HomeMy WebLinkAbout14-15465 _. . _ _ ... _ C�TY OF ZE HYRHiLLS � - - � - - - - '-
�- 5335-8T $'i"f2EEf
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ANNIJAL �IRE PROTE ION MAINTENANCE
Peermit Numbe�r= '15465 Adciress= 3?922 C�AUt"'.�HTERY RC} SL G 4
PBrmit Typ�s= FIRE F'ROT�CTION MAINTENANG ZEPHYRHILLS, FL.
Class of WarK= FIRE-PROT�CTIG7N MAINT�NAN E Township: R�r�ge: Boolc.
Propos+sd Us�a= GOMM�RGiAL Lot{sj: Biocic. Se¢tio�_
Squars Feeot= Subdtvision- CITY OF�EPHYRHiLLS
Est. Valusc P'arc+e�l NutnbBr: 03-.26-2'1-Cl0'1 0-00'1 Od-001 l7
Improv_ Co.�t:
Oate Issuad_ 7/42/20'14 Name: �AU.C'.aHT Y R A� PROF CENTER LLC
Tota� FBes: 25_00 Addr�eess: i37�9 GAl.1_ SLVG ST� �66
Amaunt Paid= 25.OQ ZEPF-{YRh-t1LLS, FL_ 33542
�ate Paid: 7/d2/2Q14 PF�ong:
Worlc U��c_ FPM- �-PR1�*:I�KLE�t AN�J' �C.IAL iAY AR A WAL�G IN LIIV1�
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Chapit+cr 633� Florida�;Statute�s�authoriz�s th�City[o harge and collecC user f+�es to pay for tF�e costs of flre
prev�ntion and protecstion r�eslatecl activities�such as i s�ctians� plan r�view�administrative f�es�and other
co�ets r-e��ted to e aforemes�tloned_
Com I�te P{ans, S -- —- _ �.. .. -. ----- ---_
p (�cificatioc�s and F� Must Accom¢any Ap Iication_ Commencement of work without wrikten approvai of
the Fire ��partm�nt's Fire Marshal or required permits or p�ning up for comm�rcial activity without an approved flnal
insp�ction 5ha11 b�charged dauble permit fee p�r day oF p�ration or a minimum of$100.00, wF�ichever is greater_ All
worlc shall 1� performed in accord nce with City C":odes and Ordinancas_
"WARNIN .f'"'a TCi OW/VER.c YOl3R AZLUfZE TO RECORis A IVtJ►TICE QF
COMMENCEMNT MAY RESULT I/V YOU PAYINK`a. TWICE FOFt IMPROVEMENTS `
T[? YOIJR P"RdPEfi.TY_ IF YOU INTE Cf Tp OB`TAIN PINANCING� CON'u.^�"UL"T �
WITH YOLlR LENflER G1R AM ATfORN Y SEFOR.E RECORQIIV� YOUR NClTICE (
OF +COMM MCEMENT_"
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PERMtT OFFICEF�f��" -
P'ERMI7 E7CP'IRE�"a IN 3Q UAY"S ITHOIJT APPROVE�INSPEG'T.[ON
GALL FOR INSPEGTICIN S HOU17G NOl'ICE REQUIRE�
ZEPHYRHSLLS FIRE RE CIJE �EPT- $13-7S0-OU141
a13a8o-oo2a City of Zep yrhiiis Fire Fax-813-780-0021
Permit A lication .
Date Rec.'�c•ed ' � �
Phone Contact for Permit
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Ovmer's Name 1� � qwner's Phone Number 1 3 r� O �i�
r�rs naaf$55 `12Z vG �� �f
Fee Simpie Titleholder Name 7itleholder Phone Number C..� � �
Fee Simpie TitlehoiderAddress
�v'°'�,�!+.?wac� . .�,_-t"�5[Q�.- ,'.�'!�. _ ±?��st�'�:.�t•it�t'Yx�t?'w.m;, - _'�F'2°�.- .'�;v-u�*�e�.-•�xM.�+p a„
Job Address �7 (2'2� �JdfJ�'� � `� s� Lot# [�
Sub t}ivisian Parce!#
�+`.��%'�-a�:n�:H[ia+A9o.+t�:•%':.St��i+.,eY'';;:.9�O+T#.L"�".�'?�'�i"sa+.-..�Y�t`r;8°.cgm4$3v°o:+.:,.nr,�p..y..3... .tg_r..-a...e�.-.���: ^ �sd'.`�7'e?no;c-d6-.d.�.4.w�,6'"drm.Sz�.'p"'.".,,,4.:�ti2°z34#�r°4°��HRfRr9Nr",v=..m-"'.. `-� ._.�'a[''$k�3°�`
� Bia-Hazard Waste Storage-ANNUAI Q Fumigation Tent
o Comm Exhaust Kitchen Haad/Duct � Hazardous Materiai(Tier ii or RQ Faciiity)ANNUAL
� Controi{ec3 Sum Q Hood tnstallation
oEmergency Generator<30 kw � LP/Natural Gas-Installation
oEmergency Generator>30 kw o lPlNatur.�l Gas-ANNUAI Sale /
� �,y Fire Protection Maintenance-ANNUAL Q Places of Assembiy-ANNUAL a�0"
�.t� y emi er
Sprinkier � � �� � FZecreationai Bum ��
Fire Alarm ❑ ❑ O � � Sparkiers
Hood Cteaning � ❑ CI ❑ � � Sprinkler System instatlations
Hood Suppression � ❑ ❑ I� � � Standpipes{Sprinkler Sys)
� Fire Alarm Installatipn � Torch Roofing/Tar Kettle
Q Fire Pumps � Waste Tire Starage ANNUAL
� Fire Works
� Flammable AgplicaGon-ANNUAL � � Valuation of Project
� Fuel Tanks
Q Uther:
� _ _ . �,��:u._ __„.. ..,�. w_�.v:-�,a;>�.���r�_- -_.,.. .::�v_:,�:��;o�:.:�. : ,. .�1,:�;��...�-��..�.:;��._ .�:�z:����,:�:r. �.�:.:.�..�a;�--.:�
Contractor Company 1c. NKL"A� 1�Y1 (P
Signature �{.t�—"' Registered 1 N Fee Cu�rent Y/N
Address p Q � � y`L License# 6 0
ELECTRiCiAN Company
Signature Registered Y/N Fee Current Y/N
Address ticense#
PLUMBER Company
Signature Registered Y/N Fee Curre�t Y I N
Address License#
MECHANICAL Company
Signature Registered Y!N Fee Curcent Y!N •
Address License#
OTHER Company
5ignature Registered Y/N Fee Current Y/N
Address �icense#
>�, , ._ .- _ . �. . ..- . . � � r , - .�_ > . .�,.. .. - _.
Directions:
Fiil out appiication compieteiy.
Qwner&Contractor sign back of application,notarized(Or,copy of signe contract with owner)
It over$25p0,a Notice of Gommencement is required(Mechanical wark er$5000)
Supply two{2}sets of drawings with appiicable dacume�tation
Allow 10-14 days for review after submittal date. Parcel# obtained from Property Tax Notice(http://appraiser.pascogov.com)