HomeMy WebLinkAbout11-12281 CITY OF ZEPHYRHILLS
. - 5335 - 8TH STREET
(sis) �ao-oo20 12281
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12281 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: 8/22/2011 Name: FLORIDA SENIOR PROPERTIES
Total Fees: 25.00 Address: 6701 DAIRY RD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/22/2011 Phone:
Work Desc: FPM-HOOD SEMI - WESTBROOK MANOR
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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.
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 performed in accordance with Ciry 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
s13a8o-oo2o CityofZephyrhillsFi�• ,�„ � �'�` Fax-e�s-�so-oo2� :
. Pertnit Appiicadon :�li I ��
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Date Received - Phone Corrtact for Pertnit
Owners Name W P�bcaa Ovvner's Ptro�e Nurt�er .� 7� Z„ ���
ONmers Address �� � � �� �
Fee Simple Titlehdder Name Titleholder Phone Number r_� � C�
Fee Simp{e "litlehoider Address
. Job Address Lot # �
5ub Division Par�el #
Q Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent
Q Comm Exhaust IGh:hen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL
� Controlled Bum � Hood Installation
� Emergency Cenerator < 3p kw � LP/Natural Gas-Ir�staliation
� Emergency Gonerator > 30 kw � LPlNatural Gas-ANNUAL Sale
� Fre Protectlon Mairrtenance - ANNUAL � Piaces of Assembly-ANNUAL ---
�y errn � r
SprinMer � ❑ ❑ ❑ Q Recreatiorml Bum
Fre Alartn � ❑ ❑ ❑ � � Sparklers
Hood Clea�ing O � �� � Sprinkler System Installations
Hood Suppression ❑ ❑ ❑ � � Standpipes (Sprirdde� Sys)
� Fire Alartn Instaila6on � Torch Rooflng/Tar Kettle
Fire Ptunps � Waste Tire Storage ANNUAL
Fire Worlcs
Flammable Ap{�licatlon- ANNUAL Valuation of Project
Fuel Tanks
ther:
Contractor ComPa�Y
� �
S�9"a�B Registered Y/ N Fee current Y/ N
Address '� "— - License #
ELECTRICIA ���
Signature Registered Y J N Fee Current Y/ N
Address License #
PIUMBER ���
Sig"et�e Registered Y/ N Fee Cument Y/ N
Address u� #
MECHANICAL ���
Signature Regiscered Y/ N Fee Current Y/ N
Addaas
u� #
OTHER �
Signature Rey;stered Y/ N Fee Currerrt Y/ N
Address
Licerue #
Direcdons:
Ftli out appiication completely.
Oamer & Contractor sign back of applicatlon, notaraed (Or, copy af signed contract with ow�er)
if over S2s00, a Notice of Commenceme�t Is requi►ed (Mnc:hanical work over $5000)
S�PP�Y � �Z) �� drawings with applicable documentatlon
Ailow 10-�4 days tor review afler submittal date. Paroei #- obtairmd from Property Tax Nodce (hSp•J/appraiser.pascogov.com)