HomeMy WebLinkAbout12-13553 � CITY OF ZEPHYRHILLS
5335-8TH SIREET
- ' (sis)�so-oozo 13553
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13553 Address: 5335 8TH ST
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: 11-26-21-0010-13400-0010
Improv. Cost:
Date Issued: 10/23/2012 . �� Name: CITY OF ZEPHYRHILLS
Total Fees: 2 0 �� 1.��' Address: 5335 8TH ST
Amount Paid: 2 0 ZEPHYRHILLS, FL 33542
Date Paid: 10/23/201 Phone:
Work Desc: FPM- FIRE ALARM ANNUAL- CITY OF ZEPHYRHILLS-FEE WAIVED
�� ��
� �
.-� � (
��' � �
t
�
;
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$100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECO IN Y R NOTICE
OF COMMENCEMENT." '
PERMIT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRNILLS FIRE RESCUE DEPT- 813-780-0041
10-23-'12 11;42 FBOM-ESSI � 813-931-4048 T-537 P0003/0003 F-082
. V'v .VVVV�V �(��� V.PermitApplication '
�nale R�ceived � ` Phone CoMect for Permit 1 q 3$� �-f � I
�r.�:asr�+v�u>_�:s.n:.:c. �.� �:�n:s,�- � �::m,cc�cu;�.:a::n,.x.xa�a�e�.m.�weex.z�Mr•r.�a;..
ts�setln.u::�:•�lxr„ �
n�
I
Owner��Name j O� �e.Ph f h.�i�S OWners Phone Number $ +3 �d4'a 0 v ZZ. i
OwnsrsAddress ��3 S g�' ,�„� �
Fee Simpie Tiusnolder Name 7iqeholda Phone Number � � � �
Foa Simp1�Titlaholder Addresa
i
i
Job Atltlress J 3.3� �� ��t G7 � I
I
Lot N L�J !
Sub Divi8lon ParCel# �('Z� ' v�I � '" 13�d�b ••(�1 i� I
a Bio-Hazard Wasts Slorage-ANNUAI � Fumiga6on Tent i
� Comm Exhaust Kitchen MoodlDuct a Maza�dous Matedal(Tier 11 or ftQ Facility)ANNUAL !
aControlled eurn � Hood Installaaon
� Emergency Generetor<30 Kw � LP/Naturel Ges-Installauon
� Emergency Generator>3o kw Q LP/Neturei Gaa-ANNUAI.Sale ;`
�GI�-e,d,u..l�.C�
Fire Protecdon Maintenence-AiJNUAL �W 1 n f�.5-12 a PleCee oi Assembly-ANNUAL '
�y emi �n er �
�
Sprinkler � O ❑ ❑ � Recr@atlollal Bum �
Firs AIaMt � d D � Sp8fkle�S
Hood Cleaning � ❑ O D � � Spfi�kierSystem Inste��ations
Hood Suppression � C] ❑ G] � � Standpipes(Sprinwer Sys) �
QFire Alarm instauatian � Tprph Raofing/Taf Ketdb
� Fire Pumps � W�$ts 7ire SWrape ANNUA�
Fire Worke
� Flemmable AppliCetion-ANNUAL Valuation af Project I
� �
Fuel Tanks f
Q Other' j
�
�
Contractor -�y ^ ComPa�Y �r.��eGfY'(h—i c. t G�^� Z s�t.n. '�,n� �
Signawre �7� Registered /N Fes Current Y!N
Address �j'�p a, (Y{�f+ -t!1 ^- � ���1 License# ,C - pouo�i4� '
ELECTRICIAN Company
S�9�w� �tegistered Y/IV Fee cumsnt Y/N ,
nddross �;�„SS� 1
PLUMBER Company
Signalure Registered Y/N Fse cumsnt Y/N
AtltlreSS Licens6 i
MECHANICAL Comparry
signature Regis�ered Y/N Feo cunoM Y/N ;
AddteES License k
QTHER Cpry�pany i
Signature Rs9is�sred Y/N Fee Curce� Y/N �
���6 license#
.....�'�j1`n�r�ra*A YI rtfY�sd m�W'F , '�' �
Directions:
Fill out appliCaGon completely. ,
pWner$Contractor sign D2Ck of appliC6tion,notarized(Or,Copy Of signed cOnlfaCt Wlth ONme�)
If over 52500,a NoGCe of Commencamant is required(Mechenical work over t5000)
Suppy two(2)sets of drawings with applicabl8 documsrnation �.
Albw 10-14 days for r@view aller submitlal data, paroel M-oblainad from PropeAy Tax Notic�(hqp:l/apprai9er.pascogov.com) �
;
;
(
;
�
,