HomeMy WebLinkAbout12-13661 CITY OF ZEPHYRHILLS
5335-8TH STREET
�si3)�so-oo20 13661
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13661 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: 12/04/2012 Name: JG HOUSING SOLUTIONS LLC
Total Fees: 25.00 Address: 18711 CHAVILLE ROAD
Amount Paid: 25.00 LUTZ FL 33558
Date Paid: 12/04/2012 Phone: (813)833-9301
Work Desc: FPM- FIRE ALARM SEMI- JG HOUSING SOLUTION
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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 rnmmercial 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 shail 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
a
813-780-0020 City of Zephyrhifls Fire Fax-a�saao-ooz�
Permit Application
Late Rece�ved Phone Contact for Pertnit
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� Bio-Hazard Waste Storage-ANNUAt a Hazardous Material(7ie�II w RQ Facility)ANNUAL
� Comm Exhaust Kitchen HpodlDuct � Hood In5ta11ati0n
� Conuoiled Bum , � LP/Natural Gas-Instatiation
� Emergency Generator<30 kw � LP/Naturei Gas-ANNUAL Sale
� Emergency Generaior>30 kw � Places of Assembly-ANNUAL
� Fire Protection Maintenance•ANNUAL a Recreatlonal Burn
Sprinkler �L"',ep p' � ef � Sparklers 3� � �
Fire Alarm � ❑ � O � � Sprinkler System Instailations ��
Hood Cleaning � ❑ O � � � Sffindpipes(Sprinkler Sys)
Hooc Suppression � p ❑ Q � � Torch ftoofing/Tar Kettle
� Fire Alarm Installation a Weste Tire Storage ANNUAI
n Fire Pumps
�� Fire Works
� Flammable Appiicatiorn ANNU/u. ""�"'�'�'-"
❑ Valuation of Proiect
Fuel Tanks
❑ Other:
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`;ignat�re
Company
Re9istered Y/N Fee Current Y/N
�hdress
License#
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Company
s�g�a�ure � Registered Y/N Fee Current Y/N
Address
License# `l
MECNANICAL
S�gr,ature
Company
Registered Y./N Fee Currznt Y J N
Aodress �
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Sign�ture
Company
Registered Y/N Fee Current Y/N
Address
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F�II out appiir,ation completety
Owner&Convacior sign back of applipbon,nofarized{Or,popy of signed contract with owner)
{f over 52500,a Notice of Cominencement is required(MechaniCal work over$5000)
SuPP�Y�o(2)sets of drawings with appliCable documentatlon
Allow 10-14 days for review after submitta!date. Parcel#-obtainetl from Pro Tax Notic;e h //a raiser. as
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