HomeMy WebLinkAbout09-8995 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 8995
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 8995 Ad 7350 DAIRY RD
Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL.
Class of Work: FIRE - PROTECTION MAINTENANCE Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 35 25 - 0010 - 06900 - 0020
Improv. Cost: t le _,; . � . r 3.. .
Date Issued: 4/06/2009 Name: A DVENT IST HEALTH SYSTEM
Total Fees: 50.00 Address: 7050 GALL BLVD
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/06/2009 Phone:
Work Desc: FPM - HOOD /SUPPRESSION SEMI- ADVENTIST HEALTH 7 ' 7;7 7 xOritt
SECURITY FIRE EQUIPMENT LLC FIRE PERMIT FEES 50.00
D
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 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." iltiv1PPP
r.'
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
813-7004020 City ofZephyrhIllsflow Fax-813-730•0021
Penult AppBcatIon
-
Date Rashid , Plain Content for Permit _ ,
......
Owner's Nano _ I.. . .. Alig21111grigin Owner% Phone Number I ri.1 1 1 1S7 1
°sasses Address 1 1.1572 21.3eder RI
Fee Simile Titleholder time 1 .
I llieholder Phone Number I I 1 I I •
Fee Simplellisholder Address . 1
Job Address
Sub Division . ..,—.—
ennewassar "v•woolamakkaw, asseemoonak
0 Bio-diszerd Waste Sicsage - ANNUAL El Frinsigalion Tent
0 Comm Exhort !Won Honda:trot El tboodous Wadi (Mr if or RO Finlay) ANNUAL
0 Controlid Sum E:1 Hood inelalistion
p Emmegency Geneador <30 kw LP/filial Sewinsieklifon
EnvergencyChmersior> 3111ert LP/Nekaal amANNUAL Ellis
Fins Penection bleinienenos 441111JAL . Reces of Assenitiy-ANNUAL
ISEBIESSEE c---A•
Sprinider MI 0 0 0 Recresitonel EliiM
Fins Akan IIII 0 13 0 111111 Spotless ,
Hood Ckordro ; 0 X 0 NM SgrinkierSysisen installation*
Hood Supplession irA 0 A 0 eandaings (ors
0 Fire Aiwa Insiiihdlon - El Toth Roam/1W Kale
Fire Pumps Waste lire Stomps ANNUAL . .
MIMI • - Fire *Wag
IMO
Firannadde Applicalion- ANNUAL - 1 1 Valuagon (*Project
FuN Tanks
Contractor I Company
' I Registered L / 14 Fee Cummt I Y 1 I'd I
Address I 1 _ . Oconee* . ) • 1
- 1 •
st ali na T iCIA l e • . Carom
. 1 Registered I WWI Fes Quaid 1 l'iN I
. , . .
Adding I 1 License*
PWONIER I Compory
Signature . I
Regkieeed FeE=E:r=e ---. 1=CF — Cumed
Address I . . 1 License* l ' 1
MECHANIC/ -
. I Conway -
negisa Cu
ered I Y/ N I Fee min 1 Y N I .
Address I 1 License* I l
OTTER , '5 Coation, -5 -- • - .42 - • se i s ,..., _ it
Simmers ---- e ......ietee.-4,--4- 1 Regiehred WisMil Fee Current MEM
Addle= IIPTMENIIIVW21111MT111/74051 License* sIMM T ,ffil
. - . .
Directionic
Fill out appandion compisiely.
Omer A Coneeetor sign Molt of appliwion, Matted (Or, copy of signed contract vdth owner)
if over S21101). • Niko of Commenownot is remskeditrIsehsedrol wait oww15000)
Supply two (2) sets of dreesingps vats appleable documenalim
Mom 10-14 days Tor review saw submitted die. Parcel *- (*Wined from Props* Tax Notice (hpreimplecogov.com)
- .
MICE OFVEED - The undemrigned understands that this permit maybe•s06jachto'dereirr *- -
teach maybe mom niat ricith a then County regcdalions. The undersigned .asaunes reapondbilly formompuaacelwih any
rpplicaibie deed restrictions.
