HomeMy WebLinkAbout13-14200 � CITY OF ZEPHYRHILLS
5335-8TH STREET 1�O
(813)780-0020
ANNUAL FIRE PROTECTION MAINTENANCE �
Permit Number: 14200 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: 5/21/2013 Name: JOSEPH, JOSEPH
Total Fees: 25.00 Address: 37815 15TH AVE WEST
Amount Paid: 25.00 ZEPHYRHILLS FL
Date Paid: 5/21/2013 Phone:
Work Desc: FPM- SEMI SUPPRESSION -WELLSPRING
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Chapter 633, Florida Statutes,authorizes the City to charge and coilect 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 RECORDING YOUR NOTICE
OF COMMENCEMENT."
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PERMIT OFFICER "
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
si�-�aaoozo � City ofZephyfiills'Fire�•"�'=. Fax.�13-j8��021
Permit Application
Date Received - Phone Contactfor Pertnit �
Owner's Name ��i � Owners Phone Number .� � /�i'��
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Owners Address -
Fee SimpieTitleholder Name Titleholder Phone Number � � �
Fee Simple Titleholder Address
Job Address Lot# �
Sub Division
Paroel#
� Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Faciiity)ANNUAL
� Controlled Bum � Hood Installation
� Emergency Generator<30 kw a LP/Natural Gas-Installatfon
� Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale
� Fire Protaction Maintenance-ANNUAL Ptaces of Assembly-ANNUAL �t�7l
ry emi �n er /i LZ,�J `�
5prinkler � � O ❑ O � � Recreational Bum ,�
Fire Alartn � ❑ ❑ ❑ �� � Sparklers
iiood Cleaning � O O ❑ � � 5prinkler 5ystem Instailations
Hood Suppression � ❑ � ❑ � � Standpipes(5prinkler Sys)
� Fire Alartn Installation , � Toroh Roofingrfar Kettle
Fire Pumps � Waste Tire Storege ANNUAL
Fire Worics ,
Flammable Application-ANNUAL Valuation of Project
Fuel Tanks
� � Other:
Contrector Company !c .k
5ignature Registered Y/ Fee urrant Y/N
Address License#
ELECTRICIAN Company _
Signature Registered Y/N Fes Current Y/N
Address , License#
PLUMBER Company
Signature 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 Fae Current Y/N
Address License#
Directions:
Fill out application completeiy.
Owner 8 Coritractor sign 6ack of application,notarized(Or,copy of signed contraet with owner)
If over$2500,a Notice of Commencement is required.(Mechanical work over$5000)
Supply iwo(2)sets of drewings with applicable documentation
Allow 10-'14 days for review after submittal date. Parnel#-obtained from Property Tax Notice(http://appreiser.pascogov.00m)