HomeMy WebLinkAbout09-9142 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9142
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 9142 Address: 7050 GALL BLVD
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE - PROTECTION MAINTENAN•E 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: 5/20/2009 Name: FL HOSPITAL OF ZEPHYRHILLS
Total Fees: 25.00 Address: 7050 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/20/2009 Phone:
Work Desc: FPM- SEMI SUPPRESSION - FLORIDA HOSPITAL - SCHEDULE 5/21/09
CINTAS FIRE PROTECTION FIRE PERMIT FEES 25.00
,110
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."
/i ICY
P al? . 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
813-780-0020 City of Zephyrhills Fire Fax- 813- 780 -0021
Permit Application
Date f Received 1 5- - 1 fiA Phone Contact for Permit = I ,0 l I 1 S i3I
Owner's Name I F l/ t( 0f o af /�G.. tio ( I Owner's Phone Number 1 1 1 I
Owner's Address I 1 0 S ^ ( 1 rill- _ 1 I 1 ?' v j
Fee Simple Titleholder Name I Titleholder Phone Number I I
Fee Simple Titleholder Address I
Job Address 7i�0 I ( Dui?, Lp y r 4 i) / ,c / Gj Lot #
Sub Division I / Parcel # I
n Bio- Hazard Waste Storage - ANNUAL n Hazardous Material (Tier II or RQ Facility) ANNUAL
n Comm Exhaust Kitchen Hood /Duct n Hood Installation
n C ontrolled Burn n LP /Natural Gas - Installation
n E - mergency Generator < 30 kw n LP /Natural Gas - ANNUAL Sale
F - 7 Emergency Generator > 30 kw n Places of Assembly- ANNUAL
PI Fire Protection Maintenance - ANNUAL n Recreational Burn
(QtrlyI (Semi) Fill Other
Sprinkler n ❑ ❑ ❑ n Sparklers
Fire Alarm n ❑ ❑ ❑ 1 1 n Sprinkler System Installations
Hood Cleaning n ❑ ❑ ❑ I 1 n Standpipes (Sprinkler Sys)
i1
Hood Suppression ❑ X ❑ I I n Torch Roofing/Tar Kettle
n Fire Alarm Installation n Waste Tire Storage ANNUAL
n Fire Pumps
n Fire Works
n Flammable Application- ANNUAL ( I Valuation of Project
n F - uel Tanks
n O ther: I I
Contractor ( 7 „� rr'� Company CI 7 4 -Pt-e_ ACJ� - c 74,-/,-- 74,-/,-- I
Signature Registered Y/ N I Fee Current 1 Y/ N I
Address 00) -3D — r , Ptr-/✓h ,D Tit - .fin FL 3 .I' j License # I
ELECTRICIAN Company I
Signature Registered Y/ N I Fee Current I Y / N I
Address
I License #
PLUMBER Company
Signature Registered Y/ N I Fee Current I Y/ N I
Address I I License #
MECHANICAL Company
Signature Registered Y/ N I Fee Current I Y/ N I
Address I
I License #
OTHER Company I
Signature Registered Y/ N j Fee Current I Y/ N I
Address ( I License # I 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)