HomeMy WebLinkAbout13-14277 CITY OF ZEPHYRHILLS
, 5335-8TH STREET
(si3)�so-oo20 14
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 14277 Address: 4645 AIRPORT 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: 13-26-21-0080-00000-0020
Improv. Cost:
Date Issued: 6/12/2013 � Name: ZEPHYR PALMS EVENT CTR
Total Fees: 25.00 Address: 4645 AIRPORT RD
Amount Paid: 25.00 ZEPHYRHILLS, IFL. 33542
Date Paid: 6/12/2013 Phone:
Work Desc: FPM- FIRE ALARM ANNUAL-AMVETS
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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 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 OFFICE �
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
s�r�aa-aozo Ciiy of Zephyrhills'Fire� Fax-8�3-780-0021
� Permit Application '
)ate Received . ' �F�
Phone Contact�f,o�r�it��-
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hvners Name (' � Owner's Phone Number �� VI �,/,�/�,
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)wners Address � q, �r
=ee 5impl=Titleholder Name 'TiNeh der Phone Number � �
=ee Simple Titleholder Address
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Job Address �
Lot#
Sub Division Parcel#
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Bio-Hazard Waste 5torage-ANNUAL � FumigaUon Tent �
� Comm Exhaust FGtchen HoodlDuct a Hazardous Materia!(Tier II or RQ Facllify)ANNUAL
Controlled Bum a Hood installation
� Emergenoy Generator<30 kw a LP/Natural Gas-Instaltation
Emergenoy Generetor>30 kw � LP/Natural Gas-ANNUAL Sale
Fire Protection Mairttenance-ANNUAL � Piaces af Assembly-ANNUAL /�
� r y emi nT ar � �
5prinkler ❑ ❑ ❑ a Recreational Bum I
Fire Alarm p p �
� � �� � Sparklers
Hood Cleaning ❑ p ❑ Sprinkler System Installatlons
Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkier Sys}
� Fire Alartn Installafion � Torofi_RoofinglTar Kettie
Fire Pumps � Waste Tire Storage ANNUAL
Fire Works •
Flammable Applicatlon-ANNUAL —� Valuation of Project
Fusf Tanks
Q Other:
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Contractor . ����`'��=''�-�'�
Signature � . Comparry ' >:'� , := .i, '' 'j� _ �.
Registerec! Y N Fee Gurrent (�
Address ,� � _ �
� �'f�� License# J t; ��
ELECTRICIAN
Cumpany
51g�ature Registered Y/IV Fee Current Y/(�
Address
Ltcense#
PLUMBER Company
Sic�nature ReglstBred Y/N Fse Gurrent �/�J
Address
Licensa#
MECHANICAL
Company
Signature Registered Y/N Fee Current Y/N �
Addrsss
License#
OTHER _
5lgnature
Company
Rsgistered Y/f�! Fee Gurreni Y/N
Address � �
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�irections: " - - �..�.z.����r
Fill aut appiication completeiy. y `��V� -- �-=Y�-��,p��
Owner 8 Contractor sign back of appliratior�,notarized(Or,aopy of signad cvntract with owner}
If over 52500,a Noti�e of Commencement fs requirad(Mechanica!work over 35000)
Supply two(2)sats of drawings with applicabie documentation
Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice htt !/a
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