HomeMy WebLinkAbout12-12748 . CITY OF ZEPHYRHILLS
5335-8TH STREET �'
(si3)�so-oo20 12748
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12748 Address: 39825 ALSTON AVE
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: 13-26-21-0040-OOD00-0030
Improv. Cost:
Date Issued: 2/01/2012 � Name: CITY OF ZEPHYRHILLS
Total Fees: 2 0 �U�ill Address: 5335 8th st
Amount Paid: 25 0`1�`� ZEPHYRHILLS, FL. 33542
Date Paid: 2/01/201 Phone:
Work Desc: FPM-ANNUAL SPRINKLER- WASTE WATER TREATMENT PLANT fee waived
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Chapter 633, Fiorida Statutes,authorizes the City to charge and wllect user fees to pay for the costs of fire
prevention and protection related activities such as inspections, plan review,administrative fees,and other
aosts 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 pertormed 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 OfFce-813-780-0041
a�3-�ao-oo2o City of Zephyrhills Fire Fax-813-780-0021
Permit Application
Date ReceivedP 1/30/2012 Phone Contact for Permit 813 313 1637
Owner's Name Waste Water Treatment Plant owner's Phone Number C 813 780 0029
Owner's Address 6907 Dairy Rd.,Zephyrhills, FL 33542
Fee Simple Titleholder Name Titleholder Phone Number C� � �
Fee Simple Titleholder Address
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JobAddress 39825 Alston Avenue ZEPHYRHILLS FL 33542 � �oc# �
Sub Division Parcel#
� Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL
� Controlled Burn � Hood InstalFation
� Emergency Generator<30 kw � LP/Natural Gas-Installation
� Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale . (��,
� Fire Protection Maintenance-ANNUAL � ��V
Places of Assembly-ANNUAL I �
tr y emi � t er ❑
Sprinkler � ❑ ❑ �Y'--�
�X Recreational Burn
Fire Alarm ❑ ❑ ❑ � � Sparklers
Hood Clearnng � ❑ C ❑ � � 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
0 Other (1)Annual backflow inspection& (1)Annual Wet sprinkler inspection
Contractor / ` �� Company SimplexGrinnell
Signature ��� ��.Y C.tV Registered Y/N Fee Current Y/N
Address 4701 Oak Fair Blvd , Tampa, FL. 33610 �icense#
ELECTRICIAN
Company
Signature Registered Y/N Fee Current Y/N
Address
License#
PLUMBER
Company
Signature Registered Y/N Fee C;urrent Y/N
Address
License#
MECHANICAL
Company
Signature Registered Y/N Fee C:urrent Y/N
Address
License#
OTHER
Company
Signature Registered Y/N Fee C'.urrent 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 reqwred(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)