HomeMy WebLinkAbout11-11561 CITY OF ZEPHYRHILLS -�
5335 - 8TH STREET �
(si3) �so-oo20 11561
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11561 Address: 38135 MARKET SQUARE DR
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: 02-26-21-0010-03900-0030
Improv. Cost:
Date Issued: 2/25/2011 Name: FLORIDA MEDICAL CLINIC
Total Fees: 25.00 Address: 38135 MARKET SQUARE
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33540
Date Paid: 2/25/2011 Phone: (813)780-8440
Work Desc: FPM- SPRINKLER QUARTERLY- 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
31? - 7 �0-�J�i2� �'.I�i)/ Of Z ephyrhills F'If� raf-o �o-r ov-wc �
Permit Application _ -
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Fee Simple Titl=holder Name Titieholder Phone Number �� �� �
F>e SimplaTitlsfiolderAddress
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Job Address 3�7 � 3j 1�l �+ZK-C�� '��.dR'�% Ix' zL�l'��-1�'lu''S Lot� ��
5ub Division � l� �(i'p/� kILLS Paroel � Z ' 7(0 - L) � � (� ' ��� '�
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� Bio-HazarJ Wasta Storege -ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen HoodlDuct � Hazartious Material (Tier II or RQ Facility) ANNUAL
a Controlied Bum � Hood installation
� Emergency Generator < 30 kw � LPlNatura! Gas-Instaliation
� Emeraency Generator> 30 kw � LP/Natural Gas-ANNUAL Sale
� Fire Protection Maintenance -ANNUAL � Places of Assembly-ANMUAL j
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Sprinkler � ❑ ❑ B � Recreatioral Bum �
Fire Alarm ❑ ❑ ❑ � � Sparkl=rs
Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System fnstaltations ��
Hood Suppression � � ❑ O� � Standpipes (Sprinkler Sys) ( 11 �
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� Rre Alartn InstailaUon a Torch RoofingfTar Kettle
Fire Pumps � Waste Tire Storege ANNUAL
Fire Works
FlammabieAppfication-ANNUAL ��',p�j Valuation of Project
Fuel Tanks
Q Other:
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ConVactor Company
Signature Regist�red Y/ N Fee Current Y/ N
Address License #
ELECTRICIAN Company
Signature Reglstered Y/ N Fee Current Y/ N
Address License #
PLUMBER Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
MECHANICAL Company
Signature Registered Y! N Fee Current Y/ N
Address License #
OTHER TL.�2- � Company (Zpp/k� FJ2L �17� k1Y.�ZS Jl�k...
Signatu2 Registered � N Fee Current �� N r
Address ZrjZ7 l ./1 -� . �C., . 3� I �icense � 43 ��° 7�C� 11 °1�i
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Directions: '��
Fili out application completely.
Owner 8 Con;ractor sign 6ack of application, notarized (Or, copy of signed cont2ct with owner)
If over 52500, a Notice of Commancement !s required (Mechanical work over �5000)
Suoply two (2) sets of dawings with applicabla documen;ation
Allow 10-14 days for review after submi;tal date. Par�ei r- obtained from Property Tax No;ice (http:/Iap�ra?ser.pascogov.com)