HomeMy WebLinkAbout10-11094 CITY OF:ZEPHYRHILLS
5335 - 8TH STREET ✓ '+'
(813) 780 -0020 11094
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11094 Address: 38051 MARKET SQUARE 1DR
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE - PROTECTION MAINTENAN*E Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02- 26 -21- 0010 - 03900 -0020
Improv. Cost: Y '
Date Issued: 10/27/2010 Name: FMC MARKET SQUARE INC
Total Fees: 25.00 Address: 38135 MARKET SQUARE
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/27/2010 Phone:
Work Desc: FPM- ANNUAL FIR E ALARM- FLORIDA MEDICAL CLINIC
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` A _ 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 $100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE
OF COMMENCEMENT."
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P IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813 - 780 -0041
10/26/2010 10:58 7275310596 COMMERCIAL FIRE
'4t- 1(6 PAGE 04
WIZ-160-0020 City ofZephyrhiilsFire F ax- al3-780 -0021
Permit Application
Date Received ITOI • • •Phone Contect•for Permit c, F l 4. _
Owner's Name If'- lo (ta13- t fl \ .�C squat.. till 1 C. 1 w Owner's Phone Number l b I S , I (t a 1, l 'Ig
Owner's Address 15$O 1 ��.QT cJq (xu. ..e. Willi' F I 6.x
Fee Simple Titleholder Name I I Titleholder. Phone Number I I 1 1
Fee Simple titleholder Address I
Job Address �� B6bt Maxic -" 6ql 'e ht-h i I �S % 7 T Q t .. I;
Sub Division I n
Pael # )
D Bio- Hazard Waste Storage - .ANNUAL Q Fumigation Tent
Q Comm Exhaust Kitchen Mood /Duct = Hazardous Material (Tier II or RO Facility) ANNUAL.
I I Controlled Bum = Hood Installation
• El Emergency Generator c 30 kw LP/Natumt Gas - installation
1 Emergency Generator> 30 kw n LP/Natural Gas-ANNUAL Sale
Frq Protection Maintenance - ANNUAL Places of Assembly - ANNUAL, n �
® b.11 L:Ir , . ,M
� L 1
Sprinkler D D D MN a Recreational Bum
Fre Alarm (0 b 1,4 I _ I Sparkler J I ( f / �
Hood Cleaning b 0 D I I = SprinklerSystem Installations // (1) ,, i '1,4
Hood Suppression = p o ❑ L I Q Standpipes (Sprinkler Sys)
0 Fire Alarm Installation = Torch Rooflng/Tar.Kettle
Fire spa D Waste Tire Storage ANNUAL
Fie Work
Flammable Application- ANNUAL ) ) Valuation of Project
Fuel Tanks
Contractor j j J/ pany . Registered Y / N Fee current Y / N a�Scl(�
Address
r _ License #
ELECTRICIAN` Company t
Signat J Registered f •Y / N 1 Fee Current I Y/ N J 1
Addretm I I License # I
PLUMBER Company I
____I Signature Registered Y/ N Fee Current I Y / N J
Address I License # I
MECHANICAL1 Company I
Signature . I J I Registered Y / N 1 Fee Current 1 Y / N
Address I '
OTHER License # ( I
Signature Com I
Registered Y / Foe Current I Y f N j
Address License#
Directions:
F11I out application completely_
Owner & Contractor aim beck of application. noterIzed (Dr. copy of signed contract with owner)
If over $2500, a Notice of Commencement is required (Mechanical work over $5000)
Supply'w (2) sets of drawings with epDCoable documentation
Allow 10-14 days for review after submittal dsle. Parcel # - obtained from Property Tau Notice (htipJ/apprel .peseogov.eom)
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