HomeMy WebLinkAbout09-9334 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9334
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 9334 Address: 38250 A AVE
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: 14-26-21-0010-01300-0010
Improv. Cost:
Date Issued: 7/10/2009 Name: ZEPHYR HAVEN NURSING HOME
Total Fees: 25.00 Address: 38250 A AVE
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 7/10/2009 Phone:
Work Desc: FPM- HOOD QUARTERLY- ZEPHYR HAVEN & REHAB -SCH JULY 16
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THE PRESSURE'S ON 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."
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- 780 -0020 City of Zephyrhills Fire 4 q ,,/ r3q Fax -813- 780 -0021
Permit Application
Date Received I Phone Contact for Permit I W03 1 1 ZZ i-f I 1 11 S 51
Owner's Name 1 2E-Pt4 y l` 4-1.1V Eti 4e ( 7 -i 'V 7 r- " ' L Owner's Phone Number 1 a 1 3 ( 1 7 a Z I I SS id
Owner's Address 13 T 4 0 2 S O ' 4 V 0 2G - 24 1 1 1 1 1=-1 . - 33.514 2
Fee Simple Titleholder Name I I Titleholder Phone Number I 1 1 1
Fee Simple Titleholder Address I .�^
Job Address - 3 O a SO 4 4 VE wv U C 2 E 1 #2. '1 f (' S e Y— I . 3 35 # I
Sub Division I , n Parcel #
Ej Bio- Hazard Waste Storage - ANNUAL = Hazardous Material (Tier II or RQ Facility) ANNUAL
n Comm Exhaust Kitchen Hood /Duct n Hood Installation
El Controlled Burn I-1 LP /Natural Gas - Installation
n Emergency Generator < 30 kw n LP /Natural Gas - ANNUAL Sale
n Emergency Generator > 30 kw n Places of Assembly- ANNUAL
n Fire Protection Maintenance - ANNUAL n Recreational Burn ` /e''9Ne N // 4 /
�Qtrlyl emi Oil Ma. SC 4.. of r/ /r v(
Sprinkler D ❑ ❑ ❑ _ [ Sparklers
Fire Alarm 0 ❑ ❑ ❑ I 1 LI Sprinkler System Installations 7//6 /G
Hood Cleaning ® x ❑ ❑ I I n Standpipes (Sprinkler Sys)
Hood Suppression 0 ❑ ❑ ❑ I I n Torch Roofing/Tar Kettle
Il Fire Alarm Installation n Waste Tire Storage ANNUAL
R Fire Pumps
Fire Works
El Flammable Application- ANNUAL I I Valuation of Project
Fuel Tanks
Q Other: I I
Contractor ; ��s Company ? i'�2E5SCAI ,L C UlLE i G . I
�
Signature � --' L Registered Y / N 1 Fee Current Y / N
/
Address I / 70 4 Lac. V %Sew r -s ./ L I License # ( I
ELECTRICIAN / -Q /i9' N / �/ .. 33cfG Company
Signature (� �l R !Y1 Registered Y / N I Fee Current I Y / N I
Address ( I License # ( I
PLUMBER Company I
Signature Registered Y/ N J Fee Current I Y/ N I
Address I I License # ( I
MECHANICAL Company I
Signature Registered Y/ N I Fee Current I Y/ N
Address I I License # ( I
OTHER Company I
Signature Registered Y/ N 1 Fee Current I Y/ N
Address I 1 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)