HomeMy WebLinkAbout10-11228 • CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 11228
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11228 Address: 6701 DAIRY RD
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: 02- 26 -21- 0010 - 03900 -0060
Improv. Cost:
Date Issued: 11/30/2010 Name: FLORIDA SENIOR PROPERTIES
Total Fees: 25.00 Address: 6701 DAIRY RD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/30/2010 Phone:
Work Desc: FPM - QUARTERLY FIRE SPRINKLER FOR WESTBROOKE MANOR
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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 $100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE
OF COMMENCEMENT."
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P T. IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813- 780 -0041
013 480 -0020 City of Zephyrhills Fire Fax - 813 -780 -0021
Permit Application
D ate Received Phone Contact for Permit r ------- 1 1 1 1
Owners Name V &5 brook M h et � , // L- D r �J ,4 1 / Owner's Phone Number 1373 1 ( Z) 1 vv/ 71
Owners Address i jj' f 0/ j? ! r 0'-1 �/1 i / ,- /-t 'Ali / / 33$ / 2- I
Fee Simple Titleholder Name Titleholder Phone Number 1 I 1 I
Fee Simple Titleholder Address I
i
i
Job Address $ R /� Lot#
Sub Division Parcel # I
I Bio- Hazard Waste Storage - ANNUAL (] Fumigation Tent
I Comm Exhaust Kitchen Hood!Duct ri Hazardous Material (Tier II or RQ Facility) ANNUAL
I Controlled Burn n Hood Installation
Emergency Generator < 30 kw n
LP Natural Gas - Installation
I Emergency Generator •• 30 kw I J
LPNatural Gas - ANNUAL Sale
I Fire Protection Maintenance - ANNUAL I I Places of Assembly- ANNUAL
N (Qtrly l (Semi i p Other i Z i�j' Spnnkler A 0 1 1 Recreational Burn �//
=ire Alarm J 7 Cl 1 1 1 1 Sparklers
-food Cleaning 1_1 ;7 O J 1 1 n Sprinkler System Installations
lood Suppression 1 J ❑ D 1 1 1 1 Standpipes (Sprinkler Sys)
I e Alarm Installation I I Torch Roofing;Tar Kettle
FR
u
-e Pumps n Waste Tire Storage ANNU r
=ire Works
=tamabte Application- ANNUAL ' ( Va ua ton of Project
11 m Duel Tanks
I I Other. I I
Contractor
��'
Company r i / /.e f c. AMF r p
Signature Registered Y 1 N Fee Current Y! N
Address - Q 9 ninferwa d; 2 License # I
ELECTRICIAN `s •is j ? i Company
Signature Registered YIN I Fee Current I YIN I
Address I
I License # I
PLUMBER Company
Signature Registered Y N I Fee Current 1 Y .' N I
Address I
I License # I
MECHANICAL Cony 1
Signature Registered Y 1 N I Fee Current I Y! N I
Address I I License # I
OTHER Company I
Signature Registered Y! N I Fee Current I Y r N 1
Address
‘ # I I
Directions
Fill out application completely.
Owner & Contractor sign back of application, notarized tOr copy of signed contract with owner)
If over $2500, a Notice or 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 ihttp /,appraiser pascogov corn,