HomeMy WebLinkAbout12-12751 CITY OF ZEPHYRHILLS /"
5335-8TH STREET ����`�
(si3)�so-oo20 12751
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12751 Address: 5335 8TH ST
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-13400-0010
Improv. Cost:
Date Issued: 2/01/2012 ��t; Name: CITY OF ZEPHY�HILLS
Total Fees: 2 0�� Address: 5335 8TH ST
Amount Paid: 2 ZEPHYRHILLS, FL 33542
Date Paid: 2/01/2012 Phone:
Work Desc: FPM- SPRINKLER ANNUAL- CITY OF ZEPHYRHILLS (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,administradve fees,and other
costs relatied to the aforementioned.
Complete Pians, 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 Office- 813-780-0041
a�s-�ao-oo2o City of Zephyrhills Fire Fax-813-780-0021
Permit Application
Date'Received 1/30/2012 Phone Contact for Permit 813 313 1637
Owner's Name Zephyrhills City Hall Owner's Phone Number C 813 780 0041
owner's,4ddress 6907 Dairy Rd.,Zephyrhilis, FL 33542
Fee Simple Titleholder Name Titleholder Phone Number C� � �
Fee Simple Titleholder Address
JobAddress 5335 8th Street ZEPHYRHILLS FL 33542 � �ot# �
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 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
�y emi �n t er
Sprinkler X❑ ❑ ❑ X � � Recreational Burn � ���
Fire Alarm � ❑ ❑ ❑ � � Sparklers
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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�
contractor /'�-�'-�ip�� � � company SimplexGrinnell
Signature w"o�-�"`{ � 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
Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appr:aiser.pascogov com)