HomeMy WebLinkAbout09-9935 CITY OF ZEPHYRHILLS
5335 - 8T1-1 STREET
(813) 780 -0020 9935
ANNUAL FIRE PROTECTION MAINTENANCE
RIL.41711:1CTILM=7213.7 61k
Permit Number: 9935 Address: 38220 HENRY DR
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE - PROTECTION MAINTENAN •E Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number:
Improv. Cost: .,
Date Issued: 12/29/2009 Name: HCR MANOR CARE
Total Fees: 25.00 Address: 38220 HENRY DR
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 12/29/2009 Phone:
Work Desc: FPM -SEMI HOOD CLEANING FOR HEARTLAND OF ZHILLS SCH 1/4/2010
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IND RAL — AM 4 L A N •F TAM FIR P - M IT EE 25.00
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IRE ° A PTAN 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 117 - 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
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- - 893 - 780.0020
City ofZephyrhills Fire
PermR •Application Fax- 813-7so -0021
.
bate Received
p e tact
hon Con
for Permit �
Owner's Name 4-1 �R: E,,.41.1 4 _ . ... • , , :.. _ . 1111.1111 ME
ac zSP•4+y>R al. •
OwtYerrs phone Number .� gin Owners Address 3 g 2,'ZO ' H `CfJ L � .
` 1 b2 � .P k r
Fee Simple Titleholder Name.
Fee St Address Titleholder. phone Nurgb
Simple l]Ueholder pr • = 111= .1=1
Job Address S -6(4%\ " t " A g D .J
f L
Sub Division • Lot#
•
0 BIo- Hazard Waate Storage - ANNUAL • parcel #
Comm Exhaust Kitchen Hood/Duct
Fumigation Tent .
Controlled l3um • Haz ardous Material (Tier II or RQ Faclltty) ANNUAL
" 30 kw
Emergency Generator c Hood Installation
•
Emergency Ganerator> 30 kw ' LP /Natural Gas - Installation
Fire Protection Maintenance ANNUAL
LP/Natural Gas - ANNUAL Sale
• �.
LN r em • Places of gssem(ily- ANNUAL bi C aen 4.,
Sprtnkler ®I� JL�
Fire Alarm i 1 0 0 . El Recreational bum 1 1 / 1 O
)0 0
Hood Cleaning � G 0 1/l 0 , Sparklers
Hood Suppression / Sprinkler System Installations
a 0 0 ❑ .� I Stand
Fire Alarm Installation P pas (Sprinkler Sys)
Fire pumps fl Torch Roofing/Tar Kettle' f
Fire Wpbs .Waste Tfre Storage ANNUAL
® . Flammable Application- ANNUAL
•
Fuel Tanks Valuation of Project
0 Other.
Contractor
S • _ E) % / Company _ p ' 'cm 0�- " T.
Address Fr.-_. • Registered rem �"l
•
��� Fee Current
ELECTRICIAN . - • Liaenee #
Signature I `a 0 4-20 -- (40.1--1-7-1 3 $• Company •
Address Rariatered Y /_________N Fee Current
PLUMBER License #
• Signature company
•
Address Registered ® Fee Current
Y' /N
MECHANICAL License #
Signature Company
•
Address Registered Y / N Fee Current MEM
•
OTHER Lk ekes #
Signature Company
Address Registered MIME Fee Current Y / N
Directlona_ License #
Fill out application completely.
Owner t Contractor sign back of application, notarized
b If over 32600, a Notice of Commencement is r (Cr, copy of worked co3 with owner)
edo Supply two (2) seta of drawls s with a udocumentation
.(Mechanical work over 16 000)
I
Allow 10-14 days for review after submittal a date. l den
Pascal # - obtained from Property Tax Notice (hT(p; / /aplser.peacogov.com