The URL can be used to link to this page

Home My WebLink About11-12277 CITY OF ZEPHYRHILLS + 5335 - 8TH STREET • - �sis� �so-oozo 12277 ANNUAL ,�IRE PROTECTION MAINTENANCE Permit Number: 12277 Address: 38250 A AVE 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: 14-26-21-0010-01300-0010 Improv. Cost: Date Issued: 8/19/2011 Name: ZEPHYR HAVEN NURSING HOME Total Fees: 25.00 Address: 38250 A AVE Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 8/19/2011 Phone: (407)975-3000 Work Desc: FPM- SPRINKLER QUARTERLY - ZEPHYR HAVEN NURSING 5. � �� f �� -� t .� ina 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." 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 DETACH BEFORE DEPOSITING NO 3111412 IIWOlCE DISCOUNT AMOUNT DATE � NUMBER ♦ 08182011 PERMIT 292 0818 1 0.00 75.00 056313 0.00 75.00 a�s-�ao-oo2o City of Zephyrhills Fire Fax-813-780-0021 Permit Application Date Received l Gv�� Phone Contact for Permit ��l Y-� D735' . Owner's Name �� LS! `j r � L ' Owner's Phone Number �� Owner's Address �J� � � � K/K-S L 33 � Fee Simple Titleholder Name Titleholder Phone Number �� Fee Simple Titleholder Address Job Address Lot # � Sub Division Parcel # � Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL � Controlled Burn � 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 tr y emi �n t er Sprinkler � ❑ ❑ � Recreational Burn Fire Alarm � ❑ ❑ ❑ � � Sparklers Hood Cleaning � ❑ ❑ ❑� � Sprinkler System Installations Hood Suppression � ❑ ❑ ❑ � � Standpipes (Sprinkler Sys) � Fire Alarm Installation � Torch Roofing/Tar Kettle � Fire Pumps � Waste Tire Storage ANNUAL � Fire Works � Flammable Application- ANNUAL Valuation of Project � Fuel Tanks � Other� Contractor Company jst i /� Signature Registered Y/ Fee Current Y/ N Address License # ELECTRICIAN Company Signature I Registered 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 Company Signature Registered Y/ N Fee Current Y/ N Address License # Directions Fdl out application completely Owner & Contractor sign back of apphcation, notanzed (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 applicable documentation Allow 10-14 days for review after submittal date Parcel #- obtained from Property Tax Notice (http //appraiser pascogov com) s�s-�ao-oo2o City of Zephyrhills Fire Fax-813-780-0021 • Permit Application Date Received ' ��g �� Phone Contact for Permit y� `JQ T3S Owner's Name �� Q�( .,� Owner's Phone Number � � � 3 823 ` 3 Owner's Address � � �E . 3 S Fee SimFi� ,�tleholder Name Titlehoider Phone Number �� Fee Simpl^ � �tleholder Address Job Address Lot # � Sub Division Parcel # � Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL � Controlled Burn � 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 tr y emi �n t er Sprinkler � ❑ ❑ � B � Recreational Burn Fire Alarm � ❑ ❑ � � � Sparklers Hood Cleaning � ❑ ❑ ❑� � Sprinkler System InstallaUons Hood Suppression � O ❑ ❑� � Standpipes (Sprinkler Sys) � Fire Alarm Installation � Torch Roofing/Tar Kettle � Fire Pumps � Waste Tire Storage ANNUAL � Fire Works � Flammable Application- ANNUAL Valuation of Project � Fuel Tanks � Other� Contractor Company /ire /S'j�� Signature Registered Y N Fee Current Y/ N Address License # ELECTRICIAN Company Signature � Registered 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 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 ot signed contract with owner) If over $�500, a Nohce of Commencement is reqwred (Mechanical work over $5000) Supply two (2) sets of drawmgs with applicable documentation Allow 10-14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (http.//appraiser pascogov com)