HomeMy WebLinkAbout08-7947
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
7947
Permit Number: 7947
Permit Type: FIRE PROTECTION MAINTENANC
Class of Work: FIRE-PROTECTION MAINTENAN E
Proposed Use: MEDICAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Book:
6/16/2008
25.00
25.00
6/16/2008 Phone:
FPM-SPRINKLER QUARTERLY-FLORIDA HOSPITAL
Name: FL HOSPITAL OF ZEPHYRHILLS
Address: 7050 GALL BLVD
ZEPHYRHILLS, FL. 33542
~ nJ-
'1/3~ut
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."
~
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
!:;f '71 V 1
District : 292
Technician Work Report
Miguel A Rivera
Task Number
Scheduled Start
Service Request
Service Request
Customer Acct
Customer Name
Site Name
Contact Name
Site Address
City
State
BillTo Name
BillTo Address:
City
State
Date of Work: Not Scheduled
Technician
Owner Christopher R Brackett
14465555
In Planning
Time
Type
Number
614030
Florida Hospital
Inspection-Auto Gen
9901356
Payment Terms: Immediate
Zephyrhills
Gwen Compton
Phone
813 -783 -6189
7050 Gall Blvd,
Zephyrhills
FL
Zip
33541-1399
Florida Hospital Zephyrhills
7050 Gall Blvd,
Zephyrhills
FL
Zip
33541-1399
Contract Number: 155825
Inspections: Dec 2007, Mar 2008, Jun 2008, Sep 2008 Service Plan: SP-TEST/INSP
Task Type
Task Name
Problem
System
Summary
Notes
1 Person Inspection
SP-Jun 2008
Priority Medium
Current Inspection: Jun 2008
Inspection
SYSTEM-SP-WET SPRINKLER
Wet Sprinkler System
Jun 2008 Created BY AutoGen
Serial:
LEGACY CUSTOMER NUMBER - 19283985
GENERAL SERVICE
PANEL COVERAGE ON FIRE ALARM SYSTEM, MONDAY THROUGH FRIDAY, 8AM
TO 5PM. COVERS LABOR TO TROUBLESHOOT AND REPAIR SYSTEM AS WELL
AS ALL PANEL PARTS. PERIPHERALS ARE BILLABLE.
oa/13/2if08 14:50 FAX
813:-780-0020
Date R8~~8d
OWners Name
OWner's Address
Id1 002
r-ax-tll;)- fHU-UU21
:'f'
Glty ot.Lepnyrnllls t-Ire
Permit Application
Phnnl;l ('-""tad fnr Permit 'j ?;1.3
Owner's Phone Number I
~~~.WlJ91~
I] , ' I J' ".
~
.,
I
I
I
Ie
Fee Simple Titleholder Name
Fee .Simple T1tfeholder Address
.1 Titleholder Phone Number I
II
Job Address
3.3~Lf'
Sub Oiviskm
7050
(7" "
BI.Jd.
FL.
'/
I Lot#
c
7.eph1' J,i JJ~ ,
I Parcel #
Elro-Mazard VVa&t8 Storage - A'NNtlAl.
Comm Exhaust KItchen HoodIDucl
Controll9d Bum
, Emergency Generator < 30 kw
Emergency Generator> 30 kw
Fire Protection Maintenance - ANNUAL
Sprinkler ~
Fire Alarm 0
Hood CleanlSuppression 0
Are Alarm Installation
Fire Pumps
Fire Works
, Flammable Application- ANIliUAL
Fuel Tanks
Other:
OTHER
Signature
Address ,
Directions:
lUtlll-\II'It:U t't(UM t'l"(ut""t:f'{ I T I,IV\. I~U 11\"t:.)
Contnictor'
Signature . . . '
Address I LflCJ( ~~ FT--rff'~ ~., pI..' ,"".
I
'I
"
I
,
,
I
I
~
o
D
o
D
D
. ,". .
o
o
,0
o
D
D
ELECTRICIAN
Signature I
. Address I
I
PLUMBER
Signature .
Add~S I
" MECHAN/1
Signature '
Address I
I
E:3' fiulllj!:/d~" T"...t
o Hazardous Material (Tier II or RQ Facility) ANNUAL
D Hood Installation
D lP/Natural Gas-Installation
D LPlNatuTal Gas-ANNUAL Sale
o Places of Assembly-ANNUAL
o Recreational Bum ,
o ~parklers
D
D
D
D
t.
Sprinkler System Installations
StandpipeS (Sprinkler Sys)
Torch Roofing
Waste Trre Storage ANNUAL
, f Valuation of Project
..Company I
. Registered
Ucense # 1
~pany I
Registered .
License # I
~:~./
Ucense # 'I
~;::~ I
Ucense # I
Company I
Registered .
Ucense # I
Qun.Ok;, Gt-.n~'Jl
Y I N, r ~ee Current IY I N I
I
,
I
I
I
,
I
'. "
~CUrrent. I Y IN
Y/N
Y/N I
Y/N
Fee CUrrent
Y/N r
Fee CUlTent
Y/N
Y/N I Fee Current I Y/N I
I
All out application almplete/y.
" ,- -- . --" -...--. "'Olilir1i!!F&'Ql'mniCti"'!fgi'nmac(jf'appticatffifi, 'notarizei'l'{or,-copyofSigfiein:oi'itiliCfWflll CiiAiiiel'J
If over $2500, B Notice of Commencement Is required (Mechanical work over $5000)
, Supply two (2) sets of drawings wtIh applicable documentation
Allow 10-14 days for review after submittal date.