HomeMy WebLinkAbout12-13640 CITY OF ZEPHYRHILLS
5335-8TH STREET
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ANNUAL FIRE PROTECTION MAINTENANCE �
Permit Number: 13640 Address: 37815 15TH AVE
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: 10-26-21-0600-00000-0010
Improv. Cost:
Date Issued: 11/26/2012 Name: JOSEPH, JOSEPH
Total Fees: 25.00 Address: 37815 15TH AVE W EST
Amount Paid: 25.00 ZEPHYRHILLS FL
Date Paid: 11/26/2012 Phone:
Work Desc: FPM- SUPPRESSION SEMI WELLSPRING
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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 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$100.00, whichever is greater. All
work shall be pertormed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECO IN Y R NOTICE
OF COMMENCEMENT." '
PERMIT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
a�sa$aoozo City ofZephyrhilis"Fir�e?•"�.'=. Fax-8�3-780-0021
�' Permit Application
Date Received � Phone Contact•for Pertnit �
Owner's Name � Owners Phone Number � �
Owner's Address � � �
Fee Simple'fitleholder Name Titleholder Phone Number � �� �
Fee Simple Z'itleholder Address
Job Address Lot# �
Sub Division Parcel#
� Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen HoodlDuct � Hazardous Material(Tier II or RQ Facility)ANNUAL
� Controlled Bum � Hood Installatlon
aEmergency Generator<30 kw � LP/Natural Gas-InstallaUon
� Emergency Generator>30 kw � LP/Natural Gas-ANNUAL 5ale / �
� Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL � � ��C� �
C.L�y emi �n er
5prinkler ro � ❑ ❑ � Recreational Bum
Fire Alartn � ❑ ❑ ❑ � � Sparklers
fiood Cleaning � ❑ O D � � 5prinkler8ystem Installations
Hood Suppression � ❑ � ❑ � � Standpipes(5prinkler 5ys)
� Fire Alartn Installation , � Torch Roofingrfar Kettle
Fire Pumps � Waste Tire Storege ANNUAL
Fire WoHcs ,
Flammable Applicahon-ANNUAL Valuation of Project
Fuef Tanks
� Q Other:
Contrector Company Q , n..!
Signature Registered /N Fee urrent Y/
Address License#
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ELECTRICIAN Company
Signature Registered Y/N Fee Curtent Y/N
Add2ss , License#
PLUMBER Company
5lgnature Registered Y/N Fee Current Y/N
Address License#
MECHANICAL Company
Signature Registered Y/N Fee Current Y/N
Address License#
OTHER Company
Signature Registered Y/N Fee Current Y/N
Address License#
Directions:
Fill out application completely.
Owner 8 Contractor sign back of application,notarized(Or,copy of signed contraet with owner)
If over$2500,a Notice of Commencement is required.(Mechanical work over$5DD0)
Supply iwo(2)sets of drawings with applicable documentation
Allow 10-'14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com)