HomeMy WebLinkAbout12-13078 CITY OF ZEPHYRHILLS
� � 5335-8TH STREET
(813)780-0020 13078
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13078 Address: 38145 15TH AVE
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: 11-26-21-0010-00800-0070
Improv. Cost:
Date Issued: 5/17/2012 Name: MEALS ON WHEELS
Total Fees: 25.00 Address: 38145 15TH AVE
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/17/2012 Phone: (813)782-7859
Work Desc: FPM- HOOD CLEAN ANNUAL- MEALS ON WHEELS
a 5.
C� �� �
_ �
�, u
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 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 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
813-�^�-002o City of.Zephyrhills Fir:e FaX-s�aaao-oo2�
' Permit Application
�.- p
)ate Received T�� �' 17f�2 Phone Contact for Pertnit t��3 ,7�}.,� / 3 S�
„-. �,... .�n �----�_�,�w,�� �� - -
s;sa t;r-_.:��..::�,�'�u;ts�..,..........:�.....,�..v_..�.�._,�.-..,..�.....,��
.- . _�_..L,..._:..�,, ^�
)wner's Name ' S��� ������ Owner's Phone Number g13 �'�S . 935�
)wner's Address � �^ ��� ����� �� ���" �
ee Simple Titleholder Name Titleholder Phone Number � � �
ee Simple 7itleholder Address
,�r m.--s,.:����sr��x����:.
aa" .'�"-m���"""' ' -- � b
NP���5 � ��LS 38/�t5 �.�Tft. ,,�V'� �o�� 0
ob Address _
�ub Division Parcel#
� Bio-Hazard Waste Storege-ANNUAL � Fumigation Tent
� Comm F�chaust Kitchen Hood/Duct a Hazardous Material(Tier II or RQ Facility)ANNUAL
� Controlled Bum � Hood Installation
� Emergency Generator<30 kw � LP/Natural Gas-Installation
� Emergency Generetor>30 kw a LP/Natu21 Gas-ANNUAL Sale
a Fire Protection Maintenance-ANNUAL a Places of Assembly-ANNUAL
�y emi �n er � �/`� � �
5prinkler � ❑ ❑ ❑ � a Recreational Bum � ��
p ❑ ❑ Sparklers �
Fire Alarm � � �
Hood Cleaning � ❑ ❑ j� � � Sprinkler System Installalions
Hood Suppression � ❑ ❑ O � � Standpipes(Sprinkler Sys)
aFire Alartn Installation � Torch RoofinglTar Kettle
a Fire Pumps a Waste Tire Storage ANNUAL
aFire Works
� Flammable Application-ANNUAL �---� Valuation of Project
� Fuel Tanks
� Other:
�
�ontractor Company �� � �
5ignature �� Registered Y/N Fee Current Y/N
Address License#
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/(�1 Fee Current Y/N
Address License#
OTHER Company
Signature Registered Y/N Fee Current Y/N
Address License# ����
. �. �
Directions:
FII out application completely
Owner&Contractor sign back of applicaUon,notarized(Or,copy of signed contract with owner)
If over$2500,a Notice of Commencement is required_(Mechanical worlc 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(httpJlappraiser.pascogov.com)