HomeMy WebLinkAbout12-13466 �
CITY OF ZEPHYRHILLS
5335-8TH STREET 13466
(813)780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13466 Address: 6937 MEDICAL VIEW LN
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: 02-26-21-0290-00000-0060
Improv. Cost:
Date Issued: 9/18/2012 Name: JG HOUSING SOLUTIONS LLC
Total Fees: 25.00 Address: 18711 CHAVILLE ROAD
Amount Paid: 25.00 LUTZ FL 33558
Date Paid: 9/18/2012 Phone: (813)833-9301
Work Desc: FPM- SEMI FIRE ALARM FOR J.G. HOUSING SOLUTIONS
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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
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 Marshai or required permits or opening up for commercial activiry 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
Ci of Zephyrhills Fire Fax-B�s-�so-ooz�
813-�80-0020 �
Perm�t Application
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� Bio-Hazard Waste Storsge-'ANNUAL'v Y� i Q Hazardous Material(Tier II or RQ Facility)ANNUAL
� Comm Exhaust Kitchen Hood/Duct � Hood Installation
� Conirotled Burn � LPINatural Gas-Instailation
� Emergency Generator��30 kw � LP/Natural Gas-AIJNUAL Sale
� Emergency Generator:>30 kw � Places of Assembly-ANNUAI
oFire Protection Maintenance-ANNUAL Q Recreational Burn �
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Sprinkler ❑ ❑ 0 Sparklers �
Fire Alarm � ❑ � U � � Sprinkler System Installa ions � �
Hood Cleaning � ❑ � � � � Standpipes(Sprinkler Sys)
Hooc Suppression � � � ❑ � � Torch RoofinglTar KetUe
� Pire Alarrn Installation � Waste Tire Storage ANNUA�
� Fire Pumps
Fire Works �
� Ffammable Application-ANNUAI Valuation of Project
FuelTanks ---,
� Other: � a.� ._ - - �---_- -- ----- -
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Contractor � ' Company �^ � �u�'1'O n
Signature
Registered Y/N Fee Current Y!N
Address 3 5 31 1�e ,�,on�2. Rc1• License# �F 000 y!
t.LECTRiC�AN Company
��gnature Registered Y/N Fee Current Y J N
Address � License#
;��uht��R �— :;ornpany i
S�gnarure � � Registered Y/N Fee Curcent Y/N
Adaress �� License#
M EC HA N 1 CA L Company
$ignature
Registered Y!N Fee Currant Y/N
Aodress License�t
oTH�R � � Company � �
��gnature Registered Y I N Fee Current Y i�
Ar,dress LiCense#
U��BC:10115
F�II�iut application completely
Owner&ConVactor Sign back of application,notarized(Or,copy of signed contract wdh owner)
tf over S2500,a Notice of Commencement is requfred(Mechanical work over 55000)
Supply two(2)seis of drawings with app��cable documeniation
Allow 10-14 days for review aft�r submittal date. Parcel#-obtained irom Propsriy Tax NoUce(http://appraiser.pasCOgov com)