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14-15413
- � - — —CITY OF ZEPHYRHii_LS— - — f -� ss3s-s-�srrte�r �-" . � <sis7�so-oazo ��3 ANNIJAL PIRE PROTECT=ON MAINTENANCE Parmit Numb+�r_ 'i S4'13 Addree�s= 6937 M��I AL V W L Pgrmit Ty{a�: FIRE PF20T�CTIQN MAINTENANG Z�PHYRHILLS, FL._ Class of Work= FIRE-PROT�CTICIN MAINTENAN E TownsF�ip: R�nge. Boo1c= Proposa�d Useec COMM�RCtAL Lot(s): B{ocic: Section- Squar�s Fa+aet_ SubdivisGOn_ C�TY OF ZEPHYRHILLS Est_ Va1u+Q_ Parc�i Numbgr: 02-26-2'7-029{a-QO000-0060 Improv_ Coact= �atee Issut�d= 6/20/2014 Narne: JG HCIUSING SC?LU ONS LC ToYa� F�t3s: 25_OQ Addreass= 187�1 CHAVI�L� RQAO Amaunt P'aid: 25_00 LUTZ FL 33558 �ats Paid: 6/20/20"74 Phone: S8'13)833-930'1 Worlc Ueac- FPM- I�RE AL� AF2iv�i �RIJAL- JG HOUSING � �� � �u� __�..� � � . �,� � ..� �; ma Ctiapt�r 633� F�arida StatuL�r'ces� authorizcs thi+�City to chatge�nd collect user fr�es to pay Por thea oosts of i°Ire prevention and protection r+0latesJ activities such as insp�ectians� plan review� mdministrative faes�and oth�r coscZs r�{ated to the aforementlaned_ Compl�te Pians, Sp�.cifications and Fea Must Accompa�y Applic.�tion_ ����Commenc�ment of worK without written approvai oP the Fire �epartmant's Fire Marshai ar required permits or op�ning up Por comm�rcia� activity withouY an approvc.d fnai inspa:.ction shail b�ctiarg�d double p�rmit fee p�r day af operation or a minimum of$100_00, whichaver is greater. All worK shall b� perfarmed in accordancc with City (::a�des and Ordinanc�s. "WARNINC.� TU OWNER: YOUFL FAZLURE Tt� RECORa A NOTICE OP COMMENCEMNT MAY RESULT IN YOIJR PAY=NG TWICE FOR IMPRC�VEMENTS TO YOIIR PROP'ERTY. IF YOU =NTENCM TO OBT`AIN FINANCINIK�� CONSULT` WITH YOi1i2. LENaER OR AN AT'R"QRNEY BEPQRE RECOlZ�IlVG YOl3R NOTICE OF COMMENCEMENT_" - - -- ---�,, --- - �"`-�--�.-� � �f�;'�-�i PERMIT OFFiC�E '-'� PERM=T EXPIRES IN 30 OAYS W�THOIlT APPROVE6 INSPECTiON CALL FOR YNSPEGTIQN - 8 HOUFt NOTZCE REQUIRE� ZEPHYRHZLLS FIRE RESCSJE �EP'T- 813-780-00+�41 e�saaaooso City of Zephyrhilis Fire Fax-s��-�so-oo2� Permit Application Date Received Phone Contacx tor Pertnit ��� Q y� �4 4 3 - - ,. _..n, . . s - _-._ �e. ei��e� ��� �t� -�ar�.:���:,� �,� — - =-"_.- , Owner's Name ' ✓� NUCJ S/NG- pwners Phpne Numbe� � �� � Owner's Address Po go x i 7 F� L�Tz �'L 3.3 S f�� - oi 7� Fee Simple Tiqeholtler Name Titlehold@r Pho�1@ Number � � C] Fee S�rrple TiGehottlerAdd�ESs , . v - _ __ ...-���';"�';;� " -.��"ew�.�-°`��r: - .,.. ._- - ��,.. �a:.�:::.:..4_c:..�'" ' .:�.'"r—�.:.sx�._:z:-..�> . Job Address �9 3 7 'y�O/C.4G V/Eu/ G/�/ ZEP�'Y�ti�c�S, %L 33.�y t.ot# C� Sub Division �� .._._.._,.._.. ........_ ,..,.. _.� .._ . . ,. _ . _.., , �-�.:�-�.�`��-�-.s�� –��a•.� �;- _.;-•_w_3::���:�._,.,.. ... � ' Bio-Hazard 1Maste Sra�age-ANNUAL a Hazard0us Material(Tier II or RQ Faatity)ANNUAL � Comm Exhaust Kdchen HaodtDuct � Hood InshdllaUon � CorriroAed Bum _ � lPlNatur2l Gas-Insfeliation � Emergency Generator<3p kw � LP/Natural Gas-ANNUAL Sale � Emergency Genentflr>30 kw a Places of Assemby,ANNUAL � Fire Probedion MaiMertance-ANNUAL Q Recreatlonal Bum � emi � r Sprinkler � ❑ ❑ D � Sparklers Fire Alarm � ❑ D � � ❑ SprinWer System Indailations � �( 3 Hood Cl�ning � ❑ � O � Standpipes(Sprinkkr Sys) Hood Suppresaion � •O ❑ ❑ � Torch Roofingl'Tar Kettle � Fire Alarm Instelk�tion � Waate TirE StotBge ANNUAL � Fire Pumps Fire Wbrks � F�ammae�e�ii�ior,•nNwua. Valuation of Project Fuel Tanks � Other. _�.. _ W. , .. . _.....�.:��l��x��� ra��*�* �K�,..,�., ----_R.:......�;�:�_.�:yu_:._ . contrador ,_--- Company T 1 I 'o � Signature RegisEerod Y%N Fee Current Y!N Address 3 5 31 K t �en� Ra. ucense# F 000 '�� ELECTRICIAN Company s�gnature Registered Y/N Fee Current Y/N l+ddress Licenae# PL'JMBER Comp2ny s�gnature Reg'istered Y/N Fee Current Y 1 N Address LiCBnS@# MECHANICAL COmpany Signature Registered Y/�) Fee Curttnt Y/N Address LicenSe# OTHER COmpeny S�gnature Regiatered Y/N Fee Current Y/N Address Uce�se# :;:,:�_;ctF.;..� - . : —,__.�._ w.��.- --=-- � - - �.�.....�.=—=--_—..�._,. . , ;�".m:_� ;�z� � • � . - �. �-,. ..�..:.::�:_..z.. ...... � Directions: - Fill out appliCption Completdy. . Ovrnef 8 COnVac�or Sipn bedc of aPP�icati0n.notarized(Or.coPY of signed contract with owner) If over 52500,a NoGce of Cortunencement is required(MeChaniCal work over S500G) SuDpIY two(2)sets of drawin9s with applipble documenta�on At1ow 10.14 days for review atter submittal date. Parcel#-obtained from PropeAy Tax Notice(http_//appraiser.pascogov.com)