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Home My WebLink About11-11624 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (si3) �so-oozo 11624 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 11624 Address: 38220 HENRY 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: 02-26-21-0080-OOA00-0122 Improv. Cost: Date Issued: 3/10/2011 Name: HCRA PROPERTIES I LLC Total Fees: 50.00 Address: 333 N SUMMIT ST Amount Paid: 50.00 TOLEDO OH 43604 Date Paid: 3/10/2011 Phone: (813)788-7114 Work Desc: FPM- ANNUAL SPRINKLER/ FIRE ALARM- HCR MANOR CARE ' S. �� I� � 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. Compiete 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." � 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 TOTAL S�LUTION, IIVC. Security � Fire Protection P�oudly S�rving Florida Since '1 J88 . 4� BG1S�H �CWS1� 'C�'!�►�.�NT'" March 9, 2011 Zephyrhills Building Department 5335 8 Street Zephyrhills, FL 33542 Re Fire lnspection To Whom It May Concern I am requesting four inspections for fire alarm and fire sprinkler annual inspections. Included with this letter are the four completed permitting applications and a check for $100 If there are any questions please call me at the number below If I am not in please ask to speak with Joe Velez. Thank you Amanda Stephan Engineering Representative A Total Solution, Inc. 727-942-1993 3487 Keystone Rd Tarpon Springs, FL 34688 STATE FIRE SPRINKLER LICENSE #92353800012002 STATE FIRE ALARM LICENSE #EF0000441 3487 Keystone Road, Tarpon Springs, Florida 34688-7815 Local (727) 942-1993 Central Florida 1-888-ATS-FIRE Fax (727) 943-5919 www.atotalsol utio n.com 8 13-780-0020 City of Zephyrhilis Fire Permit Application Fax-813-780-0021 Date Received -- Phone Contact for Permit �.,Y'} qy z ( q Q3 Owner's Name „� _ " `"T �- -• ° � G � Owner's Phone Number � �� --� Owner's Address p Fee Simple Titleholder Name � � � Fee Simple Titleholder Address Titleholder Phone Number �� i � _J , _. . ..-- . . -_ Job Address P�� ° � ` �°_ ' _ - .;._._, - Sub Diwsion � �� Lat # � - - Parcel # � Bio-Hazard Waste Storage - ANNUAL ` � � ' -" ' `° - �� - a � Hazardous Material (Tier II or RQ Faciliry) ANNUAL Comm Exhausi Kitchen Hood/Duct a Hood Installation Controlled Burn � � Emer en LP/Natural Gas-Instaliation 9 �y Generator � 30 kw � a Emargency Generator> 30 kw i LP/Natural Gas-ANNUAL Sale � Fire Protection Maintenanca -A � P�aces ofAssembly-ANNUAL U AL � try emi RECreational Burn t er Sprinkler � ❑ Fire Alarm � � Sparklers � �1 � � � Spnnkler System Installations I �� l Hood Cleaning ❑ � � � � ❑ { �, ❑ Standpipes (Sprinkler Sys) '�(� Hood Suppression � � � � ❑ � a Torch Roofing/Tar Kettle Fire Aiarm Instai�ation � � Fire Pumps Waste Tire Storage ANNUAL � Fire Works � Flammable Application- ANNUAL � Fuei Tanks Valuation of Project Q Other• •- .:_ .. � _.. ._ ontractor -- -- _ - _ _ _ __�.,.,- .