HomeMy WebLinkAbout14-15094 i
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' " CITY OF ZEPHYRHILLS /�
5335-8TH STREET
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ANNUAL FIRE PROTECTION MAINTENANCE �
Permit Number: 15094 Address: 4645 AIRPORT 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: 13-26-21-0080-00000-0020
Improv. Cost:
Date Issued: 3/18/2014 Name: ZEPHYR PALMS EVENT CTR
Total Fees: 25.00 Address: 4645 AIRPORT RD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/18/2014 Phone:
Work Desc: FPM- HOOD CLEAN ANNUAL -AM VETS
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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."
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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
a13-�eo-oo2o City of Zephyrhilis Fire F�-et�-�eaoo2�
� . PeRnit Application
�ate Received . J�—.���}� [3 �-l"ZC'7 b2 t-[
Phone Contact for Permit
Mmers Name � �1 �� �
Ovmers Phone Number �3 J �g g� 0
h�vners Address ��D�S A�2 Po,ot' 2a Z- H���� �� '� ��'j 4--�.
ee Simple Titleholder Name Tftleholder Phone Number � � ��
ee Simple TiUeholder Address
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�b Address �ArM� � �,0 v� �L/ ,
Lot# �
�b Oivision Peroel#
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� 610-Hazard Waste Storaga-ANNUAL � Fumigation 7ent
� Comm Exhaust Kitchen Hood/Duct a Hazardous Matarial(Tier II or RQ Facillty}ANNUAL
QControlled Bum � Hood InstaUation
� Emergency Generator�30 icw Q LP1Natural Gas-Installation
� Emergency Generator>30 kw n LP1Natural Ges-ANNUAL Sale
oFire Protection Ma(ntenance-qNNt1AL � Places of Assembly-ANNUAL
❑��i]yr emi �n er ❑ �O � �jT l�CL�
Sprinkler O ❑ � Recreational Bum
Fire Afarm � ❑ p � ��`�--
C� � Sparklers
Hood Cleaning � O O ��� o Sprinkler System Installations � / t � I 1 �
Hood Suppression � ❑ p E7 �� a Standpiyes(Sprinkier S ys)
OFire Alarm Installation � Torch Roofing(far KecUe ' LI
� Fire Pumps � Waste Tlre Slorage ANNUA� �( ��� �i
� Fire Works � i /
� Flammable Application-ANNUAL
aValuation of Project
Fuel Tanks
� Other.
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:ontractor � �mparn _ _ .
�igna[ure
Registered Y/N Fee Currertt Y/N
Address L �O p ps�.e �
License#
iECTRICIAN � Company �
ignature � Registered I Y 1 N I Fee Cutreht Y!N
Address
Licensa#
tUMBER
ignature
Company
Registered Y/N Fes Curcent Y/N
Address
License#
1ECHANICAL
ignature
Company �
Registered Y/N Fee Current Y/N
Address
License#
�THER
ignature
Company �
Registered Y/N Fee CuRent Y/N
Address
License#
�irections
Fill out appiicatlon completely.
Owner�Contractor sign back oi applicatiort,notarized(Or,copy of signed contraci with owner)
If over$250D,a Nofice oE CommenCement fs required(Mechanical work over 55000)
Supply two(Q)sets of drawings w(th appiicable documentaBon
Allow 10-14 days tor review after submittal dafe. Parcel#-obtained from Property Tax Notice(http;l/appraiser.pascogov.com)