HomeMy WebLinkAbout11-11924 � CITY OF ZEPHYRHILLS
5335 - STH STREET
�si3) �so-oozo 11924
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11924 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: 5/31/2011 Name: FLORIDA MEDICAL CLINIC
Total Fees: 25.00 Address: 38135 MARKET SQUARE
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33540
Date Paid: 5/31/2011 Phone: (813)780-8440
Work Desc: FPM-QUARTERLY FIRE SPRINKLER FOR FL 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
313-780-0020 C(�/ Of ZBPIIyfI'IIIIS F I�°� rax-o i o-r ov-vv� i
� Permit Application — -
D=ts R°ceived � '?j� ' �i�� � �,���,,,� Phone ContactforPertnk / �OZi ( � S +u
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' Own=rs Name � � A � G L r ivlc.� Owners Phons Number �� � FSO g�
OwnersAddnss FS� '��' Ar�C- Q�� � 5 L 35
==e Simple Titleholder Name Titl<holder Phon< Number ����
Fee SimpleTitlsholderAddrsss �
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Job Address g � � � p� Lot� C�
Sub Division Parce! # �Z ` Z 6`Z �' ��� �- � q�' �
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� BiaY,azard Waste Storege -ANNUAL � Fumigation Tent ,
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material �er II or RQ Facility) A iIAL
� Controtled 8um � Hood Installation
� Em>rgency Generator < 30 kw � LPINatural Gas-Installation �I
� Emeraency Generator> 30 kw � LP/tdatural Gas-ANNUAL Sale ����
� Firs Protection Maintenance - ANNt1AL � Places of Assembly-ANNUAL
tr y emi Qn er
Spri�kler � ❑ p � Recreational Sum
Fire Alartn � ❑ ❑ i7 � � Sparkl>rs -
Hood Cleaning � O ❑ O� a Sprinkler System Installations
Hood Suppression � ❑ ❑ ❑ � � Standpipes (Sprinkler Sys)
� Fre Alarm Installation � Torch RoofingfTar Kettle
� Fire Pumps � Waste Tire Storega ANNUAL
Fire Works
� Ftammable Appfication-ANNUAL .�� Valuation of Project
Fuei Tanks
Q Other:
ConVactor '�' f� ��(� Company N
Signature . d Registered f� Fee Currertt N
Address / . '7 ( License # id 0 ! `�
ELECTRICIAN Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
PLUM9ER Company
Signature Registered Y/ N Fee Current Y/ N
Address License �
MECHANICAL Company
Signature Registered l� / N Fee Curtent l� / n1
Address License #
OTH_R Company
Signature Registered Y/ N Fee Current Y/ N
Address License r
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Direcfio�s:
Ffl out application completely.
Ownsr & ConVactor si�n back of application, no:arized (Or, copy of signe� conirect with owner)
If ov=r 52500, a Notice of Commencem=nt is required (Mechanical work over 55000)
Supply two (2) s=ts of drewings with applicable documen;ation
Allow 10-14 days for review aft=r submittal date. Parcel r- obtained from Property Tax Nctice (http:/la�p;aiser.pas�o�ov.com)