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HomeMy WebLinkAbout12-12776 CITY OF ZEPHYRHILLS 5335-8TH STREET � (si3)�so-oozo 12776 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 12776 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: 2/07/2012 � Name: CITY OF ZEPHYRHILLS Total Fees: Address: 6907 DAIRY RD Amount Paid: 25 ZEPHYRHILLS, FL. 33542 Date Paid: 2/07/201 Phone: Work Desc: FPM- SPRINKLER ANNUAL FIRE STATION #1 FEE WAIVED) �� � ,� v 2-' ma Chapter 633, Florida Statutes,authorizes the City to charge and collect user fees to pay for the costs of flre prevention and protection related activities such as inspections, plan review,administrative fees,and other oosts 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 Office-813-780-0041 8�3a8o-oo20 • City af Zephyrhliis Fire Fax-813-78Q•OD2i Permit Apnlication Date Received ° ' Phona Contact for Permlt ��jC'���� � - .. ,_. �._----• - _. _.. __ ., � - __. . :. - ; - _-- ,. ._--. -._._ _. .. .. .. . . .. .. . ...... _ . r-_....,.. ,.._.<t_ , _. _ _ . . ...._...._. . � , . . .1..�.Y�J,-J Owners Name � L Owne►'s Phone Number � � �T� ow„ers Add�gs G � � � a Fee Sfmpta Tidehofder iVame TiUeholder Phona Number � � � Fee Simple Tltleholder Address ..�..a.r.,-.:�......... ....... - -. - - _ - - � - -- - -.,-: ° _- - - - - - -.__ _.. - �;;=:;_:-.,.> ..,.. ...::._ ,.. . . t,.. -�..;,>:<�, ��.:�.....- , ..,:.--_'•_-:=:, .:>'_ - ------- - - ;- - _: :.:,< , . ���� : :- ...:. .w.-_--:-... �<-`-=------._ . .... ..: ----... . . ..... :.._.-�._.::.._.,., . : : c� ` h �� .a� _Y .,�..� dob Address Lot# Sub Division Parcel# .:.:.-- ,.,:_---.:r.-:-_x.-r_,:,, - --- - - - ---_ -- , - _ .. - - -_-_ = --- - - --- - _---.- ._.___ „ ... ... . •y'y�r._'1;._._..i_�_...._:1:...�._......... .. : .. . '.. . ____._. : -� -,.- ,,. ... __-_-_____ -._..., .. ' ""_ . . . � ._ ..1._'___ `____._.__.'_.__'._ "_�_.__-__'_'_'__' _' � BiaHazard Waste Storage-ANNUAI. � Fumigallon Tent a Comrse 6chaust Kitchen HoodlDuct � Hazardous Matedal(Tisr I(or R�Facifity)ANNUAL � Controlled Bum � Hood InstallaUon QEmergeneyr Ganeraior<30 kw Q LP1Natursl Gas-fnstallatEon � Emergancy Generator>30 ktv a LP/Natural Gas-AtJNUAL 3ale ����J Vi � Fire Prolectlon Maintenance-AMtJUAI. � Ptaces of Assembiy-AIJNUAL � f �� � em [ nF�T er Spdnkler Cl ❑ � � Recreaflonai Bum . Fire Alarm � ❑ ❑ � � ❑ Sparlclers Hood Cleaning � d O O � � Sprinkler System Installalions Hood 5upprasslon � O C7 0 � � Siendpipes(Spdnkler Sys) a Fire Alarm InstaltaUon � Torch RooftnglTar Keltle � fire f'umps a Waste Tire Siorage ANNUAL Bf,�eWo�a Flammabta ApplicaUon-ANNUAL �--� Valuation of Project ' � Fuel Tanks � Other: t _ ...,._,.._ ,� _��• - - - . -. - � - , .. _ _ , • _ _ . -.-- � _ - --. . . __ , _� ,. -_ ,__. �.�,. ,_;;... - .�. „_...��.. .. �:.......... . . .. ... . .......... .... :.::. _. ., . .. . ..,. 4..._ . . , : .. . . • ,,.::.. .:, , �:.-.�:...__ ,. � . , _ . , , _ , . . -;� Contractor /! � p/ � �,� . Company SignaWre (,� , ����-�K��" i2egistered Y/N Pee Current Y/N Address �� �l. � � ( License# ELECTRICfAN Company Signalure RegisEered Y/N Fee Current Y/N Address Ucense# PLUMBER Company Signatura Registered Y/N Fee CuRenl Y/N Addreas Eicense� MECHANICAL Company Sfgnalure Registered Y/IV Fee Current Y/N Address License# �THER Company Signature Registered Y/N Fee Current Y/N Address Licensa# i:,,�:;,�,:.__. .��_��.., . �,�,__;< _. ... _.. .-- =-----= •:_�. .__• -. ---._...-.--= - ... - ._ - - - _- —_- -:- . - , _-,_ - ..-„ _ -. s . .,.-._... --.,>._,-� -- ,-°;,-:,.:..-.--.-_.... � . ... . ... , _ .. . ........ . : DlrecBons: �ill out appfica0on compietely. Owner&Contractor sfgn back of applicaUon,notarized(Or,oopy of signed conUact�vilh owner) If over$2500,a NoUce of Commencement is required(Mechanical work over 55000) Supply two(2)sels of draw(ngs wiih applicabte documenta6on Ailow 1D-9 A days for review after submittal date. Paroel#-obtalned from Property Tax NoUce(http_//appraiser.pasoogov.com)