HomeMy WebLinkAbout13-14817 CITY OF ZEPHYRHILLS
5335-8Th STREET
(813)780-0020 4817
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 14817 Address: 38357 CR 54
Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENANCE Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-001A-00000-0110
lmprov. Cost:
Date Issued: 12/13/2013 Name: BLESSING LELAND B TRUST
Total Fees: 25.00 Address: 35420 BASELINE DR
Amount Paid: 25.00 DADE CITY FL 33525
Date Paid: 12/13/2013 Phone: (813)788-5554
Work Desc: FPM- FIRE ALARM ANNUAL- BLESSING LELAND TRUST
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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."
PERMIT OFFICE
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
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81.3-780-0020 City of Zephyrhills-Fire Fax-813-780-0021
Permit Application-late Received Phone Contact for Permit I I `
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)wners Name % ' 11 _ 11 i( ci, } _ 2 -`'/1 Owner's Phone Number t r ",) 1-1-4 t t .fie -:°. - r -- IL.a 4 i 1-i j 1�.(.�; \' J
)wner s Address -,•- .i ...i ,�:='k i f1__ 1 t� i v„,--t„;..
:ee Simple T itleholdei Name Titleholder Phone Number [ f
;es Simple Titleholder Address I
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Job Address y r
Sub Division ( s1 ail '7�// ' �#'�;`�C� Parcel# ti . % ': i� ,.;_t,'/,--1 .' tI / .
'7raE>FR ��I-r -3.ri;'ur'a- _.see., .,,.,....zz... .».:
n Bio-Hazard Waste Storage-ANNUAL I ` Fumigation Tent
n Comm Exhaust Kitchen Hood/Duct n Hazardous Material(Tier ii or RQ Facility)ANNUAL
nControlled Bum n Hood Installation
nEmergency Generator<30 kw LP/Natural Gas-Installation
Emergency Generator>30 kw n LP/Natural Gas-ANNUAL Sale
Fire Protection Maintenance-ANNUAL r---1
Places of Assembly-ANNUAL
r y (Semi I IAni I Other
Sprinkler 1 1 ❑ ❑ ❑ I ( Recreational Bum
Fire Alarm E ❑ ❑ }�1 ( 1 Sparklers
Hood Cleaning ❑ 0 /❑ Sprinkler System Installations
Hood Suppression ❑ ❑ ❑ I 1 Standpipes(Sprinkler Sys)
n Fire Alarm Installation I!I Torch RoofinglTar Kettle
Fire Pumps n Waste Tire Storage ANNUAL
Fire Works •
Flammable Application-ANNUAL ' Valuation of Project
Fuel Tanks
Other: I
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Contractor Company 1!►►'`t
4- ,cam ' '; t"a _ 11c,
Signature rx _ .- Registered luau Fee Current Ml
Address 3 .({ a :. - ---3 r 7ic. License# E v. i6 Z.)ii.. ►0+.1 to,
ELECTRICIAN Company
Signature Registered Y/N Fee Current ( Y/N ,,
Address , I License# I I
PLUMBER i Company R
Signature I Registered Y/N Fee Current Y/N
Address 1 License# I
MECHANICAL Company
Signature Registered Y I N I Fee Current I Y l N
Address License#
OTHER Company '
Signature Registered Y/N Fee Current Y/N -
1,...... Address Lee#
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Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner)
If over$2500,a Notice of Commencement is required(Mechanical work over 55000)
Supply two(2)sets of drawings with applicable documentation
Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http:/lappraiser.pascogov.com)