HomeMy WebLinkAbout14-15156 CITY OF ZEPHYRHILLS
5335-8TH STREET 15 �56
(813)780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 15156 Address: 5028 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: 12-26-21-0000-04900-0010
Improv. Cost:
Date Issued: 4/03/2014 Name: CITY OF ZEPHYRHILLS LS#6
Total Fees: 25.00 Address: 5335 8TH ST
Amount Paid: 25.00 ZEPHYRHILLS, FL 33542
Date Paid: 4/03/2014 Phone:
Work Desc: FPM- FIRE ALARM ANNUAL GOING POSTAL
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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 OFFICER"T��--
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
8a3780-OD2D City ofZephyrhills�Fire� FaX-a�saao-oozi
Perrnit Application
Date Received - Phone Contact for Permit
Owners Name �S Owners Phone Number �13, Ia2 • �J`��
Owners Address ���, n, �' � r � 2
Fee Simple Tttleholder Name TiUeholder Phone Number � �� �
Fee Simple Titleholder Address
Job Address �(J Z,� + �� Z Lot# �
Sub Division Paroel#
� Bio-Hazard Waste Storege-•ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier il or RQ Facility)ANNUAL
� Controlled Bum � Hood Installation
� Emergency Generator<30 kw � LPMatural Gas-installation
� Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale
� Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL
❑ GT�y emi �n er
5prinkler ❑ ❑ ❑ � � RecreationaiBum ��Q(? "
Fire Alartn � ❑ ❑ �' � � Sparklers 2�,���
Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Instaltations I�U��U'j) '�j
Hood Suppression � p ❑ ❑ � - � Standpipes(SprinklerSys) !(�
a Fire Alarm Installation � Toroh RoofinglTar Kettle � I� `�
Fire Pumps � Waste Tire Storage ANNUAL
Fire Works
• Flammable Application-ANNUAL V81Uet10�Of Pf0J2Ct
Fuel Tanks
Q Othe -
Contractor Company ' (Z ' I
Signature ' Registered Y/N ee Curtant Y/N
Address tieense#
ELECTRICIAN Company
Signature ' Registered Y/N Fee Current Y/N
Address
License#
PLUMBER Company
Signature Registered Y/N Fae 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
FII out application completely.
Owner 8 ConVactor sign back of application,notarized(Or,copy of signed conVact with ovmer)
ff over$2500,a Notice of Commencemerrt is required.(Mechanical woric over$5000)
Supply two(2)sets of drawings with applicable documentation
Ailow 10-14 days for review after submittal date. Parcel#-obiained from Property Tax Notice(httpJlappraiser.pascogov.com)