HomeMy WebLinkAbout09-9628 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9628
ANNUAL FIRE PROTECTION MAINTENANCE
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Permit Number: 9628 Address: 38250 A AVE
Permit Type: FIRE PROTECTION MAINTENANCE 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: !7e dIV;VVRIV50
Date Issued: Name: ZEPHYR HAVEN NURSING HOME
Total Fees: 25.00 Address: 38250 A AVE
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/07/2009 Phone:
Work Desc: FPM- HOOD CLEAN QUARTERLY- ZEPHYR HAVEN - SCH 10 -15 -09
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THE 'RE U= N • IN F R =MI FEES 25.00
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FIRE A EPTAN 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."
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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
Dl;l, /1U / LAW / /irllal 11:4 AN LfYlinilLLLa BUJ. L1)1IVla PAA NO. d1J- IdU -UUL1 9 �1 r. UUL
813 - 7BO 0020 City of ZephyrfiNltT `' l (0
Pax-813-7804021 de. i
Permit Applicetlon. , . . •.sav
Date Received Phone Conteetfor Permit . -
Owners Name ► �r 4 Li=e .e Phone Number 1 1 L 1
Owner's Address 3k •SCG _ 4 ✓L • 2E, yrh /4 / r • I
Fee Simple Titleholder Name 1 1 Titieholder•Ptpne Number 1 [1 J `1
•
Fee Strop TItieha1der- Addreee I •
Job Addreaa 3& Z -0 4 ✓ + - 2 ' ! 6/ /IS F - woo i '
Sub' • Parcel # • L�
0 Blo -Hazed Waste Storage - ANNUAL • -r---I Fumigation Tent
H . Comm Exhaust Kitchen Hood/Duct - •
r:-.1 El Hazardous Material (filer II or RQ Feciifty) ANNUAL
Controlled Bum. n liaod InetaYaMen
• D Emergency Generator.< 30 kw n LP/Natural Gas- batdiafion
n 'Emergency Generator P. 30 kw t ' LP/Manual Gas-ANNUAL Sale C y
El Fire Proteo5on Maintenance - ANNUAL • o Places of Aseembly
(mil '®.� (.,., --a• ,5e4 4P �v/�
Sprinider LI ❑ ❑ ❑ fl RacreaUonai Bum /
Fire Alarm ❑ ❑ ❑ ` .' • El spenders / a /'s
Hood Cleaning )11( ❑ ❑ ._.._ Q Sprinkler System Installations
Hood SuPPrsewon ❑ Q ❑ 1 n Standpipes (Sprinkte' Sys)
• Fire Afars installation 0 Torch RoofirrgfFBr Kerrie •
Iire Pumps Q Waste The Storage ANNUAL
Fire Works •
Flammable Application- ANNUAL .1. 4 Valuation of Project
R Fuel Tanks
Other.
Signature
contrecta Md OF j f S . K- _ Res - Y / N 1 Fee Current I Y / N I
`es` 1 I 7aCo CA-dy / 3 cw{lS -7 -,• . u I - ;Company .
Signature ` 44re l 'f el /F' 3 36-c 5 . • Registered Y / N Fee Cmnint Y / N .
Address II (- • •: • License # I . I
PLUMBER Company I
Signature ( �� ------1 Regietarod I Y / N 1 t=ee Currant Y / N
Address I _ license* L 1 .
MECHAM y
Signature • . • Registered Fee Current ME
Address E — - • License # I • I
( Registered
Sign y Y N J Fee Current 1 Y/ N I
Address • . License*
bireotiona •
RII cut application rc
oOw w 3 C back of application, natarmad (Or copy of *tined conhmat with owner) -
rf aver $2600. a Notice of Commencement Is req dred.(Mecharniml work over $5000) • •
Supply two (2) seta of drawings wlh applicable daaan.n t . 0 •
Aaaw 10-14 days for review after submittal date. Parcel # - obtained from Property Tax Native (havaapprafaar paseegev.00m)
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