HomeMy WebLinkAbout12-13075 CITY OF ZEPHYRHILLS /,
5335-8TH STREET
� �si3)�so-oozo 13075
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13075 Address: 37815 15TH AVE
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: 10-26-21-0600-00000-0010
Improv. Cost:
Date Issued: 5/17/2012 Name: JOSEPH, JOSEPH
Total Fees: 25.00 Address: 37815 15TH AVE WEST
Amount Paid: 25.00 ZEPHYRHILLS FL
Date Paid: 5/17/2012 Phone:
Work Desc: FPM-SUPPRESSION SEMI-WELLSPRING ALF
�
,c�— � �—
ina
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 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 RECO IN Y R NOTICE
OF COMMENCEMENT." '
PERMIT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
a�3aso-oo2o City ofZephyrhillsFic�e�-:�=. �Fax-813-780-0021
. Permit Application _
Date Received - Phone Conffict•for Pertnit �
Owners Name � bwner's Phone Number .� �� �
Owner's Address �� �.�� w�'.r�
Fee SimpteTitlehotder Name Titleholder Phone Number � � �
Fee Simple TfUeholder Address
Job Address Lot# �
5ub Division Paroel#
� Bio-Hazard Waste 5torage-ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier il or RQ Factlity)ANNUAL
� Controlfed Bum � Hood Instailation
� Emergency Generator<30 kw LPMatural Gas-Installation
� Emergency Generator>3D kw � LP/Naturai Gas-ANNUAL Sale ^�
� Fire Protaction Maintenance-ANNUAL � Places of Assembly-ANNUAL � j �V �
�y emi �n er �
Sprinkler � � ❑ ❑ ❑ � � Recreational Bum
Fire Alartn � ❑ O ❑ � � Sparkfers
Hood Cleaning � ❑ ❑ O � � Sprinkler 5ystem Instaltations
Hood Suppression � O ,� ❑ � � Standpipes(Sprinkler Sys)
� Fre Alartn Installation � Toroh RoofingrTar Kettle
Fire Pumps � Waste Tire Storege ANNUAL
Fire Works
Flammable Applicatlon-ANNUAL � Valuation of Project
Fuel Tanks
Q Other:
Contractor Campany _ `
Signature Registered N Fee nt Y/N
Address License#
ELECTRICIAN Company
Signature Registered Y/N Fee Current Y/N
Address License#
PLUMBER Company
Sfgnature Registe►ed Y/N Fee Current Y/N
Address License#
MECHANICAL Company
Signature � Registered Y/N Fee Curtent Y/N
Address License#
OTHER Company
Signature Registered Y/N Fee Current Y/N
Address License#
Directions:
FII out application completely.
Owner 8 Contractor sign 6ack of application,notar¢ed(Or,copy of signed contract with owner)
F�over$2500,a Notice of Commencement is required.(Mechanical work over$5000)
Supply two(2)sets of drawings with applicable documerttation
Allow 10-'14 days for review afler submittal date. Parcel#-obtainad from Property Tax Notice(httpJ/appraiser.pascogov.com)