion - _ -
- PFw�e Corrmcticr Pemnit
Date R�eived Q
' . Owners Phone Nurnber -[_��� � U � �,ZZ
Ovmers Name � ,
\t ` �
Owners Address
Fee Simple Tideholder Name Titleholder Ptane Nurnber ��
Fee Simple?ItleholderAddress
Lot # �
Job Address
Parcel #
Sub Division
� Bio-liazatd Waste S'�orage - ANNUAL � Fumigatbn Terrt
� � �� �� Ha�rdous Material (Tier II or RQ FacNity) ANNUAL
� Controlled Bum � Flood Ir�stailatlon
� Eme�gerwy Ger�erator < 30 kw a LP/WaWral Gas-instaltatior►
a Emergency Generabr > 30 kw � lPMahn'al Gas-ANNUAL Sale �
a Fre Protedion Mairrtenance - ANNUAL � Places of Assembh�-A►tiNUAL
❑� ��� �
Sprinlder ❑ O ❑ R�tiona� Bum
� C� L� S�
Fire Alartn O 0 D
Hood qeanin9 ❑ � ❑� � SP���� SY�m instailations
Flood Suppression
� � � ❑ � � ��P�P� �Sptirdcler SYs)
a Fire Alarm Irutailation � Torch RoofinglTar Kettle
Fire Pwnps o Waste Tire Stotage ANNUAL
Flre works
��� ��� � Valuation of Project
Fuel Tanks
er.
Contractor � � }�g�eced Y/ N Fee Curtent Y/ N
Signature
Add� � Licer�e #
ELECTRICIA ���
Slgnatwe Reyiste�ed Y/ N Fee Curtent Y/ N
Addness ��� #
PLUMBER �
Slgnewre Reyistered Y/ N Fee Cwrer►t Y/ N
�� Lice�ae #
MECHANICAL CO
signawre Reg[stered Y/ N Fee curtent Y/ N
Address �� #
OTHER �
Signature Registered Y/ N F� Current Y/ N
�� � #
DirecUons:
Fili out epplication compfate�Y•
Owner � C.ontractor si9n back of applicatlon. notarized (Or. coPY ��9� �� with ownerj
If over 52500, a Nottce aF C.ormner�ement is ►equired (Mec.�hanical woric ov� 5500U)
gupply two (2) aets of drawings wHh appiicabie docurt�errtadon
Allow 10-14 days for review afler s�rrYttal date. Pancel #- obtained from PropeRY Tax Notice (httP��aPP��•Pa�9ov.com)