HomeMy WebLinkAbout07-7128
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
7128
Permit Number: 7128
Permit Type: FIRE PROTECTION MAINTENANC
Class of Work: FIRE-HOOD SUPPRESSION SYS
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 38250 AVE A
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 14-26-21-0010-01300-0010
10/24/2007
25.00
25.00
10/24/2007 Phone:
FI PROTECTION MAINTENANCE HOOD SUPPRESSION
Name: S C NURSING HOMES F
Address: 38250 AVE A
ZEPHYRHILLS, FL. 33542
~rn pL:t..ft3l-eQ ~ ~eJ
~
FIRE LIGHT TEST-Final
FIRE SYSTEM ACCEPTANCE Fina
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 CO M. CENT."
....
RACTOR SIGNATURE P IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
813-780-0020
Date Received
Owner's Name
Owner's Address
City of Zephyrhills Fire
Permit Application
Phone Contact for Permit
JJ 1 f 'If>
Fax-813-780-0021
II
II
Owner's Phone Number
II
Fee Simple Titleholder Name
Fee Simple Titleholder Address
I Titleholder Phone Number I
II
Job Address
/-terM ~
I Lot#
Sub Division
I ;2e.ph r r iJ a '0 ~V\.
I ~56 A- 4 c." t--
n u.. ,,^ 5(n~
I Parcel #
tVt:S I AINt:U rKVIVI t"'KVt"'t:K I Y I IV.. I'IV 11\.;t:)
D
D
D
D
D
D
D
D
D
D
D
D
Contractor
Signature c.
Address
ELECTRICIAN
Signature
Address I
PLUMBER
Signature
Address I
MECHANICA~
Signature I
Address I
OTHER
Signature
Bio-Hazard Waste Storage - ANNUAL
Comm Exhaust Kitchen Hood/Duct
Controlled Bum
Emergency Generator < 30 kw
Emergency Generator> 30 kw
Fire Protection Maintenance - ANNUAL
Sprinkler D
Fire Alarm D
Hood Clean/Suppression [J.:d-
Fire Alarm Installation
Fire Pumps
Fire Works
Flammable Application- ANNUAL
Fuel Tanks
D Fumigation Tent
D Hazardous Material (Tier" or RQ Facility) ANNUAL
D Hood Installation
D LP/Natural Gas-Installation
D LP/Natural Gas-ANNUAL Sale
D Places of Assembly-ANNUAL
D Recreational Bum
D Sparklers
D Sprinkler System Installations
D Standpipes (Sprinkler Sys)
D Torch Roofing
D Waste Tire Storage ANNUAL
Valuation of Project
Other:
Company ISfrn~{r ~r"'ll ((
Registered Y I f.J Fee Current Y I N
to License # I (:.;:; 00 of 2-11
Company I
Registered Y/N I Fee Current Y/N
License # I
Company I
Registered Y/N I Fee Current Y/N
License # I
Company I
Registered Y/N I Fee Current Y/N
License # I
Company I
Registered Y/N I Fee Current Y/N
License #
Fill out application completely.
Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner)
If over $2500, a Notice of Commencement is required (Mechanical work over $5000)
Supply two (2) sets of drawings with applicable documentation
Allow 10-14 days for review after submittal date.
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10/24/2007 09:45
8135541731
SIMPLEXGRINNELL
PAGE 02
Sinlple.Grinnell
SimplexGrinnell LP
4701 Oak Fair Blvd.
Tampa, Florida 33610
October 24, 2007
Tele: 813-626-5482
Fax: 813-664-1731
www.simplexgrinnell.com
To Whom It May Concern:
Mike Snyder is a manager here at SimplexGrinnell LP and he does have permission to
pick up permits at the City of Zephyrhills.
Sincerely,
~~f'~
SimplexGrinnell LP
Fire, Security, Communications, Workforce Solutions, Sales & Service
Offices & Representatives in Principal Cities throughout the World
10/24/2007 09:45
~I./C:O
Fire &
Security
SiIDplexGrinnel1
8135541731
Te/eFax Transmission
SIMPLEXGRINNELL
SimplexGrfnnell LP
4701 Oak Fair Blvd.
Tampa, FL 33610
PHONE: 813.0626-5482
FAX: 813-664-1731
WtNW.sir:TJ.ple~rin!'lell.c:o.m
This fllQSlmUe transmiSSion may contain confidenlial and/or ettomey/clienl privileged Infarmetion
l)elonll'ng 10 1he sender. This info""~tlon is intended only for Ihe use af me incJiVldual or entlty named
an this transmission sheet. If you are not lhe Intended reCipi@lnl, or the employee or alieni responsible to
the inlenlleCl I1!lcllllent, you should I'8IUm 10 sender immedialely. You are l1ereby notified tnat 8!ly
disclosure. copYing, dlstrlbutlon orthelalClnll of ~ny action in relianco on the conlenls of this letecopled
information is slflCtly prohibited.
2417 Emergency Service
· Fire Sprinkler Systems
· Fire Detection & Alarm
. Fire Extinguishers
. Range Hood Systems
· Special Hazard Systems
· Integrated Security Applications
· Healthcare Systems
· Sound & Communications
Date
Company
Attention
Fax No.
From
Subjed
No. of pages
(including this onQ)
· Time & Workforce Management Message:
· Emergency Lighting
· System Design & Installation
. Project Management
· Inspection & Testing
. Preventive Maintenance
Over 150 offices in principal cities
throughout North America.
For marketing brochures regarding
SimplexGrinnell systems and
services. call 1-800-146-7539.
Fax Cover - Page 1
October 24, 2007
City of Zephymills
Jackie
813-780-0021
Simp/ex Grinnell (Ty/on Boyd)
Letter
2
PAGE 01