HomeMy WebLinkAbout10-11151 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 11151
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11151 Address: 7350 DAIRY RD
Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL.
Class of Work: FIRE - PROTECTION MAINTENANCE Township: Range: Book:
Proposed Use: NOT APPLICABLE Lots
Square Feet: �) Block: Section:
Est. Value: Subdivision: CITY OF ZEPHYRHILLS
Improv. Cost: Parcel Number: 35 25 - 0010 - 06900 - 0020
Date Issued: 11/16/2010 1111 Nam ADVENTIS HEALTH SYSTEM
Total Fees: 25.00 Address: 7050 GALL BLVD
Amount Paid: 25.00
Date Paid: 11/16/2010 ZEPHYRHILLS, FL. 33542
Work Desc: FPM - ANNUAL FIRE ALARM FOR ZEPHYRHILLS HEAL REHAB
i
i riiV�:C 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
the Fire Department's Fire Marshal or required permits or opening up for commercial activity without an approved final
of
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."
P IT
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION OFFICER
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813- 780 -0041
813- 780 -0020 City of Lephyrhllls fire
Permit Application Fax- 813 - 780 -0021
Date Received
Phone Contact for Permit 1 I
/ Owner's Name 1 r �� " � �
S/ e V G ` t t D / � 4 r/ �/ JJS .1eA ` 1 Owner's P Number 1 S/ 7 j g 3 b U
`Owners Address 1 7 5 DA ) 2 V J i f � I I
Fee Simple Titleholder Name I
Fee Simple Titleholder Address I Titleholder Phone Number
Job Address 1
/
73 5 0 Pr (3 % /Z- b A
y I Lot # I
I
Sub Division 1
Parcel #
Bio- Hazard Waste Storage - ANNUAL
El n Fumigation Tent
Comm Exhaust Kitchen Hood /Duct Hazardous Material (Tier II or RQ Facility) ANNUAL
El Controlled Bum
Hood Installation
Emergency Generator < 30 kw
r LP /Natural Gas - Installation - - . .
Emergency Generator> 30 kw
n Fire Protection Maintenance - ANNUAL n LP /Natural Gas - ANNUAL Sal
Places of Assembly -AN AL
❑ L !Semi LE, ! n Other
Sprinkler ❑ ❑ ❑
! Recreational Bum I r
Fire Alarm ir. 1 I I
Sparklers
Hood Cleaning I ❑ 0 ❑ I I El ❑ Sprinkler System Insta lion
Hood Suppression ❑ ❑ ❑ I I ❑
Standpipes (Sprinkler Sys)
Fire Alarm Installation
ED Torch Roofingfrar Kettle
Fire Pumps
Waste Tire Storage ANNUAL
Fire Works
F-1 Flammable Application- ANNUAL
I 1 ED Fuel Tanks Valuation of Project
1 Other. .
Contractor
Signature
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Company °
Registered Y / N Fee S - �o
--� e t a. —
Address I or, — e Current MIZUI
I License # E 2, 0 0 4 1
ELECTRICIAN I
Signature I Company
Address I
1
Registered Y / N Fee Current Y / N
PLUMBER License #
Signature I Company
Address I I Registered Y / N Fee Current Y/ N
MECHANICAL! License #
Signature I Company
Address I Registered Y/ N Fee Current Y/ N
OTHER
I License #
Signature I Company
Address I Registered Y/ N Fee Current Y/ N
Directions: 1 License #
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)