HomeMy WebLinkAbout11-12010 CITY OF ZEPHYRHILLS
5335 - 8TH STREET L ��
(si3) �so-oo20 12010
- ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12010 Address: 7323 GREENSLOPE 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: 34-25-21-0000-00300-0081
Improv. Cost:
Date Issued: 6/16/2011 Name: ZEPHYRHILLS MEDICAL ARTS LLC
Total Fees: 25.00 Address: 7323 GREENSLOPE DR
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/16/2011 Phone:
Work Desc: FPM- FIRE ALARM ANNUAL- ZEPHYRHILL DIAGNOSIC IMAGE
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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 probection 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."
a..
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
813 City of Zephyrhills Fire Fax
Permit Application
Date Reczive;d Phone Contact for Permit �,�'i Q�1 Q 19 q
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Owner's Name � �� /1� Owner'S Phone Number
Owner's Address /�/ � l� r. S��lo i G P �� S • 3 3
Fee Simple Tftleholder Name Tit1eh01der Phone Numbe� �� �
Fee S�mpie Titleho�der Addre°s
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Sub Division Paz �� #
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� Bio-Hazard Waste Storage - ANNUAL a Hazardous Materiai {Tier II or RQ Facility) ANNUAL
� Comm Exhaust Kitchen HoodlDuct � Hood Installation
� Controlled Bum � LP/Natural Gas-Instaliation
� Emergency GeneraYOr < 30 kw � LP/Natural Gas-ANNUAL Sale
� Emergeney Generator> 30 kw � P!aces ofAssembly-ANNU�'.L
a Fire Protection Maintenance • ANNUAL � ReCreational Burn
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Sprinkler � ❑ ❑ ❑ � � Sparklers 1 �/ � � �
fire Alarm � � p � � ❑ � 1 !�
Sprinkler SyStem Instailations
Hood Cieaning � ❑ ❑ ❑ � � Standpipes (Spnnkler Sys)
Hood Suppression �❑ ❑ ❑� � Torch Roofing/Tar Kettle
� Fire Alarm Installation Q Waste Tire Storage ANNUAL
� Fire Pumps
Fite Works
� Flammable Application- ANNUAL Valuation of Project
� Fuel'�anks
� Other:
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Coniractor Company T� S �u �'O� n
Signature Registered Y! N Fee Current Y J N
Address 3531 l�+e ,�nQ, R�, License# EFOOO�H�I1
ELECTRICIAN Company
5�gnature RegiStered Y/ N Fee Current Y! N �
Address License #
PL'JMBER
Company '
S�gnacure Registered Y! N Fee Current Y/ N
Adtlress
�cense #
MECHANICAL
Company �
S�gnature Registered Y/ N Fee Currant Y/ N
Address
License #
OTHER Company �—
Signature Registered Y/ N Fee Current Y/ N
Address
__.._ LiCense #
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Fill out application completey.
Owner & Contr ctor sign back of applicatbn, notarized (Or, copy of signed conVact wdh owner;
If over 52500, a IVotice of Commencement is required (Mechan�cal work over $5000)
Suppiy two (2) sets of drawings with applicable documentation
Allow 10-14 days for review after submitta! date. Parcel #- obtained from Propsrty Tax Notice (http:1/appraiser.pascogov.com)