HomeMy WebLinkAbout12-12749 CITY OF ZEPHYRHILLS "�
5335-8TH STREET
�si3)�so-oo20 12749
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12749 Address: 6907 DAIRY RD
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: 02-26-21-0010-01000-0000
Improv. Cost:
Date Issued: 2/01/20 2 �� Name: CITY OF ZEPHYRHILLS
Total Fees: 2 0 �� Address: 6907 DAIRY RD
Amount Paid: 2 . ZEPHYRHILLS, FL. 33542
Date Paid: 2/01/201 Phone:
Work Desc: FPM-ANNUAL SPRINKLER-ZPD (fee waived)
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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 rnmmercial 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•� 30- �o City of Zephyrhills Fire Fax-813-780-0021
Permit Application
Date Received 1/30/2012 Pnone Contact for Permit 813 313 1637
Owner's Name Zephyrhills Police Station Owner's Phone Number C 813 780 0041
Owner's Address 6907 Dairy Rd ,Zephyrhills, FL 33542
Fee Simple Titleholder Name Titleholder Phone Number C� � �
Fee Simple Titleholder Address
JobAddress 6118 8th Street ZEPHYRHILLS FL 33542 � �oc# �
Sub Division Parcel#
� Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Matenal(Tier II or RQ F acility)ANNUAL
� Controlled Burn � Hood Installation
� Emergency Generator<30 kw a LP/Natural Gas-Installation
� Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale
� Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL
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Sprinkler ❑ ❑ � � � Recreational Bum (L
Fire Alarm ❑ ❑ � � � Sparklers �
Z � �r �
Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations
Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys)
� Fire Alarm Installation � Torch RoofinglTar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
� Fire Works
� Flammable Application-ANNUAL Valuation of Project
� Fuel Tanks
XD Other� (1)Annual backflow inspection &(1)Annual Wet sprinkler inspection
concractor � � +.-�n ��� Company SimplexGrinnell
Signature �.�^�� �1.%�
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 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#
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
Aliow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com)