HomeMy WebLinkAbout10-10669 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10669
ANNUAL FIRE PROTECTION MAINTENANCE
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Permit Number: 10669 Address: 7323 GREENSLOPE 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: 34 25 - 0000 - 00300 - 0081
Improv. Cost: . _ . n I '
Date Issued: 7/01/2010 Name: ZEPHYRHILLS MEDICAL ARTS LLC
Total Fees: 25.00 Address: 7323 GREENSLOPE DR
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 7/01/2010 Phone:
Work Desc: FPM - ANNUAL FIRE ALARM FOR ZEPHYRHILLS DIAGNOSTICS IMAGING
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A •TAL •LU 1•N IN FIR • RMI EES 25.00
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FI A EP AN 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."
WIP
Ari lar
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
813- 780 -0020 City of Zephyrhills Fire Fax -813- 780 -0021
Permit Application
Date Received I I Phone Contact for Permit 17,? 'Y 119 y 2 I I 1 q e13
Owner's Name 0 / 3 1 I 5
- e U r !/I r ' / S 9r k A./ n S / )m46:4) Owner's Phone Number I g" 7/ 11,6-00 I
Owner's Address 7 Pf lt.,
f s/r) e 9/ She . /D / I
Fee Simple Titleholder Name I I Titleholder Phone Number I I I I
Fee Simple Titleholder Address I
7 o r, ry
Job Address 1 7 3? 3 • ✓1 re f, J / / - n ...;, Qf S/e • /0/ I Lot #
Division
Sub Div i on
I c /
Parcel #
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0 Bio -Hazard Waste Storage - ANNUAL I-I Hazardous Material (Tier II or RQ Facility) ANNUAL
n Comm Exhaust Kitchen Hood /Duct I Hood Installation
ED Controlled Burn JJ LP /Natural Gas - Installation
n Emergency Generator < 30 kw I LP /Natural Gas - ANNUAL Sale
n Emergency Generator > 30 kw n Places of Assembly - ANNUAL
U Fire Protection Maintenance - ANNUAL r
Recreational Burn
0 1Qtrlyl 1Semi ) (iuj !Other ❑
Sprinkler ❑ ❑ ❑ Sparklers (�
® I [] r / `
Fire Alarm ❑ ❑ Sprinkler System Installations / � ) V!
Hood Cleaning ❑ ❑ ❑ I u Standpipes (Sprinkler Sys)
Hood Suppression IJ ❑ ❑ ❑ I I El Torch Roofing/Tar Kettle - --"°
n Fire Alarm Installation I Waste Tire Storage ANNUAL
EJ Fire Pumps
n Fire Works
I1 Flammable Application- ANNUAL I
Eli Fuel Tanks I Valuation of Project
n Other: I
Contractor I Company A ,^
Signature �'G SG tU : - re-
Registered Y / N j Fee Current I Y / N 1
Address 3531 1'+ AA I License# EF O000JIM 1
ELECTRICIAN'
I Company
Signature Registered Y / N I Fee Current I Y / N I
Address I I License # I I
PLUMBER I I Company
Signature Registered Y/ N I Fee Current I Y / N I
Address I 1 License #
MECHANICAL! I Company
Signature Registered Y/ N I Fee Current I Y/ N
Address
I License # I
OTHER I I Company
Signature Registered Y/ N J 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)