HomeMy WebLinkAbout12-12845 CITY OF ZEPHYRHILLS
- = 5335-8TH STREET
(sis)�so-oozo 2845
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12845 Address: 5006 5TH ST
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: 11-26-21-0010-1900-0130
Improv. Cost:
Date Issued: 2/27/2012 Name: ZEPHYR ANGELS PRE-SCHOOL
Total Fees: 25.00 Address: 5006 5TH ST
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/27/2012 Phone: 813 317-3257
Work Desc: FPM-FIRE ALARM ANNUAL-ZEPHYR ANGELS PRE SCHOOL
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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
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."
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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
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Permit Application
late Received - Phone Contact far Permit �y�T�
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hvne�s Name +w�, ° � Q Owner's Phone Number ��,� .,5� 3 J
�,v�er's Address �� h`• S �' � 3� 5 y �
'ee Simple TiUeholder Name TlNehoider Pfione Number � �� �
=ee Simple TiUeholder Address
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Sub Division � � Parcel# –,.�. – �
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� BiaHazard Waste Stotage-ANNUAL Q FumigaUon Tent
� Comm ExhausY Kitchen HoodlDuct o Hazardous Material(Tier li or RQ Faciliiy)ANNUAL
� Cantrolled Bum � Hood Installatlon
� Emergenoy 6enerator<30 kw � LP/Naturei Gas-Installation
Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale
Flre Protection Maintenance-ANNUAL a Places of Assembly-ANNUAL
�y emi � er ��, C�
5prinkler � ❑ a ❑ � � Recreatlonal Bum `r�
Fre Alarm ❑ ❑ � � � Sparklers � '
Hood Cleaning � O O ❑ �� a Sprinkler System Installations
Hood Suppression � O ❑ O � � Standpipes(Sprinkler Sys)
aFire Alartn InstaOation � Torcfi Roofing(Tar Kettle
Fire Pumps � Waste Tire Storage ANNUAL
Fire Wodcs •
Flammable Applicaboo-ANNUAL � Valuation of Project
Fuei Tanks
Q Other:
P i�..�'vi4�.-':n���i�£1
Contractor �,// ' �? Comparry =� ,G � Vr '` C,
Signature ' Registered Y N Fee Current N
Address 1 � License# �b i t`�
ELECTRlCIAN Company
Signature Registered Y/N Fee Current Y/N
Address License#
PLUMBER Company
5ignature Reglstered Y/N Fee Current Y/N
Address Licensa# �
MECHANICAL Company
5ignature Registered Y!N Fee Current Y/N
Address License# �—
07HER Company
Signature Registered Y/N Fee Current Y/N
Address Lioense# �— �
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Fill aut application completely.
Owner 8 Contraetor sign back of appiicatiot�,notarized(Or,�opy of signed conUact with owner}
If nver$250D,a Natice of Commencement is required(Mechanicai work over�5000)
Supply two(2)sets of drawings with appiicable documentation
Allow 10-14 days for raview after submittal date. Parcel#-abtained from P�operty Tax Notice(http://appraiser.pascogov.00m)