HomeMy WebLinkAbout11-12233 �
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(sis) �so-oo20 12233
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12233 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: 8/11/2011 Name: FLORIDA SENIOR PROPERTIES
Total Fees: 25.00 Address: 6701 DAIRY RD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/11/2011 Phone:
Work Desc: FPM-ANNUAL FIRE SPRINKLER FOR FLORIDA SENIOR PROPERTIES
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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
813-780-0020 �/ Glty Ot LephyfhlllS t-I�e Fax-813-780-0021
� �/ � Permit Application
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Date Received Phone Contact for Pertnit 0 3 0�-��' �
Owner's Name �i nr� �a � S�✓� I Ol� IrCJ �'✓-� I�is Owner's Phone Number 0� 3 � � "'f'�� /
Owner's Address (7. 1� �� r ��''���' I � 4 `� � �`'� �
Fee Simple Titleholder Name Titleholder Phone Number �� ���
Fee Simple Titleholder Address
Job Address U! t o� �� t�r� h Y� I 1 �,�, ���� j�� � Lot # �
Sub Division Paroel # d — � - �� � � � � � D J ��
� Bio-Hazard Waste Storage - ANNUAL a Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct a Hazardous Material (Tier II or RQ Facility) ANNUAL
� Controlled Bum � Hood Installation
� Emergency Generator < 30 kw � LP/Natural Gas-Installation
� Emergency Generator> 30 kw � LP/Natural Gas-ANNUAL Sale
� Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL
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Sprinkler � ❑ ❑ � � RecreaUonal Bum / � ! o? � �
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Fire Alarm � ❑ ❑ ❑ � � Sparklers � � � /
Hood Cleaning � ❑ ❑ ❑� � Sprinkler System Installation %� l
Hood Suppression � ❑ ❑ O� � Standpipes (Sprinkler Sys)
� Fire Alartn Instailation � Toroh Roofiingffar Kettle
� Fire Pumps a Waste Tire Storage ANNUAL
Fire Works
� Flammable Application- ANNUAL ( 5.� Valuation of Project
� Fuel Tanks
Q Other:
Contractor Company
Signature Registered Y/ N Fee Current Y/ N
Address q i l�'P1' e7S ' Q�-+.- O..m FI-� 3 License #
ELECTRICIAN Compa�y
Signature � Registered Y/ N Fee Current Y/ N
Address License #
PLUMBER Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
MECHANICA Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
OTHER Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
Directions:
Fill out application completely
Owner & Contractor 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)
Supply two (2) sets of drawings with appiicable documentation
Allow 10-14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (http:llappraiser.pascogov.com)