HomeMy WebLinkAbout14-15053 /
` K CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 1.5053
ANNUAL FIRE PROTECTION MAINTENANCE �
Permit Number: 15053 Address: 4330 20TH ST
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: 13-26-21-0070-07400-0000
Improv. Cost:
Date Issued: 3/06/2014 Name: ZEPHYRHILLS CORP.
Total Fees: 25.00 Address: 777 W. PUTNAM AVE
Amount Paid: 25.00 GREENWICH, CT 068305091
Date Paid: 3/06/2014 Phone:
Work Desc: FPM- FIRE ALARM ANNUAL- ZEPHYRHILLS WATER
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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
wsts 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 OFFICE
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION -8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
813-78Q-0020 City of Zephyrhills �ire Fax-813-780-0021
„ - Permit Application
Date Received Phone Contact for Permit � C� �
Owner's Name Z� �1- �;1� �,/� �-�(Z Owner's Phone Number � �� ��
Owner's Address
Fee Simple Titleholder Name Titleholder Phone Number [� � �
Fee Simple Titleholder Address
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JobAddress � 2(��^ �'�,
Lot# ��
Sub Division Parcel#
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� Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen HoodlDuct � Hazardous Material(Tier II or Rc]Facility)ANNUAL
� Controlled Burn � Hood Installation
� Emergency Generator<30 kw � LP/Natural Gas-Installation
� Emergency Generator>30 kw a LP/Natural Gas-ANNUAL Sale
� Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL
❑� emi � er ❑
Sprinkler ❑ ❑ ❑ Recreational Bum
FireAlarm � ❑ ❑ �� � Sparklers �� ��5�3
Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations
Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys)
� Fire Alarm Installation � Torch Roofing/Tar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
� Fire Works
� Flammable Application-ANNUAL Valuation of Project
� Fuel Tanks
Q Other:
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Contractor Y .�
Company
Signature Registered Y/N Fee Current Y/N
Address License#
ELECTRICIAN Company
Signature Registered Y/N Fee Current Y/N
Address 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#
OTHER
Company
Signature Registered Y/N Fee Current Y/N
Address License#
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$5000)
Supply two(2)sets of drawings with applicable documentation
Allow 10-14 days for review after submittal date. Parcei#-obtained from Property Tax Notice(http://appraiser.pascogov.com)