HomeMy WebLinkAbout13-14201 CITY OF ZEPHYRHILLS
_ - 5335-8TH SIREET �
(813)780-0020 142Q�
ANNUAL FIRE PROTECTION MAINTENANCE �
Permit Number: 14201 Address: 38445 5TH 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: 11-26-21-0010-15300-0080
Improv. Cost:
Date Issued: 5/21/2013 Name: HUDGINS DREW BEN
Total Fees: 25.00 Address: 38453 5TH AVE
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/21/2013 Phone:
Work Desc: FPM- SEMI SUPPRESSION MANOLO RESTUARANT
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Chapter 633, Florida Statutes,authorizes the City to charge and oollect 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 shail 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 OFFICE `
PERMIT EXPIRES IN 30 DAYS WITNOUT APPROVED INSPECTION
CALL FOR INSPECTION -8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
s��-,80-002o CityofZephyrhills'Fire��- �_. Fax-813-7g0-0021
Permit,4pplication
Date Received - Phone Contact�for Pertnit �
Owners Name �N'�� �S' �
Owners Phone Number .� ��� �p �
Owner'sAddress 3���,� �":� �
Fee SimpleTiUeholder Name Titleholder Phone Numher � � �
Fee Simple Titleholder Address
Job Address �
Lot#
5ub Division Paroel#
� Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facfltty)ANNUAL
a Controlled Bum � Hood Installation
� Emergency Generator<30 kw � LP/Naturel Gas-Installation
� Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale
� Fire Protection Maintenance-ANNUAL a Places of Assembly-ANNUAL
l�f"y emi �n er � I
5prinkler T � ❑ O O � � Recreationai Bum �� 2
Fire Alartn � ❑ ❑ ❑ �� � "5parklers
Hood Clsaning � p ❑ ❑ C� � Sprinkler System Installations
Hood Suppression � ❑ � p � � Standpipes(Sprinkler 5ys)
� Fire Alartn Installation , � Toroh RoofingfTar Kettle
n Fire Pumps � Waste Tire 5torage ANNUAL
� Fire Works
� Flammable Application-ANMUAL ����� Valuation of Project
Fuel Tanks
' Q Other:
Contrector Company ,� , f ��
-iG
5ignature Registered Y/N Fee Cu nt Y/N
Address � � License#
ELECTRICIAN Company
Signature Registered Y/N Fee Current Y/N
Address
License#
PLUMBER Company
Signature Registered Y/N Fee Current Y/N
Address License#
MECi-IANICAL 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 completely.
Owner&Contractor sign 6ack of application,notarized(Or,copy of signed contract with owner)
tf over$2500,a Notice of Commencement is requfred.(Mechanical work over$SOOD)
Supply 1wo(2)sets of drawings with applicable documentation
Allow 10-'14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com)