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HomeMy WebLinkAbout12-13456 CITY OF ZEPHYRHILLS � . 5335-8TH STREET � �si3)�so-oozo 13456 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 13456 Address: 3751 LAUREL VALLEY BLVD Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL. Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book: Proposed Use: RV PARK Lot(s): Block: Section: Square Feet: Subdivision: MAJESTIC OAKS Est. Value: Parcel Number: 24-26-21-0030-00000-OOCO Improv. Cost: Date Issued: 9/17/2012 Name: MAJESTIC OAKS LLC Totai Fees: 50.00 Address: 3751 LAUREL VALLEY B�VD Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 9/17/2012 Phone: Work Desc: FPM- SPRINKLER & FIRE ALARM-ANNUAL- MAJESTIC OAKS 3138��v � �c'�- � zZ�?� � � ina Chapter 633, Florida Statutes,authorizes the City to charge and collect user fees to pay for the wsts of fire prevention and protection related activities such as inspections, plan review,administrative fees,and other costs related bo 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 813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 . , Permit Application DateReceived� + ,Z� � - - ---- - _- -- .. .:_ PhoneContactforPermit � �-�� _,... - --- - ..._--- --- . . ... . _. .. . _ _ . .._ Owners Name �/� � (� G� � � Owriers Phone Number � � � Owners Address �3�75'� �/¢/�j � � H� /t �� �+ ✓?��7 r�'• Fee Simple TiUehofder Name YiUehotder Phnne Number � �� � Fee Simpie TiBeholder Address - �-- - - -. � .._.._ :.. ---..... ------------......... -- --- - . .. -- --- -__.._�_.-.,.:._._---:-__:-_ - ----° ----- � -- ..-._.. - .-. -_-. -..-- - -._ :_._. ..-_-._-: -� - =------ -� Job Address �-�# Sub Division Patcei# � Bio-Hazard Waste Storage-ANNUAL a Fumigation Teni � Comm Exhaust Kitchen HoodJDuct � Hazardous Materia!(Tier 11 or RQ Faality)ANNUAL � � ConUolled Bum � Hood Instaila6on �r' aEmergency Generato<<3U kw � IPRJatural Gas-InstaUaUon J�j 2��y,�'V Q Emergency Generator>30 kw � l.P/Natural Gas•ANNUAL Sate � �� U�/,� � Fire Protectfon Maintanance-ANNUAl. a Places of AssembtyANMUAL 2�'�� � � ,,,�JC/t"� � em � er � � J ���r� Sprinkier � ❑ ❑ t� � � Recreationat Burn ��._ __ Fire Alarm � � O � � � Sparfclers �' Hood Cteaning � � ❑ O � � Sprinkler System InstallaUons ��3 � �� N� Hood Suppression � ❑ � ❑ � � Standpipes(Sprinkler Sys) '�P Q Fira Alarm InstalleGon a Torch Roofing/Tar Ketlie i� � � Fire Pumps � Waste Trre Storage ANNUAL � Fire Wo�1cs � FlemmBbleAppliCation-AIVNUAI. �—�� Valuation of Projec# � Fuel Tanks [] Other: Contractor Company .3+�• f,t L' . signature ,.�� Registered Y/N Fee Current Y/N Address License!� ELECTI21ClA1V Company Signature ( ftegistered Y/N Fee Current Y/N Address License# PLUMBER Company Signature Reg3stered Y/N Fee Curcent Y/N Address License# MECHAMiCAL Campany Signature Ftegistered Y/N Fee Currenl Y 1 N Address License# 07HER Comparty Signature Registered Y!N Fee Cuaent Y/N Address License# _ --.._. ._...._. .... .---._ .. .. ...,.- -- - __ _ - - - - _. DirecUons: Fi11 oul appficalion completely. Owrser&Contraclor stgn back of application,nofarized(Or,copy of s+gned cont�ect�vith owner) If over$2500,a Notice of Commencement is required(Mechanical v�rork over$5000) Supply iwo(2)sets af drawings with applicable documenlation Allow 1Q-14 days for review after submittaE date. Parcel#-obtained irom Property Tax NoUce(http://appraiser.pasoogov.00m) *U63102152* ���R Ti i ��u■+�� :_ -- aJ • 09/21/2012 ' • � •••, •• �' T z—•- NO. 31351E2 990�2771 � � 7M H�ok d Nw Ymk Mellw This'is a LEGAL COPY of your o Sin�plexGrinnel/ ^,�e.�,r��ssss eo-�� check.You can use it the same N u� � way you would use the original � ,�wTV�uo�ReMOr,rHs check. � oauas CENTS � � DATE CHECK NUMBER RETURN REASON—S r� o— 50 00 REFER TO MAKER � 0 09132012 3138182 _________._ __ ___.I � '� � Fifty and NO/100 Dollars r-� fl1 0"' �1'1 fl.l rl � rorHE ZEPHYRHILLS CITY OF p or�oeR 5335 8TH ST � °F 2EPHYRHILLS FL 33542 �/A� � m ��`� —� �AIRlID{i1ZE0 SN'+W�7IMiE � u n'3L38i82�i' �:04330i60��: 003M5959��' ��' 3 i 38 i8 2��' 4 �:04 3 30 �60 L�: 00 3 59 59��' .�'000000 5000��' * o i1330151 $ i � °� ' _ � o000 w �' u- r r tJ � w � � w ° ' m �o-�ao-o.�o � io � .�ou-owo�o -oru�o�a..no ru� 'a � � o�oro�oivrv .n jm y'�-n otnrurtnL�tnu- �� i�, O NR1�0"�1tW�' E-''� �• Q� �.1 if..0 Q+ Lri Q' 'v T7 m �1 !� �J RJ O� I° Plf� E-' 0' t� � �J 'm �'}7 O W t � Q'o jm ��' I � o 0 0 i� � -$G O �o�..a�.��.� -O .������� � '� � y�� I � � rv n� rv � �" rui � i � � o �� H� � � � �viruv�n�v�ru N "' � rv a o 0 ° a � � � �' � � n� n.i n� � � n� --- � � - - - _ �Do no�endQrse or write_below this line. � - DETACH BEFORE DEPOSITING NO. 3140829 � WVOICE DISCOUNT AMOUNT DATE + NUMBER 10192012 PERMIT 292 1019 2 0.00 25.00 m� � � L/, ` _�!: � �� ����1ti�o1�' 1 ��,� 1 ` �' " z.G'� ( � c.a �,PC1f 1 ' � 056313 0.00 25.00 DETACH BEFORE DEPOSITING 'iYO. 3137870 INVOICE DISCOUNT AMOUNT _�[�4TE 3 ' NUMBER 09102012 PERMIT 292 0910 2 0.00 50.00 (� � � � l C� P ._ � , �;�, ,_ Z 056313 0.00 50.U0 � , 4- � �K' -3s�°�<o� 3!;� .-,���f,,,`�,—' i��ll 6d.� ��'`...�.�..a�^ �.��t�.l..W.._... r Q Enier Eash Receipts-BLQG2 jackie , � � � � f R. � � `E .. s. -'� � ..._.. ._ �FI � Receipt Information Peyment Informetion � � '� i ReceiptNo 0423746 De�e 09/19J2012 Totaldue 50.00 �� �' Customer Information , (AIt�A Cash 0.00 Cust Na 000000 , (Alt«C � .___._..._` __�_. 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