HomeMy WebLinkAbout09-8829 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8829
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 8829 Address:38250 A AVE
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: 14-26-21-0010-01300-0010
Improv. Cost: ...
Date Issued: 2/24/2009 Name: ZEPHYR HAVEN NURSING HOME
Total Fees: _25. Address: 38250 A AVE
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid_ fZ669 Phone:
Work Desc: FPM-ANNUAL FE SPRINKLER FOR ZEPHYR HAVEN NURSING HOME-2/17/09
SIMPLEX GRINNELL LP 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." '7 __
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
02'/17/2U"09 10:16 FAX l )001
813-780-0020 City of Zephyrhills'FiftE: Fax-813-780-0021
Permit Application
Date Received Phone Contact for Permit I 8'/ I I to a 3 I I a q 4/
Owner's Name Owners Phone Number
Owners Address
Fee Simple Titleholder Name Titleholder Phone Number I
Fee Simple Titleholder Address
Job Address )& 5D A /°tu .. Z h rWI13 ,r_ 335'-1( I Lot# 1
Sub Division Parcel#
Bio-Hazard Waste Storage-ANNUAL Fumigation'rent
Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tier II or RQ Facility)ANNUAL
Controlled Bum Hood Installation
Emergency Generator<30 kw LP/Natural Gas-Installation
Emergency Generator>30 kw LP/Natural Gas-ANNUAL Sale
Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL P]
Sprinkler C] O V229
Recreational Bum
Fire Alarm ❑ O O 1_1L.J a Sparklers
Hood Cleaning El O O O Sprinkler System Installations
Hood Suppression O O O Standpipes(Sprinkler Sys)
a. Fire Alarm Installation [ ] Torch Roofing/Tar Kettle
Fire Pumps Waste Tire Storage ANNUAL
Fire Works
Flammable Application-ANNUAL I Valuation of Project
Fuel Tanks
Other:
Contractor _ __ )
Signature Registered Y/N Fee Current Y/N
Address License#
ELECTRICIAN Company
Signature I Registered Y/NI Fee Current Y/N
Address License#
PLUMBER Company
Signature Registered Y/NI Fee Current Y/N
Address r License#
MECHANICAL Company
Signature Registered Y/N Fee Current Y/N
Address License#
OTHER 1 Company
Signature Registered Y/N Fee Cunent Y/N
Address 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(httpilappralser.pascogov.com)