HomeMy WebLinkAbout08-7948
CITY OF ZEPHYRHILLS
5335 . 8TH STREET
(813) 780-0020
ANNUAL FIRE PROTECTION MAINTENANCE
7948
Permit Number: 7948
Permit Type: FIRE PROTECTION MAINTENANC
Class of Work: FIRE-PROTECTION MAINTENAN E
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Book:
23,260.00
6/16/2008 Name: SUN MEDICAL CORP
25.00 Address: 6719 GALL BLVD
25.00 ZEPHYRHILLS, FL. 33542
6/16/2008 Phone: 813783-6189
FPM-SPRINKLER QUARTERLY-SUN MEDICAL CENTER
F1Y1rJ2 ~
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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 NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
Technician Work Report
District : 292
Technician
Miguel A Rivera
Task Number
Scheduled Start
Service Request
Service Request
Customer Acct
Customer Name
Site Name
Owner Christopher R Brackett
14473639
Time
Type
Number
942689
Sun Medical Center
Inspection-Auto Gen
9911840
Contact Name
Mike prilliman/ Prop Mgr
Site Address
City
State
6719 Gall Blvd,
Zephyrhills
FL
BillTo Name
BillTo Address:
City
State
Century 21 Bill Nye Realty,
34619 State Road 54,
Zephyrhills
FL
Inc
Contract Number: 125251
Inspections: Sep 2007, Dec 2007, Mar 2008, Jun
2008, Sep 2008, Dec 2008, Mar 2009, Jun 2009, Sep
2009, Dec 2009, Mar 2010, Jun 2010, Sep 2010, Dec
201
Task Type
Task Name
1 Person Inspection
SP-Jun 2008
Problem
System
Inspection
SYSTEM-SP-WET SPRINKLER
Wet Sprinkler System
Jun 2008 Created BY AutoGen
Summary
Notes
* 1QC{t
Date of Work: Not Scheduled
In Planning
Payment Terms: Immediate
Phone
813 -7151515
Zip
33541-2571
Zip
33541
Service Plan: SP-TEST/INSP
Medium
Current Inspection: Jun 2008
Priority :
Serial:
CONTRACT COVERAGE
ANNUAL (SEP) AND QUARTERLY (DEC/MAR/JUN) INSPECTIONS OF ONE WET
RISER.
LEGACY ACCOUNT NUMBER
LEGACY CUSTOMER NUMBER - 00281477
INSPECTION
INSPECTION - This Site Not Covered By East Pasco Med. Per Gwen
GENERAL SERVICE
SERVICE - w/o 01/04 84020004 09/21/03
Special Action Not Released For Units
- Status Changed To Not-On-Contract -
$1,397.61
Over 4 Months Past Due
See Scd006 For Details
City Ot.Lepnyrnms t-Ire
Permit Application
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Owner's Phone Number I
Id1 003
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06/13/2008 14:51 FAX
813-780-0020
gate R.G:lli'.~
OWner's Name
OWner's Address
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I TItleholder Phone Number
,Fee Simple Titleholder Name
Fee Simple Titleholder Address
Job Address
Sub Division
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&lo-r1azard VVaStB SowrclQe - ANNUA1.
Coinm Exhaust Kitchen Hood/Duct
Controlled Bum
. Emergency Generator < 30 Jew
Emergency Generator > 30 kvv
Rre Protection Maintenance - ANNUAl.
Hazardous Material (Tier II or RQ Facility) ANNUAl.
Hood Installation
LP/Natural Gas-lnstaRation
LPlNatural Gas-ANNUAL Sale
Places of Assembl~-ANNUAl.
Recreational Bum .
Sparklers
Sprinkler Syst<<n Ins~latlons
Standpipes (Sprinkler Sys)
Torch Roofing
Waste Tire Storage ANNUAL
~ a",,"h.cl~
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Sprinkler
Fire A1ann
Hood CleanlSuppression
Fire A1ann Installation
Fire Pumps
Fire Works
Flammable Application- ANNUAL .
FUel Tanks
Other:
'I Valuation of Project
Contractor . .. Cl?mpany I ~j(T"~k, bTlnE:' If .
Signature ' Registered Y IN, . '. ~ee CUrrent-Y IN. I
Address I Lflt:)( (!)ti.~Fcwr ,~. ~ ~. .,,,,,,q Ucense # I I
ELECTRICIAN I Company I '. , .
Signature I Registered Y/N Fee Current . Y/N I
Address I 'I Ucense# I I
PLUMBER I I Company .,
Signature . Registered Y/N Fee Current Y/N I
Address I I Uoense # I I
: MECHANIC4 I Company I
Signature . Registered Y/N. r Fee Current Y/N I
Address I I Ucense # , I
OTHER I I Company I
Signature Registered Y/N I Fee Current Y/N I
Address t I Ucense # I l
Directions:
Fill out application completely.
" ..- -- ..- --","'''- -'o-WfteJ"it'connctOnlgff611acorappnaition;'i'iofiinziir{~copyof'srgnecrcomraaWftlfCiWi'1el'J
If over $2500, a Notice of Commencement Is required (Mechanical work over $5000)
. Supply twc (2) sets of drawings with appDcable documentation
Allow 10-14 days for review after submittal date.