HomeMy WebLinkAbout10-10654 CITY OF ZEPHYRHILLS
5335 - 8T1-1 STREET
(813) 780 -0020 10654
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 10654 Address: 38220 HENRY DR
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:
Improv. Cost: Y:1 1 ®. a �s 3 �.. r:6,
H
Date Issued: 6/29/2010 Name: CR MANOR CARE
Total Fees: 25.00 Address: 38220 HENRY DR
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/29/2010 Phone:
Work Desc: FPM- HOOD CLEAN SEMI -HCR MANOR � 7 / /()
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1" 'U `IAL A L A • AM 1 PE 25.00
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I EA A E inal
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."
•Y
P t? 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
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813- 784-0020 City ofZephyrhids Fire I " 1
Permit Application Fax-813-780-0021
• Date Received
Phone Conteetlor Pound
Owners Name 4R:T LA.'4 tJ of Z p44 `I rte} t U .... ^
I Owrier's Phone Number 13 lini .113S q ')
Owner's Addres3 3W tto • 1-1- ` j -) 1-'1 D2 S-- 1"-t ✓j,; .1I�S, L 3%g �ko .
Fee S" j .. .
Simple Tltlotroldsr Name. L--- f
Fee Simple lbeholder Address Titleholder. Phone Number
pp
Job Addl
ddress f S44% r_ f D0_JcL
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1 Las •
Sub Division •
t--t parcel # I • I 1 B ird Waste Storage - ANNUAL
El
Fumigation lent
Comm Exhaust Kitchen Hood/Duct Hazardous Material
0 Controlled Bur„ 1 i (Tier 0 or RQ Facility) ANNUAL
Emergency Generator < 30 kw = Hood Installation
LP /Natural Gas - Installation
Emergency Generator a 90 kw •
LP/Natural Gas - ANNUAL gale
Fin Protection Maintenance - ANNUAL Places, of l Assembly-ANNUAL Gas - b 4- •
• SPri
0 I's;IF7 ISemll ® '!USprinkler � D
� � � t7,acreatlona! Bum `j , 1 / 2 v N
Fire Alarm ❑ ❑ .1 1
Sparklers
Hood G n owning ❑ kr t I 1 S prinkler System kratallsUons •
H
•
ood Suppression El p: ❑ • o I • 1 Q Standpi
El pes P Pas (Spdnkter Sys)
F
•
ire Alarm installation
Torch Roofing/Tar Kettle'
Fire Pumps Waste Tire Storage ANNUAL
Fire work!
Flammable Application- ANNUAL t
Fuel Tanks f - I Valuation of Project
Q Other. I • . . .
•
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• Sig la c ie r ,. .. , .. • .._ / _. . Company Tn.. A .. �.. .. C . <...! •
I Registered
Address J 11117431 Fee Current MEI
3 7 J , _ At (- tr L. License # J I
ELECTRICIAN
Signature 1— l3 -- 4 2 0— b Z Z 1 4.4. 3$. Company
Registered Y/ N j Fee Current J Y / N I
Address I
PLUMBER
1 License N 1 • .
• S Company
ignals,
Address I
Registered Y/ N Fee Current J Y N I
MECHANICAL License Sr ( 1
Signature f Company 1
Registered Y/ N I Fee Current J Y/ N I
Address I
OTHER 1 License M I I.
Signature I I Company I
1 1 Registered Y/ N I Fee Current ( Y J N
Dh•ctlons: —_ .. ,.... T ,_.._.,, License #
FNl out application eompletety.
Owner
If over °(
& Con back of application, notarized (Or, copy of signed contract with owner)
Commencement is required .(Mechanical work over $6000)
Supply two (2) seta of drawings with applicable documentation
•
Allow 10 days for review after submittal date.
Parcel # - obtained from Property Tax Notice (htlp; / /appratser.pascogovcom)