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HomeMy WebLinkAbout13-14742 CITY OF ZEPHYRHILLS , 5335-8TH STREET (sis)�so-oozo 147 ANNUAL FIRE PROTECTION MAINTENANCE � Permit Number: 14742 Address: 6712 DAIRY 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: 02-26-21-0010-03800-0000 Improv. Cost: Date Issued: 11/18/2013 Name: LUSARE INVESTMENT HOLDINGS LLC Total Fees: 50.00 Address: 28804 FALLING LEAVES WAY Amount Paid: 50.00 WESLEY CHAPEL, FL 335435761 Date Paid: 11/18/2013 Phone: (813)679-1883 Work Desc: FPM- SPRINKLER & FIRE ALARM ANNUAL -PEDIATRIC PARTNERS A � � � .� r '� � �- ���� inal 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$100.00, whichever is greater. All work shall be performed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." >> � - , / ' ` I t ' , `�..r-t� ` `J� P �_>:, � 1 PERMIT OFFICE �--- PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 873-780-0020 City of Zephyrhills Fire Fax-s�saso-ooz� • Permit Application atc R_-_2�ved A . . ',s..._.�_...._- �.s�.. •a��._: �� Phone Con�ct tor Pertnit 9�I 2 �9 9 :_:��._.::._...:�.:- ...___. __3 � .�:,..-.:=.•.�.,,�-,.;,r___._� _.. _ _ — ...Q�.x*�� -'�s��.,-_._.�.. - .. . _._. _....__�_�..:� _.��_-_.-..�.._- �.��:.x�-_.,:,h�:=..�...._._;:.R.._ .�z:-�- _..��..__ _.._. �',wn�r's Name �/"i�/!�-Til�./G /�'.�.�/J�� Owner$PhOr1e Nurttbe' d f� ��� G70�`l ��-�z,�Addfeu G��/.� t�r�/�zY k�i� ,z��e��S �G 3 35'�.z ; �ee S�m�ie Titlehoider Name TiqeholdBr Phone Number �� �� ^I S�mpie��uenoiuer qadress �i -_�:.:"�'�•;.:?:'"�T��:�c�-.z=xi#saee��.+�..i._ ,.-�,�,..=�r_—.�...�-",- .`-.—=u_��....... 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QValuation of Project Fuel Tanks [] Other: -._. - ---_"':��, g —� Ccn;ractor R�==����_:-_..- ��gnaiure �Y � ( �•O Rt9��d Y N Fee Cwrent Y/iV Address 3 rj � �e n` � �# �£FOOOOy�-t! :=I_�CTRICIAN ,iynature COmpafly R�9��ed Y 1 N Fee Current Y/N Address � � lJC@r�sC# rLJbiBclt S,gn,3tu�e � � CO(YiPef►Y ..____a.._..._.__.___.___ ---- � Repistered Y/N Fee Current Y/N ��darFSs '.iPt,HtiN1LAL ��Se# � pn;,ture Company RegislereC Y_/N Fee Currant Y/N Aoare;s Tr''-F� �� � � i�IJI�fa � —! Re9iste�ed Y!N Fee Current Y/N� Address - _ ._:__:;:�._..��-�,.s---= --- - :_ -- �- ,:ui, �°`•'--�=�°' - 5 - .:,_T.....=�.__.�..,_r_v:._ �;-:_-..6� - F�N ouY aDP�+ca�tion compleFely °--- - � �..� _-- -- - - Owner 8 ConVac[or sign badc of applica0on,notarized(Or,�PY uf signed contract with avnerj ff over 52500,a Notice of Comrhenpertsent is required(M�n�ai wor��yer SSOOty) SuPpIY two(2)sets ot draw9nps wttllBppNCap�g poauslentation Ailow 10-74 days for reyie�nr aRer sUprrdt�l t� Ratoel�-obtainetl ifam Ptoperty T8x Nobce(http://appraiser.pascpgov.com) e�s-�ao-oo20 , City of Zephyrhills Fire " Permit Appiication Fax-873-780-0021 Date Received :_.y.,:._„�._:..,..:.._.. _._.._._. ._ _._.::�s..