HomeMy WebLinkAbout13-14368 CITY OF ZEPHYRHILLS
. � 5335-8TH STREET
�sis��so-oo20 14368
ANNUAL FIRE PROTECTION MAINTENANCE -'��
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Permit Number: 14368 Address: 6340 FT KING RD
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:
Improv. Cost:
Date Issued: 7/18/2013 Name: JOHN, DR KT
Total Fees: 25.00 Address: 6340 FORT KING RD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 7/18/2013 Phone:
Work Desc: FPM- FIRE ALARM ANNUAL- DR KT JOHN
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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 AITORNEY 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
8�3-78�o2o City of Zephyrhills�Fir:e� Fax-8i3-�8o-o02�
Permit Application
late Received � Phone Contaet for Permit ,���
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hvners Name J 1'1 Ovmer's Phone Number � C� �,�
)wners Address �Q ?J �{ � �['� �.�n � e Z � � s ' 3�� �
=ee Simpls TiUeholde� Name TiHeholder Phone Number C� � �
=ee Simple Titleholder Address
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Job Address c� C
Lot#
Sub Divisian Parcel#
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aBfo-Hazard Waste Storage-ANNUAL � Fumigatlon Tent
� Comm Exhaust FGtchen HoodlDuct � Hazardous Material(Tler li or RQ Facility)ANNUAI.
� Controlled Bum � Hood Installatlon
� Emergenoy Generator<30 kw � LP1Natural Gas-Installation
Emergency Generetor>30 kw � LP/Natural Gas-ANNUAL Sale
Fire Protection Mairttenance-ANNUAL a Places of Assembly-ANNUAL , J � �
r y emi ATn ar 7 �G..� 3
5prinkler � ❑ ❑ O � � Recreational Bum � �
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Fre Alartn ❑ ❑ Sparklers
Hood Cleaning O ❑ ❑ � a Sprinkler System Installations
Hood Suppression � O ❑ O C� a Standpipes(SprinWer 5ys)
� Fira Alarm Installation � Torch.RoofinglTar KetUe
Fire Pumps � Waste Tire 5torage ANNUAL
Fire Works �
Flammable Appllcation-ANNUAL Vafuation of Project
Fus{Tanks
� Other:
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Contraotor .
Signature - _ ComPa�Y � ' ��• .C. ` 'jt"�' _ � �ts,
RegisterecJ Y N Fee Current N
Address � �c � � �� ('� License# '+
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ELECTRICIAN Company
5lgnature Registered Y/N � Fee Current Y/N
Address
License#
PLUMBER Company
Signature Reglstered �Y/N Fee Curte�t Y/N
Address
Licensa#
MECHANICAL Company
Signature Registered Y/N Fee Current Y/N
Address
License#
OTHER Company
Signature Registerod Y 1 N Fee Current �'/N
Address Lioense#
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Directions: ° - , � st,,n.��-._ _. =Az_ . .. ,.... . ____at�^r.�e�
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Fill out applicaUon oompletely.
Owner&Contractor sign back of applicatior�,notartzed(Or,capy of signed contract with owner)
�f over$2500,a Notice of Commencemant is required(Machanical work over�5000)
Supply two(2)sets of drawings with appiicable dacumentation �
Allow 10-14 days for revisw after suhmittal date. Parcel#-obtained from Prope�ty Tax Notice(http:/lappraiser.pascogov.com)