HomeMy WebLinkAbout13-13848 CITY OF ZEPHYRHILLS
5335-8111 STREET
(813)780-0020 13848
ANNUAL FIRE PROTECTION MAINTENANCE
:
Permit Number: 13848 Address• 6907 DAIRY RD
Permit Type: FIRE PROTECTION MAINTENANC � ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0010-01000-0000
Improv. Cost:
Date Issued: 2/08/2013 Name: CITY OF ZEPHYRHILLS
Total Fees: 25.00 Address: 6907 DAIRY RD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/08/2013 Phone:
Work Desc: FPM- SPRINKLER ANNUAL- FIRE STATION #1 ZEPHYRHILLS-FEE WAIVED
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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 shall be performed in acrnrdance 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
ata-7eo-oo2o City of Zephyrhills Fire
Permit Application Faz-813-760-0021
Date Received 2/6/2013 Phone Contact for Permit 813 313 1611
Owner's Name Ze h rhills Fire Station#1 Owner's Phone Number �� �
Owner's Address 6907 Dai Rd�Attn:Lor ZEPHYRHILL FL 33542-1631
Fee Simple Titleholder Name Titleholder Phone Number �� �
Fee Simple Titleholder Address
Job Address �
Sub Division Lot#
Parcel#
� Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent
Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL
❑ Controlled Burn Hood Installation
❑ Emergency Generator<30 kw � LP/Natural Gas-Installation
❑ Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale
� Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL ��/�
Sprinkler ����'� ��
° ° X � � Recreational Bum ��
Fire Alarm � ❑ ❑ ❑ � � Sparklers
Hood Cleaning � � � �
❑ � � Sprinkler System Installations
Hood Suppression ❑ ❑ ❑ � � Standpipes(Sprinkler Sys)
❑ Fire Alarm Installation �� Torch Roofing/Tar Kettle
� Fire Pumps O Waste Tire Storage ANNUAL
Fire Works
� Flammable Application-ANNUAL
❑ Fuel Tanks Valuation of Project
� Other Backflow
Contractor Wanda Paradis Comp Sim lex Grinnell
Signature
Regist Y/N Fee Cu Y/N
Address 4701 Oak Fair Blvd,Tam a FL 33610 License#
ELECTRICIAN
Signature � Compay
Address Regist�_Y/N � Fee Cu Y/N
License#
PLUMBER
Signature Company
Regist Y/N Fee Cu Y/N
Address
MECHANICAL License#
Signature � Company
Address
Regist�_Y/N Fee Cu, Y/N
License#
OTHER
Signature Company
Registd_Y/N Fee Cu Y/N
Address —
Directions: License#
Fill out application completely
Owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner)
If over$2500,a Notice of Commencement is required(Mechanical work over$5000)
Supply two(2)sets of drawings with applicable documentation
Allow 10-14 days for review aker submittal date. Parcel#-obtained from Property Tax Notice htt //a
( p: ppraiser.pascogov.com)