HomeMy WebLinkAbout09-9111 - CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9111
ANNUAL FIRE PROTECTION MAINTENANCE
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Permit Number: 9111 Address: 6701 DAIRY RD
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: 02- 26 -21- 0010 - 03900 -0060
Improv. Cost: _
Date Issued: 5/08/2009 Name: ALLEGIANCE SENIOR CARE
Total Fees: 25.00 Address: 6701 DAIRY RD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/08/2009 Phone:
Work Desc: FPM - SPRINKLER QUARTERLY - WESTBROOK MANOR- SCHEDULE 5/14/09
OX FIRE PROTECTION,INC. FIRE PERMIT FEES 25.00
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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." �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
.. _ 513 -780 -0020 City of Zephyrhills Fire % 1 1,' Fax -813- 780 -0021
Permit Application
Date Received I 1 � Phone Contact for Permit I I I I I
/1
Owner's Name 1 Westbrook ` , ai,or I Owner's Phone Number ( I 1
Owner's Address
Fee Simple Titleholder Name I Titleholder Phone Number I I
Fee Simple Titleholder Address
Job Address 1 V101 Dairy I Lot #
Sub Division I l I Parcel# I
El Bio- Hazard Waste Storage - ANNUAL n Hazardous Material (Tier II or RQ Facility) ANNUAL
n Comm Exhaust Kitchen Hood /Duct El Hood Installation
Controlled Bum = LP /Natural Gas - Installation
El Emergency Generator < 30 kw = LP /Natural Gas - ANNUAL Sale
Emergency Generator> 30 kw In Places of Assembly-ANNUAL
J Fire Protection Maintenance - ANNUAL = Recreational Burn
ry MEN iii Uther
5�edwlec� Sprinkler ® x CI I Eil Sparklers
Pe r Fire Alarm D ❑ ❑ E l l I 0 Sprinkler System Installations
6'1 Hood Cleaning n ❑ ❑ ❑ I In Standpipes (Sprinkler Sys)
Hood Suppression In ❑ ❑ ❑ I In Torch Roofing/Tar Kettle
E Fire Alarm Installation n Waste Tire Storage ANNUAL
Fire Pumps
n Fire Works
El Flammable Application- ANNUAL 1 I Valuation of Project
Fuel Tanks
0 Other: I
Contractor Company • i p- a a 10 I
Signature Registered UA Fee Current WON
Address 17 tb. � Ok.S31 ztlik PL gg. Tam G I License # I o g c,q t2.000 `VMS I
ELECTRICIAN Company
Signature Registered Y/ N I Fee Current I Y/ N I
Address I 1 License # I I
PLUMBER Company I
Signature Registered Y/ N I Fee Current I Y / N I
Address I I License # I I
MECHANICAL Company I
Signature Registered Y/ N I Fee Current 1 Y / N I
Address I I License # I
OTHER Company I
Signature Registered Y/ N I Fee Current I Y/ N I
Address I I License # I
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner)
If over $2500, a Notice of Commencement is required (Mechanical work over $5000)
Supply two (2) sets of drawings with applicable documentation
Allow 10 -14 days for review after submittal date. Parcel # - obtained from Property Tax Notice (http: / /appraiser.pascogov.com)