HomeMy WebLinkAbout09-8791 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8791
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 8791 Address: 6701 DAIRY RD
Permit Type: FIRE PROTECTION MAINTENANC E ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENANCE Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0010-03900-0060
Improv. Cost sr�
Date Issued: 2/04/2009 Name: ALLEGIANCE SENIOR CARE
Total Fees: 25.00 Address: 6701 DAIRY RD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/04/2009 Phone:
Work Desc: FPM-SPRINKLER QUARTERLY- WESTBROOKE MANOR- SCHEDULE 2/10/09
COX FIRE PROTECTION,INC. FIRE PERMIT FEES 25.00
v, 3
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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
813-7£�0-0020 City of Zephyrhills Fire Jbqq1 Fax-813-780-0021
Permit Application
Date Received I I Phone Contact for Permit &I3 ® 33 I
Owner's Name Olce /flano r I Owner's Phone Number o 17 ® /(/ /71
Owner's Address [ cio d e 1 1'tifl J FL 33541 Z
Fee Simple Titleholder Name I Titleholder Phone Number
Fee Simple Titleholder Address
Job Address Lot#
Sub Division Parcel#
EJ Bio-Hazard Waste Storage-ANNUAL Hazardous Material(Tier II or RQ Facility)ANNUAL
Comm Exhaust Kitchen Hood/Duct Hood Installation
Controlled Bum LP/Natural Gas-Installation
Emergency Generator<30 kw LP/Natural Gas-ANNUAL Sale
Emergency Generator>30 kw Places of Assembly-ANNUAL
Fire Protection Maintenance-ANNUAL Recreational Burn
ry emi Ifl Other
5Ck?duled Sprinkler ]( ❑ Sparklers
t0
�^ r z_'0 -OC) Fire Alarm I❑- ❑ ❑ I Sprinkler System Installations
Hood Cleaning ❑ O ❑ Standpipes(Sprinkler Sys)
Hood Suppression ❑ ❑ ❑ II Torch Roofing/Tar Kettle
Fire Alarm Installation Waste Tire Storage ANNUAL
Fire Pumps
Fire Works
Flammable Application-ANNUAL I I Valuation of Project
Fuel Tanks
Other:
Contractor Company C& x Fire Yrth9cnoil, C
Signature Registered /N I Fee Current I Y/N
Address I 1I1 s r✓1a ?Ice TampA 3? 7 License#
ELECTRICIAN Company
Signature Registered Y/N I Fee Current I Y/N
Address License#
PLUMBER Company
Signature Registered Y/N Fee Current I Y/N
Address I License#
MECHANICAL Company
Signature Registered Y/N I Fee Current I Y/N
Address I License#
OTHER Company
Signature Registered Y/N I Fee Current Y/N
Address I License#
Directions:
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. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com)