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Home My WebLink About13-13964 � � � , CITY OF ZEPHYRHILLS 5335-8TH STREET (si3)�so-oo20 13964 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 13964 Address: 39602 AMETHYST WAY Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL. Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book: Proposed Use: MOBILE HOME PARK Lot(s): Block: Section: Square Feet: Subdivision: EMERALD POINTE Est. Value: Parcel Number: Improv. Cost: Date Issued: 3/08/2013 Name: MCKISSIC, ALLEN Total Fees: 50.00 Address: 39602 AMETHYST WAY Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 3/08/2013 Phone: Work Desc: FPM-ANNUAL FIRE SPRINKLER & FIRE ALARM FOR EMERALD POINT RV PARK A 5. 25. 0 � �-- �,� �-( 3 . inal 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 ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 813-780-002D City of Zephyrhilis Fire Permit App►ication Fax-813-780-002� Date Received � - _..- .._. —s-:: . - -,° Phone Con - �` ' „- - = tact for Permit - �� 9yz �943 -- -;,:._:=- -. :.: _ ,- - � _._ _r_:�__ ._F._.. owners Name �. G �� , �v �-� -- : ..� .. __;..___:..,..,. ,.W,:.= / ��/LK Owner's Phone Number ` ��°� (y Owner's Address Q� �m��Sr 0 �d 7 pgo C ��t y �/��s �L �3,�4�b Fee S�mpiP T�ttehoider Name � F�e S�mple Titlehoider Address TiUeholder Phone Number � � � -- _;._:�:-,r:.._.�;.;:a,:r_:...._.._.._ .. d,,:_::_,��._�_.:. .._-__ _. ----_ _:,.._, _. - - {-Y-:,::..,;--,_;:_.:.....__ ..__.._,.w .....-�.�=.,w...__:_.,..-_sr_.:.x�;;°_::_?-'-:: Job Address � b x ,. - "°�`�`_= - _ _ /�"�'1�rff s�.s T�,q-�i Z f�GC�s � �3.5 y-f� Sub Divisron Lot# � Parcel# �� ❑ __ _. _ . _ .�_._:, I Bio-Ha2ard Waste Storage-ANNUAL � �t" �' -i �f�� i � Nazardous Material(Tier II or RQ Facility)ANNUAL Comm Exhaust Kitchen Hood/Duct Q � Controlled gurn Hood Installation � Emergency Generator�30 kw C� �P�Naturai Gas-Instailation � Emergency Generator> � �P�Naturdl Gas-ANNUAL Sale � 30 k�w � Fire''rotection Maintenance-qNNUAL P�a�s of Hssembly-qNNUAL �,/ � em� � a Recreational Bum '` er Sprinkier � � � � ❑ Fire Alarm ❑ � Sparklers �� ' �� ❑ ❑ ❑ ❑ jl Hood Cleaning ❑ � Sprinkler System Instaliations ' ❑ ❑ � ❑ Hood Suppression ❑ � Standpipeg(Sprinkler Sys) _. � � � � � Torch Roofin Ffre Atarm Insta�iation 9/1�ar Kettle ❑ Fire Pumps � waste Tire Storage ANNUAL � Fire Works � FlammableAppircation-,qNNUAL � Fuel Tanks Valuation�f rroject ❑ Other ContraCtor "_'�----..--. -°.-_ -_.�,_. ,.---.�._:_--- -- -- S�ynature � _— ---_� Com :r3r_,_;��:��sr.-_.=..-.: ._.�_, . ._.__._ : __ - pany T � _ Aaaress 353 f {�1 Registered Y/I� Fee Current on Y!N rLECTRICIAN LiCense# q � '� S�gnature Company z Address � ----�� Registered Y/N Fee Current Y/N nLUMBER License� S�gnature � Company Address Registered Y/�y Fee Current Y/N MECHANICAL LiCenSe# Sgnar�re Company Aadress Registered Y/N Fee Current �iHE� � Y/N i ��cense# ��9rac��re � � Company Address Registered Y/N Fee Current -~ Y/N :��E��r,� _ . � ""`` License# ,_,.. , . : _ _ -- -' .R..,_..:..:, Fi11 out appliCahon compietely - . -_�,_:_._:�_,_-,,. -- _ . Owner 8 Contractor sign back of appiication,r�ty�iZ� Or,rA If over gz500,a Notice of Commencerr�ent is required(Mechanical work over$5000) '��wner) Supply two(2)sets of drawings with appUcyble documentaUOn Alfow 10-14 days for review affer submittai date. Parcel#-obtained from Property Tax Notice(http;//appraiser.pas�9ov.com) ° � ais-�so-oo2o Gty of Zephyrhilis Fire Fax-a�saao-oaz^ Permit Appiication L�ate Rece:ved �� G�� ,�,r.:.,�.,, 1�--��_r:__...__....,.�.;z__ ;..:.�.:._,_- -------=,::: .� --- --- ��-t 9y2 �q Phone Conqct for Permit _.._. �:_,: �_::..