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09-8845
CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8845 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 8845.. Permit Type: FIRE PROTECTION MAINTENANC Address: EPH8010 MEDICAL CENTER AVE Class of Work: FIRE-PROTECTION MAINTENAN E Township: FL. Proposed Use: NOT APPLICABLE p' Range:lock Book: Square Feet: Lot(s): Block: Section: Est. Value: Subdivision: CITY OF ZEPHYRHILLS Improv. Cost: Parcel Number: 35-25-21-OO7O-OOOOO-OO1O Date Issued: 2/23/2009 Total Fees: Name: C G M HOLDINGS TRUST 25.00 Address: 38023 MEDICAL CENTER AVE Amount Paid: 25.00 ZEPHYRHILLS, FL. 33540 Date Paid: 2/23/2009 Phone: 727 484-1142 Work Desc: FPM- FIRE ALARM ANNUAL- FLORIDA CANCER -NEW HOPE- SCH 2/24/09 MAIRE COMPANY FIRE PERMIT FEES 25.00311 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 inspection shall be charged double permit feete final 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 JAN/07/2008/MON 10: 02 AM ZEPHYRHILLS BUILDING FAX No, 813-780-0021 P. 003 si5-780;002Q City of Zephyrhifs PermitAppucauon • 19rrIIdM1g Department � (J•(/�JIB J((`y Data Raadved. i ' Phorw contact for Perntttffn 7'1 - 3 250 Umneer.Name i .© �6�� \L ( awnorPhorieNumber • aa a OWrrar's AddralT d ur PtWne)tum Foe SImple TltIfhold4.r f{amt Owner Phone NUMbar Foe Slmpie Yttlo[+otder Address ` JOB ADDRESS 2 c 1 0 L . CE / Je J LOT f! I . SUt3DlVISION PARCEL IDA ' I (onTARlen PROM PROPptNTA7c no RCS WORK PROPOSED NEW CONSTR q ADP/ALT [ J SIGN bi�] MOVE �] MOLISt( ® INSTALL El •REPAIR PROPOSED USE' SFR [ COMM 0 OTHER • TYPE OP CONSTRUCTION BLOCK FRAME LI1 STEEL ' OTHER A1arm Iifpctiofl. (Fire) DESCRIPTIONQFWORK 1. Annual- Firs FiTs Aim Inspection BUILDING SIZEi SQ FOOTAGE NIGHT BUILDING ; VALUATION OF TOTAL CONSTRUCTION ELECTRICAL i ' AMP SERVICE Q PROGRESS ENERGY • Q W.R-E.C, Q PL.IJr SING $ 1 MECHANICAL' $ VALUATION OF MECHANICAL INSTALLATION GAS,r Q ROOFING. SPRCIALTY Q oTl•iBf; FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [I]Yt=S ' DNO COMPANY z • Y FtecutiT Y Address License/!.. , ELECTRICIAN " COMPANY • SIGNATURE riEG181ESD T/ jJ Pt E alrtlSFNT ''L Li Adrlreai # PLUMBER ,. .CDI�WANY . SIGNATURE R!≤OIaii Eb YI I.L.J FESCWa7tarT I YIN I Address Une# MECHANICAL. COWIPANy r ' SIGNATURE' RFGsrsitSp rLtLi Pagcu u 5HT I YjJN 'Address ' .Ucenss#• OTHER • • COMPANY, Maire Company SIGNATURE ' pIoiso LYI FEECUMUM •Addreae v 97 License► , li''"—0 0 0 01 0 8 RESIPENTIAL ' Attadl(2)Plot Plans;(2)acts:of Bulldnq.Plenet(1)set or Energy Forms;R.O-W Penns for now constuctlon, • Minimum ten(10)working days miter submittal data Required ones,,Canasuclon Plans,Sbmluvater Plans w/3111 t'ence instal W, Sanitary FaclUdes.&1 dunps(er;Site Work Permit for etl6dlAslonp/largo hack COMMERCIAL :, Auadi(3)complete sets of Building Plans pl(re a Life Safety Pape:(1)set of mangy Forms.R-O-W PeAwl for new construction. • M(nlmum ten(10)woddrtg days after submittal data. Requbad onelte.CoY xWcllon Plane.St mi far Plane w/Slit Fence lnstallcd. Sanitary Fadgaea 81 dumpatar.flit,work Perrrdt for all new proJeote.Al commercial requirenierds must meet compliance SIGN PER5UT Attadt(Z)sets of Engineered plants. I. POPERY SURVEY required for an NEW corwhircOon.- DirectlonSi • . • • . •FIU out aPPllce icn eomplebly. • • . • • Owner a Contraotor'sign bick of applcaticn,notarized - • If over$2$00,a Neste of Pommeneement Ia required (AEC upgrades oversp-00) ' Agent((or(the eonuactar)or Power of$tamoy(for are owner)would ba someone Mm notarWd lacier Item owner suitraisin0 same • •OVER THE CC LINTER PgRiETTING (Front of Appllcatlon Only) Remote i saware' Ssrvice.Upgradsa NC Fences(Pb(/Survey/Footaga) . Driveways Nat over Courser If on public roedweyo.:neida ROW • S. .