HomeMy WebLinkAbout09-8698 • CITY OF.ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8698
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 8698 Address:38250 AVE A
Permit Type: FIRE PROTECTION MAINTENANC E ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENANCE Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 14-26-21-0010-01300-0010
Improv. Cost:
Date Issued: 1/05/2009 Name: S C NURSING HOMES OF ZEPHYRHILLS
Total Fees: 25.00 Address: 38250 AVE A
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1/05/2009 Phone:
Work Desc: FPM-HOOD CLEAN QUARTERLY-ZEPHYR HAVEN HEALTH & REHAB-DONE MIDDLE JU
THE PRESSURE'S ON INC FIRE PERMIT FEES 25.00
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FIRE ACCEPTANCE Final
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$100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE
OF COMMENCEMENT."
a.,
P IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- Fire Marshal Office- 813-780-0041
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813- Io-0020 City ofZephyrhiils FEI ::: rX/�I asis rsa•0021 ale i
PermftAppllcation. IA' V .sae
Date aeoelved r P PermU 1.1 1 [
ownw/s dame ZE�AF Q VET / Owner"a Phone Number .�.1 1
owners Adorer,= 3z- 4 i
Fee 3lmplelluehclder Name I II Tdwholder•Phone Number � lJ
Fee Stmlle`ltleholder•Addreee
Job Address U v&- ii;
Sub'DivialOn Parcel
Bto-Hazai Waste Storage-ANNUAL '[j FundgaBOn Tent
Comm Exhaust Kitchen HoodVuct Hazardous Material flier liar RQ Facility)ANNUAL
Controlled Bum•
p Hood Inedlslton
jJEmergency Generator•<30 kw LPINaklrat Gasanatallatlon A, �N N
Emergency Generator'30 kw LP/Naaral Gee-ANNUAL Sale �/
Firs Pmtao$on Maintenance-ANNUAL Places of AseemblvANNUAL O
Sprinkler ❑ ❑ O ❑ Recralional Bum
Fire Alarm ❑ O ❑ T I . r7 Srdders Y V
Hood peening V ❑ ❑ = Sprinkler System lnattaliallons ___ -
Hoe Suppreaaon d Q ❑ I I Standpipes(Spdnkler Sys)
Fire Alarm inslallalion Q Torch RociirrglTt r Kettle
rim Pumps Q Waste Tire Storage Al 4UAL
Fire Works
Flammable Application-ANNUAL _ Valuatlon of Project
Fuel Tanks
Other.
Cvrrtraalar J c.,e S w�- Corr�any
Ifs Regiabrrsd YIN i Fse Canerrt Y/N
Addreae r p t #
EI.ECTfiicia L4,CF 1 'v c41 i/. 3 3 frrac7 :company
Si re Registered YIN Fee Cu wnt I Y/N
Addieee • License*
PLUN1t3FR1 Company — 1.
Registered YIN J Fee Cement L.V/N
Address use
MECIiAN Company
Signature Registered Fee Current Y N
Adder License S
OTHER Company [ ---
9lgnalure Registered I YIN I. Fee Current N
Address . !Stares#
Di'eotlone:
FYI out application completely
Owner S contractor sign back of appliondon,notarized(Or,copy of signed conaact with owner)
if over$2500.a Notice of Carrrrrarne nerd is reat4red.(Msofianical work over$5000)
Supply two(2)sets of u*wwings with applicable documentation
Meow 10-14 days far review after subad(tal date. Parcel#-obtained from Properly Tax Nonce(hWJlappraiser.pascog(nr.0Om)
44 p ,,t,E4'S 724'
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