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14-15419
CiTY QF 7*�EPHYRH/LLS � - 5335-STH STREET Csi3)�ao-oozo 1 54�9„ ANNVAL FIRE P'ROTECTION MAINTENANCE ��/ P�rmit Numb�err= 154'19 Addroess= 3830Q 'i'ITH VE Permit Typr�a- FIRE PROT�CTIG?N MAINTENANC Z�PHYRHILLS, FL. Glass of Warlc_ FIRE-PROT�CTICiN MAINT�NAN E Town�F�ip: Ranga: BaoK- Propos�sd Use: COMMERCIAL Lot{s)= B/ocfc= Sgc�tior�= Squara Faat= Subdivision= CtTY OF ZEPHYRHILLS Est. Valug: Paroal Number: 't'1-26-21-QO'10-06600-0011 Improv. Cast: �ata Issua�d: 6/28/2094 Name: HOMAS. CATH A Totat Fe.es= 25_00 Addr�ss_ 3606 AUTI.IMN PALM OR Amount Paidc 25.00 ,ZHPNYRHILLS, FL_ 33542 Uats Paid= 6/23/20'14 PI-�one= (8'13)782-4$94 Wark ��sc_ M- �UPF*�EES ON �E�M --�L HIC � -'-�- - � � � �L� `� � 5 4�� ma Chapt�r 633� Florida Sltatutcss� authoria�s th+�City to cfharge and colled user f�es to pay fror th+a oos#s of fire prevBntion and protecltton r�lated activities a:uch as i�sp�ctions� plan review� �dministrattve f+ee�s�and oth�r coarts re/ated to the�foresme�tYo�ed_ Campiete Pians, Sp�cif�cations and Fe�Must Accompany Appiication_ Commencement of woric withaut written approvai of the F➢re ��partm�nYs Fire Marshal or required p�rmits or op�ning u{7 for comm�rciai aGdvity without an approved Fnat insp�:.ction shall b�char+�ed double p�rmit f�e per day of operation or a minimum of$100.04, whichever t5 greater_ All work shall b� perFOrmed in accordanc�with City C:odes and Ordinanc�s. "WARNIN ,C'.�.TO OV1/NERt YCtUR FAILURE TO RECOR� A NC►TICE OP COMMENCEMNT MAY RESULT IN YOIJR PAYING TWICE FOR IMF►RClVEMENTS TC1► YOIJR P'ROP'ER'TY_ IF YOU =NTENG► TO OBTAIN PINANCIN�� C1JNS.ULT` WITti YOUR LEN�ER OR AN ATTOR[VEY BEPORE RECORQIWG Yt3UR !Vt}TICE G1F COMMENCEMENT_" - -- - --- _ .,� --� _ -���-`--"�----c�' � �" ' fi""�,��� PERMtT OFFtCE PERMIT EXP'IRE'S IN 34 �AYS WITHOIJT APPROVE�INSPEC'1'=ON !CALL FOR I,IVSPE�L`Til?N - 8 FiOUR..NOT.TCE REQUIR"EU ZEPHYRHIl..LS FIRE R',ESCIJE OEPT- $13-7$O-Od41 813-78Q-002Q City of Z@phyfhills Fire Fax-913-780-0021 Permit Appiication �... . . .,,_.._ Oate ReceRred ` • � Phone Contact for Permit ��.�.�.., _ .. . . 4�.+���..R.,.�.�-� .._�- ....,,,�.,�.��:�..�.�=z.,_�.�,4��.r,-.-:.-,..��.4..� Owner's Name /�C? Owner's Phone Number �f � � Owner's Address ��� (� 1!' L° � � � � � � � Fee Simple Titleholder Name Titleholder Phone Number �� �� � Fee Simple Titleholder Address �-�-;��:.�•�:�.:_:�,��w.�_.��,�� - s� ��sr _ � Job Address Lot# �� Sub Divisian Parcel# ��-:�:.E-r�,� .�r�.�>-�.._ a� , w���.x��*y�-�As����-�w�;�,he=..�,�;x��=;�=���,���-�.�1�:�iu..,er� , , .. . � � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent o Comm Eashaust Kitc#�en HoodlDuct Q Hazardous Material(7ier II or RQ Facility)ANNUAL � Controlled Bum � Hood Installation � Emergency Generator<34 kw o LP/Natural Gas-Installation � Emergency Generator>34 kw � LP/Natura�Gas-ANNUAL 5ale � Fire ProtecUon Maintenance-ANNUAL � Places of Assembly-ANNUAL � emi �n er Sprinkler � � ❑ ❑ � Recreationai Bum Fire Alarm � ❑ � ❑ � � Sparkiers Hood Cleaning 0 ❑ � Q Sprinkler System Installations ��/� Hood Suppressian ❑ ❑ � � Standpipes(Sprinkler Sys) '"� �/ j t � Fire Alarrn Installatian � Torch Roofing/Tar Kettle QFire Pumps � Waste Tire Storage ANNUAL � ��( _ Fire Works `�� � Flammable Application-ANNUAL Valuation of Project .�.� QFuel Tanks Q Other: �,. ,.: ,_ . ���:,-;.��;;�,��.,;:-�:.m � . �,�:-� . �:����.a�r,. r.�;�.»��.�_ , � ��:�:_. Contractor (("� � �C'.j S (.°�` ��O ,_ ..- f�-• Company (�i Signature Registered Y 1 N �ee Curcen# Y!N Address license# EIECTRICIAN Company Signature Registered Y/N Fee Curtent Y/N Address License# P�t1MBER Company Signature Registered Y/N Fee Current Y/N Rddress License# MEGNANICA� Company Signature Registered Y/N Fee Current Y/N Address license# dTNER Company Signature Registered Y!N Fee Cunent Y/N Address license# *�:. __�: � �-,M,-.. :. _ rt_ . .,,. ., ., , r_. , _ .._ . ... .. . ,,_ » �:_ .�, . __ .. - x. . Directions: �i!!aut appiicatian compietely Owner 8 Contractor sign back of application,notarized(Or,capy of signed contract with owner) H aver$2500,a Nokice of Cammencement+s required(Mechanicai work over$5006) Suppty twa(2}sets n#drawings with appiicabie dacumentatian A{tow 14-14 days tor review after submittal date. Parcel#-obtained from Property 7ax Notice(http://appraiser.pascogov.com)