HomeMy WebLinkAbout09-9813 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020
ANNUAL FIRE PROTECTION MAINTENANCE ei ' Q '
*" - �" P , ,. A =177.0 '.7.7 £
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Permit Number: 9813 Addre = • •
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 -20- 0000 - 00200 -0010
Improv. Cost:
Date Issued: 11/24/2009 Name: FL HOSPITAL OF ZEPHYRHILLS
Total Fees: 25.00..... R` Address: 7050 GALL BLVD
Amount Paid: 25.0 -) ZEPHYRHILLS, FL. 33542
Date Paid: 11/24/2009 Phone:
Work Desc: FPM -FIRE ALARM SEMI- ADVENTIST HEALTH SYSTEM -SCH 11/30/09 -CREDT PRMT894i
SIEM 2 T N.L• I , 1 IRE PE- I K `. r#;,' r =a
EM BUIL - E 25.00
...r, - H a ,:>
IRE AC - TAN E 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." !!
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
11/24/2009 16:12 8133671607 SIEMENS PAGE 01
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Fax - 813 -T80 -0
City Of Zephyrhills'Fir••e �7 H(,
P Application
B13-780-0020 r—•
Phone Contact rtnl
for Pat Ma Jiiii
Tats Received M - ............ .- - Owner's Phone Number
Dwnaes Name . r :. k (kilt.) f- '13 54
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Owner's. ^titleholder Phone Number ��_ _
Fee SImPleilth holder Name n ,
`tee Simple -3 -3��( Lot#
J am" 3SD 1111 �a �1�z 1g ,..,5'. p010 0 6900 0010
Job Addroas
Parcel # ��
Sub plvislon ,� I= Fumigation Tent
610-Hazard Waeb9 Storage - ANNUAL Hazardous Material (Tier II or RQ Faculty) ANNUAL
Comm Exhaust Kitchen Hood/Duct 1 7
iHood installation n 73 ��roiled Bum LP/Nature'
? /Nsbnai Gas -Installation
Generator < 30 kw (� LP/Natural Gas - ANNUAL Sale
Ei Emergency --'
> 3 0 kW • Places of Assembiy- ANNUAL
Emergency
ir Protection e Gorr mete ANNUAL
Fire protBetlon Maintenance - in ,•,,;rte Ojai n Recreational Bum NM El
Sprinkler • D 0 n E:=1 spar*
Firo Alarm Sprinkler System Instailetlons
0 p s ood Gleaning El (Sprinkler Sys)
( p
Hood Suppression Torch RaoflnglTar Kettle El
Fire Alarm Installation Q Waste live Storage ANNUAL
Fire Pumps Valuation of Project
Fire work;
Flammable Appiieatlon- ANNUAL
Fuel Tanks
:3 Other
. ,. ,.. . • _ , .. _. Company YI Fee Current Y / N
Registered
•
GorRreCter
Signature .... License # .
Address; Company ELECTRICIAN .
Company Fee fitment MEM
Signature License */ Address Company
PLUM re
Registered y / N Fee current
Signature License # Mai
Add Company
MECHANICAL
Registered / Fee Cum3nt MOM
Sipnawre • License #
Addreas Company S i tNwS h/ ��^'t"� �/'� Fee Current / N
OTHER ' / Regist°red �e1,
Sipnaturo `� Cleanse# .'.^
Address; ���� -�- r -- •- ^- �
• Irectlons:
FIIl out application completely. notarized IOr, copy signed cvntraet'�Ith owner)
Ow^or B Contractor clan back of application, r,leell warn ever 55000)
If over 52000, a Notice or Commencement is reatgr°d •(Maerrt+
Supply MO (2) acts of drawings with applicable doe mren1tI0 Parcel #- attained " from Property Tax Notice (httPJlspPm�er pascopov.com)
Allow 10 -1a days fC r review attar submittal date. .
• N In *e di i oh .
\ / c /c' •
11/24/2009 16:12
__= COVER PAGE ___
TO:
FROM: SIEMENS
FAX: 8133671887
TEL: 8137401234
COMMENT: