HomeMy WebLinkAbout10-10274 v
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10274
ANNUAL FIRE PROTECTION MAINTENANCE
s:.
Permit Number: 10274 Address: 37930 MEDICAL ARTS CT
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: 34- 25 -21- 0080 - 00000 -0010
Improv. Cost:
Date Issued: 3/24/2010 Name: DAIRY QUEEN
Total Fees: 50.00 Address: 37930 MEDICAL ARTS CT
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/24/2010 Phone: (813)780 -2826
Work Desc: FPM- SEMI SUPPRESSION /HOOD- DAIRY QUEEN- SCH MARCH 25TH
1= P R T F 50.00
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16 ,id 49 =7 2 177
Fl - A EP AN 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
r
CITY OF ZEPHYRHILLS
5335 - 8Th STREET
(813) 780 -0020 10274
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 10274 Address: 37930 MEDICAL ARTS CT
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: 34- 25 -21- 0080 - 00000 -0010
Improv. Cost: ' � x a M
Date Issued: Name: DAIRY QUE EN
Total Fees: 50.00 Address: 37930 MEDICAL ARTS CT
Amount Paid: ZEPHYRHILLS, FL. 33542
Date Paid: Phone: (813)780 -2826
Work Desc: FPM- SEMI SUPPRESSION /HOOD- DAIRY QUEEN- SCH MARCH 25TH
SE U=1 .II M N L IR 'ERN F E 50.00
}
FIRE A 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." _
1,412Y
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
81' 3 - 780.0020 City of.ZephyrNllsF r -418- 7804021
Perna Application
Date Received - PimaC.nletiorPenrd
1 Owner's Phone Number .1 J/3 ? �P
()wrer%Addr.s. 1 79 So /tle 40-4- ,42.Yt v/ 7 2 ;/ - /-.1
Fee Simple Tillohoider Name" I 1 Ti . r 1 11 1 I
Fe. Sbapie'iirsholdwAddne.
Job — —
Sub Division Paled.
D ire Sewage -ANUAL D Fimigsiar.Tai
0 Co im nova tlQda m Hooth rtet 0 Head= Wadi (Tisch arRQ r.iJ ) ANNUAL ...
Co ntdedeunl ED Hood instidistion
6rergonoyG.neralor <g0tev Liiiiiiamitiewlestelidon
limorgeacyllensador 2. 80 kw LPxMied fiseANSSIM.Sode .
Fire Ploratioir Iieintsrerera- ANNUAL Places etAseUN NlNUAL MI Mg M
sMMd for ® 0 0 0 IOea adiatd Suer
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Fie Alm III 0 0 D 1.111 SPwitiws
Hood Clewing 0 Milli aFddlier
Flood suppression � 0 A O Mondidixoe r3Pliniftraft)
Fire Muni inslrr Tomb RoodngflarKa�s
Re Pumps AN N AL
Fire Wads
ft.maidde)ipslicaiorrAIMMAt Vai1186011 of Project
Flat Teaks _
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strews tammared 1 Y/N j Rs Cement Y/N
address ( Manse#
sM�dtis . Ragislited I Y /N FaeCeiatii J ; YIN I
Address =1 Manses
PL UaBER Cosoperrry
Signature -. ! Reyistewd / N - Fai. Mount
Address I Lk:arses �' I
f Ftepistwed Carpery �. Y/ N 1 Fee Cornet } Y/ N 1
Addison ( License# I
O'er Cwaprr�► E
Signature e 1 Rsgtriefild F•• omit Y/ ca scsacc___
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Address irrgag /1►J�'_"'1i7 rMINE License* - — :
Direcikinte
FM out appYedon m.pis_My.
Owner 8 Coriestoratgn halt of application. note lied (Or, copy of signed oonamavah owner)
If over 112300. • /bawd ilennenos.asnt is rewind_(WAsniesl work owr!Z000)
Supply iv= (2) sob order ugh spli a bb documerdellan
Alba 10- 14dsysbrswrw after enbrrrrsldela. Parcel #- *barked t} om Roped* Tax Mks (tdfpi*appnrh.rp.soagav om)
IOTtmE OFt1 RERiRICTUONik The undersigned t den amts that *b pecan nwy.be•subjec bt0- - `dead'sea ictioca' -
Mich may be More Mstricthe than County reguteadons. Theleredersigned assumes responsibility thrmompaancepwfth any
teeth:able-deed restrictions.
