HomeMy WebLinkAbout13-14040 CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oo20 14040
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 14040 Address: 38501 5TH AVE HISTORIC
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: 11-26-21-0010-15200-0170
Improv. Cost:
Date Issued: 3/29/2013 Name: S & K PROPERTIES LLC
Total Fees: 25.00 Address: 38501 5TH AVE -HISTORIC
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/29/2013 Phone: (813)782-3930
Work Desc: FPM-ANNUAL FIRE ALARM FOR S & K PROPERTIES LLC
�
. ��- � ��
� ��� ��
, �
�\ �-
ina
Chapter 633, Florida Statutes,authorizes the City to charge and wllect user fees to pay for the costs of fire
prevention and protection related activities such as inspections, plan review,administrative fees,and other
wsts 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 WTTHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
s��-�ao-oozo Cifij of Zephyrhills�Fire• Fax-8�3-7so-oozl
Permit Applicstion
late Received - Phone Contact for P ��m�
>w�5:�_:._.,��:::;;�tu���.,.�..,..W..,.._. ermit
,..a..—,-, ���a���,�*+�, ��--xs ,........,.�_...,. - .
hvners Name �` r" � • �� Owner's Phone Number � 9 � ��(�
�wners Address (� X o�G1 g f 5,3�� c(S��''�'� S �� �� S � I 33
=ee Simple'Citleholder Name Titlehoider Phone Number C� �
=es SimpleTitleholderAddress
�i�..',':'zF..i:'w:s�.:�a"" ��_ - .
�•��.,.,..�—_.ms�e_arns.�..=_?� u�ss:r��.,..,��a"�!',�.LL�.i�.`�:.�:f'?°'t"-.�,a�SS°,�=
Ja6 Address `��C� Z " � �
-- � � , �S ot# LC
SubDivision � ZQ � Parcel# l� �p—� �(�✓C� �5vZ0(J -Ui ��
�i.5�:�,:-F.•�-,•,p.•;£2��a-�"^`'r.!i4`n1:m'�'`W- -
- . "i�.::S�":te'v'xks=��'u�.�"k'i'r'.t::.'.su::E;i�s,y:=i.g';5.YE-:�':Ku
� Bio-Hazard Waste 5torage-ANNUAL � Fumigatlon Tent
� Comm Exhaust K'�tchen HoodlDuct � Hazardous Material�Tier II or RQ Facility}ANNUAL
� ConVoiled Bum � Hood Installatlon
� Emergency Ganerator<30 kw � LP/Natura)Gas-Installation �
�
Emergency Generator>3D kw � LP/Naturai Gas-AfVNUAL 5ale
Firs Prote�tion Mairrtenance-ANNUAL � Piaces of Assembly-ANNUAL I.,
Rry emt ATn er ��l/
Sprinkler � ❑ p ❑ � � Recreatlonal Bum �
� ° ° �
Fire Alarm ❑ ❑ y� Sparklers
Hood Cleaning [7 O !❑ � Sprinkler System Installatlon
Hood Suppressiun � ❑ ❑ ❑ C� � Standpipes(Sprinkler Sys)
� Fire Alartn Installati�n � Torcfi RoofinglTar KetUe
Fire Pumps � Waste Tire Stotage ANNUAL
Fire 1Norks •
Fiammable Apptication-ANNUAL r�'�� Vafuation of Project
Fue{Tanks
�] Other:
�$���.�-���.�,��
ConVactor �y�t�����������'
� - -
Comparry � > ',. , :� .� � "ird �`� t;,
5ignature ' Registered Y N Fee Current N
Address a' ►c \}� - -� - ` �-.�.-
License# ;�V ��}
ELECTRICIAN � Company
Signature Registered Y/N Fes Current Y/�—
Address Lfcense#
PLUMBER � � Company
5ignature ReglStered �'/N Fee Cutrent Y/N
Address
Licensa#
MECHANICAL Company
Signature Registered 1'/(� Fee Current Y/N
Address —
License#
OTHER
Company
5lgnature Registered Y/N Fee Current Y I N
Address
�a�-����- License#
Directions: �-b,,�.��sa� ..a�.a —__..._.....�.._.:.:.�sss � ..�. ,.>T—�y�....,_..�_.ti..��tau;��
�._�
Fill aut application completely.
Owner 8,Contractor sign back ofi applicatior�,notarized(Or,copy of slgned ovntract with owner)
If over$2500,a Notice of Commencement is required(Mechanica!work over 35000)
Supply two(2}sets of drawings with applicable documentation
Allow 10-14 days for rnvisw after submittal date. Parcel#-obtained from Property Tax Notice(http:!/appraiser.pascogov.com)