HomeMy WebLinkAbout11-11557 CITY OF ZEPHYRHILLS
5335 - 8TH STREET ,r
(sis) �so-oozo �11557
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11557 Address: 6701 DAIRY RD
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENAN E 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: 2/24/2011 Name: FLORIDA SENIOR PROPERTIES
Total Fees: 25.00 Address: 6701 DAIRY RD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/24/2011 Phone:
Work Desc: FPM- HOOD CLEAN- WESTBROOK 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 pertormed 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
a��-7ef�o2o City ofZephyrhillsFir�• Fa,c-s�3.780.up2� i�
PermitApplication . _._.
oate Received -� = Prwne corrtact tor Perrrat
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ONmers Name b Owners Phone Number � ��.J ��[
Owner's Address �Q � �C � i �
Fee Simpie Titlehdder Name Titleiwlder PFa�e Nurnb� �� ���
Fee SimpleTitleFaMerAddress
Job Address Lot # ��
Sub Diviaion Paroel #
� Bio-Hazard Waste Sbrage -ANNUAL a Fumigadon T�t
Q Comm Exhaust FGtchen F1oodlDuct � Hazardous NfaEerial (Tier II or RQ FaGiity) ANNUAL
� Controiled Bum � Hood installation
� Err�9ency Generator' 30 kw � LP/Natural Gas-Installation
� Emergency Generator> 30 kw � LP/Naltmal Gas,ANNUAL Sale
� Flre Protectlon Mai�nce - ANN� �� Q Places of Asserttbly-ANNUAL ��^
Sprinider � ❑ ❑ ❑ � � Recreational8um v� ` C
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Hood s�,e�, o � � Q Q sc�,da�� cs�+n� Srs) ��
� Fre Alartn Installafion � Tor�ch Roa�fmgfTar Ketde
Fire Pumps � Waste Tire Storage ANNUAL
Are Works
�s'"'"a�te ��ca�n e�1u�`� Valuation of Project
Fuel TaMcs
er.
Cotrtractor „ Cp�
signature Registered Y/ N Fee current Y/ N
Address � lk:ense #
ELECTRIC ��y
S�g� Regisrered Y/ N Fee Curtent Y/ N
�� u� #
�uanre�t co►n�a�r
S�9^� Regis�ed Y/ N r-ae cwrent Y/ N
�� Licsroe #
MECFUWI �
s�gnature Regls�ed Y/ N Fee Cument Y/ N
Address Lic�se #
OTHER Cp��
s�g"� R� Y! N Fee current Y/ N
��� Lk�nse #
Directfons:
Fill out appliCafion canpleRely.
Owner 8 Con6�ac�or sign badc of a�pik�ion. notaraed (Or. coP'Y of signed c��trad wflh owner)
If over 52500. a Notice of C�t is re�ired.(�Aecharacal woric rnrer S`N�)
Supply Mrc (2) ssts of drawirgs with appflcable docurne�tbn
AUaw � 0-14 days fior review after aubmitts! date. Pa�el #- obtained from P�perty Tax Nodce (MtpJ/appraiser.pasco9ov.can)