HomeMy WebLinkAbout10-11042 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 11042
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11042 Address: 38250 A AVE
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: 14- 26 -21- 0010 - 01300 -0010
Im rov. Cost:
Date Issued: 10/12/2010 Name: S C NURSING HOMES OF ZEPHYRHILLS
Total Fees: 25.00 Address: 38250 A AVE
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/12/2010 Phone:
Work Desc: FPM- HOOD CLEAN QUARTERLY- ZEPHYR HAVEN HEALTH
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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." -12PIP
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
1)I;WIU / MVII 11:4.4 AR LI;t11lft11LL 13U1LI/IIN. PRA NO. dii"1iiU'UULI r. UUL
813 -7 0-0020 - City of ZephyrhU115 tFIfa:.•. = ' / if 2/ Fax - 813480.0021 .:1:= i
Permit Application. , • ( .:aao
Pate rteOnive • `� Phone C ntactfor Permit .
Owner's vents ES re / Owner's Phone NUMINK . f 1.l 1-1,_i
OwnersMdress 3. ZSo 4- 4 ie V --- � 2 ph -4 (/s 7'. • 3 j 3 see Z 1
Fee Simple Name ! .. 1 Titleholder - Mona Number 1 - 1 1 1 •
Fee Simple ittleholderAddreeo ,
JobAddresa Lot# 1
Sub•Divialo • Parcel # • L
Ei Bto-Haz Woofs Storage -ANNU - fl Fumigation Tent •
n . Comm Exhaust 14 Hood/Duct h✓ i - - ED Hazardous Material (Tier II or Rf2 Facility) ANNUAL. `
• u ��j Controlled Bum- 1 ----- 1 Hood Lrmtauation
• 0 Emergency Generatorc 30 kw E lr . LP /Nagtral Gas- Natallation 6 /�
mergsncy Generate } 30 kw 1 LP/Natural Gas - ANNUAL Sale 11
d Fire Pulsator' Maintenance - ANNUAL • El Places of AseembiyANNUAI. / > // '3 //G
• EM•�� ^ /
Sprinkler La ❑ la d { 1 Recreational Bum
Fire Alarm ❑ ❑ 0 J .1 - E Spenders .....-------
Hood Meaning tee 0 0 _ I Sprinkler System Installations i V �
-po Hood $i pr eaon D GI ❑ ( Standpipes (Sprinkler Sys)
CI Firs Nam installation - C=I Torah RoafirgiTerKeine -
i ire Pumps E Waste Tire Storage ANNUAL
Fire Works •
7 Flammable Application- ANNUAL ._j Valuation of Project
R Fuel Tanks
Other. I
Company Signature
Contractor / ' 2 S/�� Registered ered Y N � Fee Current j Y/ N I I
Address I I7O4 6- 44 j�C✓verS 1,19 -. / license* --
A 41., o-( �/ 3•F Registered YIN 1 Fee Current I YIN 1 -
Address r =` - = t lcar>>:a# 1 •
PLUMBER Company I
signature Registered Y N Fee Current I Y/ N I •
Address - License* I I
• MECHANICAL • - Company
Signature _ Registered 1-714 I Feb Current I Y/ N
Address r . - • Licanse it I I
OTHER • - Company •
Signature Registered QAIII . Fee Current EMI
•
Address • . Ueense#
FYI out application completely. • •
Omer 8. Contractor sign back of appttwtlon, notarized (Or. copy of eared =mired with owner) -
If over 52600. a Notice of Cams ancemera is requlred.(Mecheni at work over $5000) - •
Supply two (2) seta of drorringa with applicable documentation . -
Allow 10-14 days for review d• ' " ' Patna' A - AtAnSti *urn Rowdy Tax Notice (httpdIappraisecpaseogov.00m)
STEAM & PRESSURE CLEANING
Building Exteriors Air Duct Cleaning Certified Kitchen
High Rise Exhaust Cleaning
Commercial Sidewalks
Industrial Concrete
Bruce Anderson _ .. ^ • _ •.
Phone: 1- 888 - CLEAN -18 Licensed, Bonded, Insured
CeII: 863- 224-1155 Serving Florida Since 1989
Email: pressureson ®tampabay.n:com Free Estimates