INL.ItaI.SED CONTRACTORS AND (kite owner has 'hiedtw- oothhmrctor or - -
wntrawiors to underrate wink they may be ie phedio be licensed in =condense with rale :and locallegulations. Witte
oniractor is not licensed as required bylaw, both the owner and contractor may be died a misdemeanor violation
ender state Vii►. If°the maim or in andedceailractorme uncertain meth whet licensi g-requieeMents may apply for the
ntended work they are advised corded thefts= County Beidirg• inspection Division—Licensing Secilonat 72T -847-
1009. Furthermore, if the awraar has hied a contactor or miimciork he is advised to-have the conbacior(s) sign
masons of the'correctorfiode,af this applicallorrior a laich'sy 1.10 be responsible. . W you, as owner as the
aniractor, that may be an tndicaiian that ire is not prapeciy licensed and is not arilbed Oermilling stages in Pasco
. otrhty.
LEN-LAW (Cieapisr7 3, Sterates,asaewrisdk t vskadion of work k 92,500.00 or more,1
:edify that 1, the -apps have been provided with a copy of the 'Florida action Usn s
'reelection Guider prepared bylie Salida DePartme t:of Agriculture and Crammer Aft**. Ithe applicant is someone
*written the Immer',1 csrWj th t 1 haw obi :bra a copy of the above deecxibed document and pause in goodlekh to
ieiive r It to the °owner" prior to
- -AFFIDAINT: 1 certify that al the ramose= in this application is accurate and
that all work will be done in compliance with alt- applicable* hersmgrci np cotnfrudlork zoning and land
development. Application is hereby made to obtain a peradtle do wrtric and meted ilon as indicated. 1 certify
that no work ar kidallafion has commenced prior in lesusres de permit anoibet all work ail re performed to
meet eta olards of ell laws mgrali g airisinection, County and Cily codes, zoning Via, and land
development neguhlons in the err. 1 also corny that 1 udea dead that the regulations of other
. government agencies may apply to the branded work, and tat it is my responsibility to idea ry what actions i
must take to be in compliance.
If 1 an the AGENT FORME OMNiER,1 panne in goodtakh to inform the owner of the panelling conditions set forth in
this plorto commencing construction. 1 undsrasland that a separate permit may be mulled tar sledded wtoric,
plumbing, sigma, wells, pods, air conditioning, gas,-or attar budeliallons not spedRcaiy included in the appicelion. A
pare# issued shat boatsmen's(' to be a libel e in proceed with the work and not as aulhaaa1b/_to violate, cancel, alter, or
set aside any pro thane tithe technical ical cocies, shall issuance of a permit raped*. Building Ogciaf *am thereafter
nzpking a canedion of amore in-plans, con on or violations ti any codes, Bray pen* tasfued shehbecome iwafid
unless the pork amulhodad by such pensit is ciammenced within months of peril issuance, or i wodtaulhortesd by
the permit is suspended or aberdored tar a purled of six M.-m the akar the lime the work is commenced An Mansion
may be requested, In waling, fraan Of3t3ai for a period not to encased ninety (90) daps and w• demonstrate
die cause for the ardenmsion. If work ceases for ninety (90) days, the-job.Is car idmec abandafed.
WARNING 10 OTINEkt YOUR FAQ 10 -RECORD A NOTICE *OF - CONNENOMMENIT IOW RIMULT IN -
PAYING 'IIIMCE FOR i#!a'
l thl9 'S _ TO YOUR P JY. F YOU *TBID TO OBTAIN FINANCING, CONSULT
�I 1N1iNR OR ANATiOIf Y BEFORE RECOROING-VOURSIMICE oz'.
RARKIIJUROIF&11703)
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9udabad and illoreb aiapsa}b ertmaamilkis Sebsoilbsdandievoinlefor same MOM M41t is .
ye,p °*skim peewant_tseaanb s
Noisy Punic - • Nosy Paths
Commission No, - - Commission No.
Name of Notary Vest Pitted *ramped Name of Nolarytyped. minted or slisioPed
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