HomeMy WebLinkAbout10-10056 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10056
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 10056 Address: 37908 DAUGHTERY RD
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: 03- 26 -21- 0010 - 00100 -002A
Improv. Cost: ex'- ce a „777 4-i Oef
Date Issued: 1/28/2010 Name: DAUGHTERY ROAD PROFESSIONAL CNTI
Total Fees: 25.00 Address: 6719 GALL BLVD STE 106
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1/28/2010 Phone: (813)973 -2657
Work Desc: FPM - SPRINKLER ANNUAL - GASTRONENTRLOGY -SCH 1/28/10
ASAP AUT• *A IC SPRINKL AND PI RE PERM! ES 25.00
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EPTAN 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.”
1■02Y
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 0(6° Fax - 813 - 780 - 0021
L Permit Application
Date Received Phone Contact for Permit 71/ SS' ! q 777 7
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Owner's Name 1 FI,D(�IpA G ASTaCFJ1l r'LIgOL UGy ASS'. I Owner's Phone Number 1813 17 g O 11 8 6
Owner's Address 1 9053 DA u 6" N rIRy Rt. Z.EPH YAI.►LLS a 13 S`l 1 I
Fee Simple Titleholder Name Titleholder Phone Number I 1 I I
Fee Simple Titleholder Address
Job Address 1 37508 DAu6NrERy Ro ZEPHyRt411U-s FL 3'iSN / Lot#
Sub Division IC try n c ZCPu Y Il 14 i u.S Parcel # O -16-2, 1 00)O OO l d0 -oo2 A 1
ri Bio- Hazard Waste Storage - ANNUAL I Hazardous Material (Tier II or RQ Facility) ANNUAL
[I Comm Exhaust Kitchen Hood /Duct F Hood Installation
ri Controlled Bum I LP /Natural Gas - Installation
n Emergency Generator < 30 kw (l LP /Natural Gas - ANNUAL Sale
I — I E mergency Generator > 30 kw n Places of Assembly- ANNUAL
I] Fire Protection Maintenance - ANNUAL n Recreational Burn
IZWI ISemiI Mil Other
Sprinkler ® ❑ ❑ Ac , 0 Sparklers
Fire Alarm El El ❑ ❑ I I n Sprinkler System Installations
Hood Cleaning ❑ ❑ ❑ ❑ I 1 ri Standpipes (Sprinkler Sys)
Hood Suppression ri ❑ ❑ ❑ I 1 Ii Torch Roofing/Tar Kettle
r i F ire Alarm Installation I Waste Tire Storage ANNUAL
I — I F ire Pumps
Fire Works
n Flammable Application- ANNUAL
1 I Valuation of Project
Ii Fuel Tanks
Q Ot r: I I
'i ,4, 44 , *' ,,,,,, - , ,4: •W' „ r.�; ` •14 -. 4441 z± eosg' °....ate _- . ; _ .. MMWMI4 ".'yW r,."S.; . Ka a..y0 ;, IA ea,.. , tier
Contractor C. �+ Company ASAP ynt -fA7]6 S�LI4K�Fa -A0 Pte/ I
Signature C-. o.ti.o,_ J ii 9 C, 1 A V 6 N Registered Y/ N 1 Fee Current Y/ N 1
Address Sj - 11sr• TER0.pcfr S'f LAar cp. 3 ? 1 I License# I
ELECTRICIAN Company I
Signature Registered Y/ N I Fee Current I Y / N I
Address I I License # ( I
PLUMBER Company I
Signature Registered Y/ N I Fee Current I Y/ N I
Address I I License # ( I
MECHANICAL Company I
Signature Registered Y / N . 1 Fee Current I Y / N I
Address I I License # ( I
OTHER Company I
Signature Registered Y/ N I Fee Current I Y/ N I
Address License #
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)