� Signature Company -- -�- ��- � � � �_ - - Aadress 3531 �i }e� Registered Y/(�J Fee Current Y/ N ELECTRICIAN License # q 3 g i2 z Signature Company —"—' Address Registered �� Fee Current Y/ N PLUMBER �icense # S�gnature Company Address — � Registered Y/ N Fee Current � Y/N MECHANICAL License # Signature Company Address Registered Y/ N Fee Current Y/N vTHER License # � S�gr,ature Company Address Registered Y/ N Fee Current Y/ N CirecUOns: - ' - LiCense it Fill out application cqmpietely _ - _ ._ .,. _. : , _ . _ Owner 8� Contractor sign back of application, notarized (Or, copy of signed conirac[ wi;h owner) If over �2500, a Notice of Commencement is reGuired (Mechanical work over $5U00) Supp�y ti,yo �2� sets oF drawings with applicabie documentation Allow 10-14 days for review after submittal date. Parcei #- obta?ned from Property Tax Notice (http:dappraiser.pascogov com) Bis-�ao-oo2o City of Zephyrhills Fire ' Permit Application Fax-813-�80-0021 Date � � --_ -__�- : °.�. _ _._. .,.Y:._._.__.._ -:..._ ._... - :.. .-: �.?'t 9y2 �99 , ._, �! . . - - : - :,,... 3 __ one ontact for Owner's Phone Nu � =�� ^~.' �^ ' _ - Owner's Name � ' -- mber � 77 � Owner's Address 3� a r � �� l Fee Simple Titleholder Name � �� Fee Simpie Titleholder AddresS Titleholder Phone Number �� - � - .. -.,. _, . _..,._ �. : ._ . ,, _ �, _ ...._.. .,. . �:, . . s:; .:_: � �..._3ss�,�: �... :.- - - - , ,� ... : .:�: : �-r�:...::.. �,. . ....... 3� r ..: _. ._,4,..�-�.�wm„-..... _ .. � _ - - - JobAddress ' �� L �� - ° -, Z� - - ,�-'��- , � r. � 3 � �� Sub Division Lot # ; -. Parcel # -_:.s - � _._. _ . . .: � �= _�..,_..�,:,,:... .__. ...- _.._ ., . � ,.. ._:.,...�.... : .,,: ,._ .;,, -_._ �:: :.;�au:�:.:.� �x��r�-:;-��a:,�+=. - : _�;... =�;=":;.�p� .�_„.>._,.... :_.. ._. Bio-Hazard Waste Storage - ANNUAL y �� - �"� �""� �'� °� -'- - �- - ❑ � Hazardous Material (Tier II or RQ Facility) qNNUAL Comm Exhaust Kitchen Hood/Duct ❑ Hood Instailation Conirolled Burn � � LP/Natural Gas-Instaliation Emergency Generator < 30 kw a LP/Natural Gas-ANNUAL Sale � Emergency Generator> 30 kw � Places ofAssembly-ANNUAI � Fire Protection Maintenance - qNNUAL � Recreational Burn ❑ �Y emi � er ❑ Sprinkler � � � � Sparklers Fire Alarm � � �,,,r ❑ //! (��^ ' / Y° PN � Sprinkler System installations Il ,I I �/ � Hood Cleaning ❑ � � � � ❑ ..Y[/ 1 Standpipes (Sp�nkler Sys) < < � Hood Suppression � p � � � ❑ � Torch Roofing/Tar Kettle Fire Alarm Installation � � Waste Tire Storage ANNUAL Fire Pumps � Fire Works � Flammabie Application- ANNUAL � Fuel Tanks Valuation of Project � Other: s ..,- : ,. _ ... -_-_—_-,�...w.:... ...�.: _.......W.. �._ . _._.__ _ ... r: .. ,,.,�...- - ___ __.:�,.:,_�. • � .._ � .,: ontractor - .,��:,...��:.��_::_: - � z� =-. �� .-- -- Signature Company A —�-- � � �, Registered Y/ N Fee Current Y/ N Address 35 31 Vi¢ �}, Rd �icense# (�`�,� � ELECTRICIAN Signature Company Registered LY / N J Fee Current Y/ N� Address License # PLUMBER Signature Company �-- Registered , Y/ PJ Fee Current Y/ N Address License # � MECHANICAL Signature Company Registered Y/ N Fee Current Y/ N Address License it �_ OTNER Signature Company Registered Y/ PI Fee Current Y/ N Address . .. .:....: ........ -m----..._:. .. . _...,._ D�rections: --._...__�_ ..- � ..:.._-...:> , _ __... _ _ - _ _ __- _ . _ _ icense # __ � Fill out application completely ' Owner & ConVactor 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) Suppty rivo (2) sets of tlrawings with applicabte documentation Allow 10-14 days for review after submittal date. Parcei #- obtained from Property Tax Notice (http://appraiser.pascogov com)