NML.ICEHISED AND ° . --
rctora to undertake work tray may be rewired
ormrac for is not licensed as rebored by tsar, both the owner and contractor may be cited ler i
order slate lent.. Fite owner or intended- contractor are uncertain as lo what licensing 'requirements may apply for the
nt ndad week tray arm -- n . .
3009. Ftrl israworer, 1 the 'mew ''
'aeons of the * jiiackir
..– f-1.7 J ; -'t *,'; .11 °° ; ("r* - 't -4 Of WOW it IA-Ys fin erg meg - .
�y'� rY��ta�y_ : , c,, F..
Nt Yi1 \iiYa � „i, � �� ww ' i�Q i'ii �lt� GFG s�'..,� "7"7„,•,'„ 'ay ii)iY. fL M� 4FTfllfi 4.�3'i:F> .w. ; ..
e is a. t4 ei. t a.Na .'Tl.R. It a r�.S4M .......... .-. ..., ...... ,. .. .-.. : .. _ . . .. ... . ... ....... ... ..
ter matt u inner. i air tat i lea aladeasi a may of Meanest arcrrat4 ticisraie U :1.11 UM:1.11MM ea at prIiiiiirsei 01 g rand MOO t €c<
f to tla "owner by
1 mg* toot MI tea irtiereaelron la iris app oaien,is ac eir a and
that an work e l l be - ne in compliance with of applicable tares segilaing construction, zoning and land
deiopm nt. Application is bendy made to (Maine permit hi de wnrk inatellaeon as indicted. i certify
that im or installatt. t am _ ___ te. - _ to Issuimce Pia porn* and ail work veil be performed IT
: eat de "�""'i�i°".r"'ir�s� 'cv .!Y and t..44/ =Idea. 2xinina regusanons. and t..=.
ntar :+a?lf* v iP f tinftArgallin Mir MR VROt1�r neWt.S !!t [•fey
o�av ze3 ..tea ..� �i ` , a lti at it f Tay what
..y... v' a.. "
it i am 4#+c AGENT Rt1R THE 0111111141ER, 1 ummiee in good taNh to inform the owner of the oemtilino conditions set forth in
this . affidavit prior commencing torn buc ions. i unnemitano mat a separate permit may toe rentered
rar+h ear istt+4ts#a t!? tlta '!,Nri1k fir r'
p ermit issued shall be construed is be a license to proceed eith the work anti not es a to GariCfti, .. u.
An pus a cnrraclinn of arms in Diana. construction or viataiions cf any codes. Every pent* issued shah become invaiic
uticgia nris v ausionzect ay suc i permit Es coenuencoo whim} six avutn. cahoot ;: ire
. — _ •,,4 4 ,,., , .,I Lti fror s„ misinet ftlf Abaft% MOMM nem' the elm live work is commenced. An extension
raft be mod, in widen . from the Bathing O liaiet for a period not to exceed ninety (90) awls and will demonstrate
_ .n tea a'� :�� JG.. . i f :•r
) f_P7'^_"4.�?J!' fr L ? -v, ,ec t� orr
F /
aa.vYtlGtYla.i 4.aZ iiilGi ivi u iG w�li��i:ii :. � ._ _ - i • _ p�
r O YR FAi T �'�"�°� A ��V i CE 1C T' &Y RESULT T !N. -YOU!R
=..ar aaassa wr
PAYING MANCE FOR IMPROVERIERITA TO YOUR PROPERTY. F YOU INTEND TO OBTAIN FANG, CONSULT
YOUR LENDER OR AN ATTCINNEY BEFORE fitiEtaibbittiki YOUR two tst.
t,re:4MA p *Mr 7C 417 rift -
rtwanz t* MAW anywr cOKIRACTOR -
51115cithed Ami v tp `-- ...s• ti..f...R ..+. Mi � - aw,v -9130anti koin Rao San to* a�..o.� w�aaaa
assu,o r.o ra
V a r g o W a y f e m m e i s ene or heehaw wedusee who isiare pessonaky imam same or ke ps` =
Hs idenlilicadon. as Merano/0m
Mari Folic Nobs, Public
ass atIONINVIsirt paled eRilimp-d rissafl'leifmyl ped• t aralewPed
•