__�_..r_.,.�....,A_...r..._ hone .,�._-n.--:�.f.._:.::;...=:�.��;•.�_..-. -- �. _ .. ...--- ontact for Permit ,Z'�. ,..- .�.�_.;.ri:;�__-.»_ _ _ -„�,.�-i.,���::�,;,,��::.=�_�.,�z;::W...,-..__-�- - 'Z �� owner'sName ' �...�,,n--_.:-::_,:;-::,:_:_.. _..,M: ::;�:..:: �3 �Dis ` �T/1/�,�� Owner's Photie Number �'/3 ?�� (p b C..� � Owner's Address �jj�/� �j�� D ������l�s �� �,1 /�5� 1 Fee S�mple Titlehalder Narne ""7 � � tiUeholder Phone Number �"�'� Fee Simple Titlehoftler Addre55 U - - ---- . .. .__.,.--�,_�-u,,-a%.`�:°�:_... :.. "a.—.'=-�- ..-" .. .. � ' y . ...:�>.�.:,- ::" _ �-'T��_:=.a��•w`f.:c,r.c� _o� .. ��.�+�::�_a....::-�,y �_ - _.. .�.:'__'._..., . "'_ "_'_" " �_r .�-,._ .:- -":s_ ' ob AddresS --w.,s:.;.:�,:.:.�;-,.. :._ Scb Diwsion Lot# � .,_;=':;.-,;�:,_��_.��_.,�;:�„�,_�,4�-;,: - Parcel it � _ ._�•. ,_.��.�::�-_ ., ,. - � ❑ •-=::.._: . I BiaHazard VUaste Stora9e-ANMUAL `_ '=a��:''�a>�y�,a;;�_,.�-�,._,,..__ ��. � Comm Exhaust KRchen Hoodlpuct ���s Materia!(Tier II or RQ Facility)qNNUA�' ❑ ��trolled Bum � �Od I+�tallation � Emergency Generator<30 kw a �'����Gas-Msqpation ❑ Emergency Generator>3o k,n, � U'���1 Gas-qNNUAL Sale � r-.—, Fire'�rotection Nyintenance.q1�IN�,q� � P���AS$�b�Y-ANNUAL � �-�- � Recreational Bum Sprinkfer � x o o � � F�re Alarm � SParklers ❑ ❑ ❑ ❑ '� I � �� � Haod Cteaning � � SD����er System Instafiations � � ❑ Hood Su ❑ � ��P'P�s(Sprinkler SYS) PP�easion � j� � � � Ffre Alarm Install2tion . Torch Roefir�-�Kettle � Fire Pumps � �ste Tire Storage ANNUAL � Fire Works � FlamrrtableAppi�tion-,4NNUq�, ❑ Fuel Tanks Valuation�f rroject ❑ Other - ::._:. -, _..,_._ ..:�.:��;:=�;�_. �,,a_..�-- -- - _r��_.. ��t:��F�,;._�.:��_�:,�.,_..� t,ontractor --t�_.==�:;F;�.R:;:�'�=� -- =='_�''�`:=�'�'�,���e'�'+w�._..", ';iynature ---•�_�..--.'::w.;..: ....__._ -- _ Company T. . ..'... .X �- _ -.: �aaress � 3� K Registered Y/►y Fee Current Y/N i=LECTRIClA1V �g�� q � 'A Signature �. comFany .4ddress R°Q'�'� 1'�N Fee Current Y/N ''�JILi$ER LICE►13Ci1` :.naiure ���y . 4ddress Re9�te"ed Y I N Fee Current Y/N f I.HANICAL LjCe�@� r,,,�ure �omPanY -�ddress ���� Y�N F�Current Y/N `'th ; Lic�nse# ,��:ur� Company address Registered Y/N -- _.....:. �_..._..,. ee curreni Y I N ;�.���,s ._...-;.�-_�_._z._��_ . _.,a.x�<_,�._.__,..__ l�Censett _ �..__-__...;.,d�: -- - Fili Out aPWication Completely -.��,��`-`:'`"-° Owner&Contractor sipn badc of applieatpR,notarized(Or,copY of - -_,' --.. _- .._ If over g2500,a Not�of CpmmenCe[�e�t is t�j�� �^ed COnVact with oN,ner) Suppiy iwo�2�Se t s o f drewings with��������k over 55000) Alfow 10-14 days for rp�jeyy����y��de�. Par�el#-obtained irom Properh'Tax Noticx(hHp_/laPP�iser.Pascogov.com)