HomeMy WebLinkAbout13-14572 � CITY OF ZEPHYRHILLS
5335—8TH STREET
(si3)�so-oo20 14572
ANNUAL FIRE PROTECTION MAINTENANCE
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� Permit Number: 14572 Address: 38450 VALLEY OAKS CR
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: GRAND RESERVE
Est. Value: Parcel Number: 35-25-21-0010-09200-0000
Improv. Cost: ,��:,Ea'�.�
Date Issued: 9/26/2013 Name: GRAND RESERVE APARTMENTS LTD
Total Fees: 25.00 Address: 580 VILLAGE BLVD STE 360
Amount Paid: 25.00 WEST PALM BEACH FL 33409
Date Paid: 9/26/2013 Phone:
Work Desc: FPM-QUARTERLY FIRE SPRINKLER FOR 38422 VALLEY OAKS CIRCLE CH
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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 pertormed 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-' r
PERMTT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
, s-a ;�c o02o City ofZephyrhills Fire FaX-a�s-��o-ooz�
Permit Application
Date fteceivc 7 � Phone Contact for Permit �/3 2y �7 7
C:�wners Name Q � Owner's Phone Number C� Ly7 77�
Owner's Address �� (,� Py�S� P� � �
Fee Simple 7itleholder Name �X Titleholder Phone Number �� ZT� 4��
Fee S�mpie l�±lehc'der Address u yV Q� .�y�, y �_ .r�/.r'1^7
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Job/`,�dress �Q�Z7. " • �
Oo�ks rc.-l� h h,lls � 335�,1u �o,# ��
Sub t)�vision Parcel# —�
� Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL
aControlled Burn � Hood Installation
� Emergency Generator<30 kw � LP/Natural Gas-Installation
� Emergency Generator>30 kw � LP/Natura!Gas-ANNUAL Sale -
C��Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL � `
tr y emi �n t er / h
Spnnkler f�Y� I-1 ❑ � a Recreational Burn /��) ��J�,
❑ [� ❑ � �`�t �
Fire Alarm f 1 I ; I ! Sparklers
Hood Cleaning � I I ] � , � ❑ Sprinkler System Instaliation
Hood Suppression � I � � Standpipes�Spnnkler Sys)
[__J� Fire Alarm Instaltation � Torch Roofing/Tar Kettle
C � Fire Pumps � Waste Tire Storage ANNUAL
� Fire Works
� Flammable Application-ANNUAL 'j,�(� Valuation of Project
� Fuel Tanks
� Other•
Contractor Company F' w e •(,�
Signature Registered Y/N Fee Current Y/N
Address �(� �.y 5 ' License#
FLEC�RICIA^J Company
Signa?ure I Registered Y/N Fee Current Y/N
Addres5
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#
�:)rFif f� Company
;igna�ure _ Registered Y/N Fee Current Y/N
�ddres� [_
L�cense#
;�irecbons
1�li out apphcation completely
��o,^er 8 Contractor sign back of application. notarized(Or,copy of signed contract wrth owner)
If over g�500,a NoLCe of Commencement is reqwred(Mecharncal work over$5000)
Su;:�ply two(2)sets of drawings with apphcable documenta6on
�Ilcw 10-14 days for rewew after submittal date Parcel#-obtained from Property Tax Nohce(http.//appra�ser pascogov com)