HomeMy WebLinkAbout10-11093 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 11093
ANNUAL FIRE PROTECTION 'MAINTENANCE
Permit Number: - 11093 Address: 38135 MARKET SQUARE DR
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE - PROTECTION MAINTENAN eE Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02- 26 -21- 0010 - 03900 -0030
Improv. Cost: i '' ° §,
Date Issued: 10/27/2010 Name: FLORIDA MEDICAL CLINIC
Total Fees: 25.00 Address: 38135 MARKET SQUARE
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33540
Date Paid: 10/27/2010 Phone: (813)780 -8440
Work Desc: FPM- FIRE ALARM ANNUAL- FLORIDA MEDICAL CLINIC
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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."
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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
10/26/2010 10: 58 7275310596 COMMERCIAL FIRE
4 ' � �� PAGE 02
air City ofZephyrhIllsFlre, Fax-8•13-7/10-0021
Permit Application
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Owner's Name I� 1 °(�l .((1 01 Y �`C I Owner's Phone Number ,�2WZ
Owners Address r 3j(5 CY1ntI[e1 i uofe 7.Q f h l r Jk F 1 5'55'46
Fee Simple Ttleholder Name l Titleholder Phone Number I If I l
Fee Simple Titleholder Address
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Job Address s f t hf � et �p v4ti 7 p e f rh 1 I k El 333`10 1 Lot# f
Sub Division ` "I parcel # j
Bio Waste Storage - , ANNUAI. • Q Fumigation Tent
Q Comm Exhaust Kitchen Hood/Duet = Hazardous Material (Tier 11 or RIO Facility) ANNUAL
n Controlled Bum [] Hood Installation
n Emergency Generator a 30 kw LP/Naturei Ges- Installation
•Emergency Generator> 30 kw n LP/Natural Gas- ANNUAL Sale �1
Fire Protection Maintenance . ANNUAL Q Places of Aseembiy•ANNUAL a C_ ff
Sprinkler D 13 D D = Recreetlonel Bum 01 9-Z15/71)
Fire Alenn ellg O O X I I = sparklers
Hood Cleaning III 0 ❑ 0 f I Q Sp„nklerSystem installations 6J cr-
Hood Suppression D L--) D L. 1 a Standpipes (Sprinkler Sys) T
E l Fire Alarm Installation a Torch Roofing/Tar Kettle
Fire Pumps Waste The Storage ANNUAL
Fire Works
Flammable Application. ANNUAL ( Valuation of Project
Fuel Tanks
p Othe I • — I
Contractor Company s
S- wi�I!% TiZT,r . 073n Malta"
signature Registered Y / N Fee Gums EaLl s t ,•
Address ( 1 • license # I �.
ELECTRICIANI 1 Company Signature Signature Registered Y/ N I Fee Current 1 Y/ N J
Address a J License* r I
PLUMBER Company I
signature Registered J Y/ N f Fee current t Y / N
Address I
License*
MECHANICALI Company J
Signature . f Registered Y . / N T Fee Current ( Y / N • 1
Address I • License# J
OTHER
Signature ( CDnY
I Registered Y/ N T Fee Current 1 Y/ N
Address
Directions: License*
Fill out application completely_
Owner & Contractor sign back of application. notarized (Or, copy of signed contract with owner)
if over moo. a Notice of Commencement Is required. (Mechanical work over $5000)
SuPPIy two (2) sets of drawings with applicable documentedon
Allow 10 -14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (hgpl /apprelser.paecogov.com)
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