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HomeMy WebLinkAbout12-13168 CITY OF ZEPHYRHILLS , 5335-8TH STREET 13168 (813)780-0020 ANNUAL FIRE PROTECTION MAINTENANCE Perrr�it Number: 13168 Address: 7810 GALL BLVD 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: 35-25-21-0010-00700-0000 Improv. Cost: Name: PRIMERICA GROUP ONE Date Issued: 6/13/2012 Total Fees: 25.00 Address: 3629 MADACA LANE Amount Paid: 25.00 TAMPA FL 33618 Date Paid: 6/13J2012 Phone: (813)933-0629 Work Desc: FPM- SPRINKLER ANNUAL- UPS /ZEPHYR COMMONS V� � �l� C� , ��k�� ,� 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 sisaeo-oozo Ciry of Zephyrhills Fire Fax-813-780-0021 Permit Application Date Received Phone Contact for Permit � �S 83� Owner's Name Owner's Phone Number �� �V3 Q�Z Z9 �A �. �" A � Owner's Address � � �� Fee Simpie Titleholder Name Titleholder Phone Number Fee Simple Titleholder Address Job Address �� 1..� � � --{"�—,— Lot# � Sub Division Parcel# � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or R�Facility)ANNUAL � Controlled Bum � Hood Installation � Emergency Generator<30 kw � LPINatural Gas-Installation � Emergency Generator>30 kw � LP/Natural GasANNUAL Sale �x� Fire Protection Maintenance-ANNUAL a Places of Assembly-ANNUAL tif•� y emi n er � � � � ��� Sprinkler � ❑ ❑ � � Recreational Bum � ( 3 Fire Alarm � ❑ � � �� � SParklers � 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 aFuel Tanks Q Other Contractor �_ � Company a�1 � T �.le S Signature Registered Y!N Fee Current Y/N Address � 'ZZ � �c.. a r �� 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/N Fee Curcent Y/N Address License# OTHER Company Signature Registered Y/N Fee Curtent Y/N Address License# Directions: Fill out application completely Owner&Contractor sign back of application,notarized(Or,copy of signed contrad 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. P2rcel#-obtained from Property Tax Notice(http:!/appraiser.pascoaov.com)