�. - -_>.�_.--__ _...._ _._..�_- -- - --- ---- --- ___ __,__ ...�__:.___. _s--��_r�s��-.�_�.-��::.�.,-J.__:.�_:_...�_=- -- - - -- Owner's Name �h'/,��L� 6/�/7 � aC�— owner's Phone tvumt�er ��D �� 7� O Owner'sAddress Jg�p D� /7�rTffY,ST �i�{-y Z-(��(.(s' �(� �JSj�{O Fee S�mple Titiehoidet Name Trt1eh01der Phone Number �� f:�S�mpie TRleholtler Atldress '--'_� --.�a�e:;==��_: _ . ` - -- - - `_-a::,��.:.:�'.-'�"" _ _ _- ��,sE�..=_��-.acMrieni�_ --- ' - " ' - - ' - j'�� -a •} 'a=`=�" -_-':s�-�_'_._.._ _ J�b AddreSS cJ�(D V�^ /�T��yST �B�-� G-�/(�y ?f'%s7'� LOt# �� Suo Diwsion ��# _ - _. ------__--=�..z_._._.,_.....;.. ,.._ - ��..;=.,.-e..�.. .,...__�sF.w. -- -'--- _��:..�,-�:�� 2r,:��-�-�r_s,:a—=�--"i'�';'`�'��'�'�«.`";:2�':°�e:=�..:��qt3�-•.�......__...,.�......�.._.....:._,.� ._,.. __,.. .. ❑ -.��"�'�--��=:�'_-_'�-'_ ' Sio-Hazard Waste Storage-ANNUAL � Hazardous Materia!(Tier II or RQ Faciiity�ANNUAL � Comm Exhaust Kitchera Hood/Duct � Hood Installati0n � Conuolled Bum � LP/Natural Gas-Instaliation � Emergency GeneraYor<30 kw � tP/Natu21 Gas-ANNUAL Sale � Emergency Generator�30 kw Q PI2Ces of Assembiy-ANNUAI aFire Protection Maintenance•ANNUAL � ReCreatlonal Burn D� em� n"7 er ❑ Sprinkler p � � 5�� w Fire Alarm ❑ p � ❑ � `� Sprinkler System Instaitations i� •`�(j/,, �o a , , «� Hood Cleaning � O p Smndpipes(Sprinkier Sys) �' Hooc Suppression � Q ❑ p � � Tprch Roofing/Tar Kettle � Fire Alarm Instaliation � iMMaste Tire Storage ANNUAL � Fire Pumps _._ Fire Works � Flammabie Application-ANNUAL aValuation of Pro�ect Fuel Tanks � Other: -- •.,�:�_.�,:,.<_�� -a;LL.-. .. _ _,�.. __ ._..__. ._ _ _�-..�.-_-.�,e�: . : -�-��._=�._� , .... �: . �-�=�4� -- - contractor —'�:� ��`� °'-'�" _— -._.:_.__-_ _ s�gnature C0"�"Y -r 1 Iu�'1'O v� Registerod Y/N Fce Cunent Y/N Address 35 31 l�e ,},�rt� Rd. License� F 00 �!f cLtCTRiCiAN Company � �ignature _� Registered Y/N Fee Current Y/N A�dress License# �'L'Jf�SIiER SignaturE Cr,mpany Registered Y/N Fee Current Y/N adaress �icense# '—1 h7ECHANiCAL S�enatura Company Registered Y./N Fee Curcent Y/N Address �_� L;cense# �� OTHER SignaSure COmpany Registered Y P N Fee Current Y/N Address .. ._ ._.._... ._._ - - :_= s--_- _-,_:�_�_�:...�_�. __s�-_ ---- Dueci�on `---a._.:<<_�,ti>,.____:- -- - �A-- _,-,y,��= _� -s s _..:_-_:_.._..._._ _� �nSE ;�s�. -�.� �..�.._�_.._. Fill out application completely Owner&Contractor Sign back of appliption,notarized(pr,�py of signed contract wim�ner) if over 32500,�Notice of Commencement is teqwred(Mechanical work over 55000) SuPP�Y�o(2)sets of drawings with appiicable documentation Aftow 10-14 days for review after submittal date. Parcel#-obtafned from Prp perty Tax Notice(http://appraiser.pascogov.com) � A TOTAL SOLUTION , INC . Security � Fire Protection Proudly Serving Flo�ida Sinca 'I 988 O B�SCH �cwsi� /�/LANT.� ��....�.�� '�.',:. December 18,2012 Zephyrhilis Building Department 5335 8�'Street Zephyrhills, FL 33542 Re. Fire Inspection To Whom It May Concern. I am requesting four (4) fire inspections for multiple addresses. Included with this letter is the completed permitting application and a check for $100 ($25 for each inspection permit). If there are any questions please call me at the number below. If I am not available, please ask to speak with Larry Sitek. Thank , manda St an C echnician A Total Solution, Inc. 727-942-1993 3487 Keystone Rd. Tarpon Springs, FL 34688 STATE FIRE SPRINKLER LICENSE#92353800012002 STATE FIRE ALARM LICENSE#EF0000441 3487 Keystone Road,Tarpon Springs, Florida 34688-7815 Local (727)942-1993 Central Florida 1-888-ATS-FIRE Fax(727)943-5919 www.atota Isol ution.com