HomeMy WebLinkAbout09-9517 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
• + (813) 780 -0020 9517
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 9517 Address: 7050 GALL BLVD
Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL.
Class of Work: FIRE - PROTECTION MAINTENANCE Township: Range: Book:
Proposed Use: MEDICAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 30 26 - 0000 - 00200 - 0010
Improv. Cost:
Date Issued: 9/04/2009 Name: FL HOSPITAL OF ZEPHYRHILLS
Total Fees: 25.00 Address: 7050 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/04/2009 Phone:
Work Desc: FPM- FIRE ALARM SEMI/ SPRINKLER QUARTERLY - FLORIDA HOSPITAL
IM=LEX RINN LL LP I ` `MI 25.00
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FIRE AC EPTANC 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." rr
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
09/04/2009 10:47 FAX I) 002
811780 -0020 City of Zephyrhills " ('7 Fax - 813 - 780 - 0021
Permit Application
Da te Received Phone Contact for Permit
Ov'ner'sName I STM'PT,FX(RTNNFT,L I Owner's Phone Number 1111. I 62 1 1 5482
Ov ners Address 4701 Oak Fair Blvd TAMPA FL 33610 .
Fe : Simple'iltiehoider Name - Titleholder Phone Number • I (
FeIsimple?ItleholderAddress I - Niallielial9
Jell Address - 1&3C ) G C Nit 1 k 2. tIlttS C -)*( ?)S Li 1 Lot#
Su) Division I Parcel #
n Blo- Hazard Waste Storage - ANNUAL jJ Fumigation Tent
Comm Exhaust Kitchen Hood/ Duct a Hazardous Material (Tier 11 or RQ Facility) ANNUAL ,
F • Controlled Bum n Hood Installation •
Emergency Generator 30 kw n . LP/Natural Gas - Installation
a Emergency Generator Fire I ?rotseUtinMairrtenartce- ANNUAL 304&w • In LP /Natural Gas - ANNUAL Sale
, n Places ofAssembly- ANNU
'Lady ! ISrniTI Mr Ulner •
. Seri
prinkler. ❑ 0 ❑. fl Recreational Brun .
, •. Fire Alarm , ' • 2 0 le ❑, 1. , 1 Sparklers . • •
• ' " "" ' • Hood CleaNp9 Li d ❑ 0 f I [ Sprin dersystem installatlong
. Hood Suppression - _ , .] q„ . . ¢ . . . , • . ( Standpipes (Sprinkler S y s ) _ • .. _
, :0,7 - ';', � •FlrefUamil _ .. , Ikitlon ...,_.. .��.,...•..,,..� _ L. lorcKR.
_ - � Fire Pumps I • _ Waste The Storage ANNUAL •
- Fire Works , • , • .
N '
•,,. m a ble Application- ANNUAL
a ration o rode
• i. �" Fuel Tanks , . .
,,..,. 0
reran a ®r ` H _ •
Cor tracto '. ` - Company '' C(
Sigr n a t u r e - Registered Y / N Fee Current Y / N I •
Addisas .,w_. •,, . Ucense # - . ...
Eu C7R(C m .-r. -, , ,:,,,:?:.:-.e...:•-..., . •• Company. ' . . y: •. .. • , ,
Si i 2atuie _ - ` - .. Registered �-.. Y /•N i I , ;; I;; .. Y / N..I,r.
g Address' . ,,. I License*
,PEL MB �7�� spa ^Y r . , • ,
Sigr attire Registered . Y / N I Fee Cunene- I Y / N 1, •
•
Address 1 . . _ i Gcensp # - I - I
ME( :HANICAL Company • .
Sigr attre . - Registered Y / N 1 Fee Current I Y / N
Address 1, :..,, .. . . 1 License # — I
On ER Company -
Sigr slurs Registered Y / N 1 Fee Current I Y / N • ,I
Address . I License # .
VENN ..
Dire :lions •
Fill out eppncation completely-
_ Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner) -
If over $2500, a Notice of Commencement is required.(Mechaniaal work over $6000) . .
Supply two (2) sets of drawings With applicable documentation
_ Allow 10.14_days for review after submittal date_ Parcel #- obtained from Property Tax Notice (httpJ /appraiser.pascogov.eom) •
09/04/2009 10:48 FAX ,J/�/� /� i ,) Z004
813 -786 -0020 City ofZephyrhills'Fire (/(/ / 5' Fax - 813-780 -0021
Permit Application
Da e Received phone Contact for Permit I
O ner's Name L c T 14 PT,FX( T ti j $j ,L ry ` 1 Dwnees Phone Number 813 1 6 2 6 115482
Oµ,er'sAddress 4701 Oak Fair Blvd TAMPA FL 33610 ,
Fee Simple Titleholder Name I Titleholder Phone Number I
Fee SimpleYltleholderAddress I •
Jot Address -- 7e, `1.c) Gat" c&v.i. • 7._ QrvotI5 •c1 • 335 1 lot#
silt Division 1 Parcel # 1
sass
. Bio- Hazard Waste Storage - ANNUAL o Fumigation Tent
n Comm Exhaust Kitchen Hood/Duct n Hazardous Material (Tier II or RQ Facility) ANNUAL
• Controlled Bum n Hood Installation
ri Emergency Generator < 30 kw n . LP /Natural Gee- Installation •
Errrergoncy Generator? 30 •kw • = LP/Natural Gas - ANNUAL Sate •
Piro Protection Maintenance - ANNUAL a Places of•Assembly- ANNUAL
MT ( O. timer _ Sprinkler ❑ a. Recreational Bum
Piro Alarm. - n ❑ 0 0 • . 1 . Sparklers -
• Hoed Cleaning n in 0 C1 I 1 n Sprinkler System installations .
. - ', : '...:. •, . • oo ression d , 0 Standpipes (Sprinkl rSys), •
1'. -•' FIreAlartn kls tellation • 7oicfiRooflitITar Kittle M.
•,, • Flre Pumps Waste Tire storage ANNUAL . •
:.. • Fire Works - . • , • • ,
••,;; Flammable Application - ANNUAL ` • :1 ' V aluation of Project ,
• ii'`; ,,.... Tanks i .., •• • ., _
• Other .
Cont actor /
Sign duns Company rH'' .',.,. (:( -
- Registered Y / N Fee .Current I' Y /'N I '
,
ELE';TRI.Ci R ,. , Co . . .. . 3.:' .. . ,
sign: rturl - y . ' Registered ' Y / N . 1, • Current• I:,; •: Y 1 N � •
Ad License # I J
•PLUt MIER Company a ,
Slgnr;tura . ' Registered Y / N » 1 Fee Current-• 1 Y I. It/ I - •
' Address I • . - 1 License* , j - . .. • 1
MEC WANICAL Company •
Sign:; tuns . . . Registered Y / N I Fee Current l Y / N 1
Address 1, ;. • . ' • 1 License* ' 1
O71-IE R • Company -
Signe tare Registered Y/ N I Fee Current 1 Y / N . _ 1
Wddrpss l.icenoe #
Direct ions:
Fib out application .complefely. -
Owner & Contractor sign back of application. notarized (Or, copy of reigned contract with owner) '
tf over $2500, a Notice of Commencement Is iequtred,(Mectranicai work over $5000) , •
- - Supply two (2) sets of drawings with applicable documentation
, Alloy 10- 14, d deys for review after submittal date. Ran #- obtained from Property Tax Notice (httpl/appraiser.pascogov-com)
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