HomeMy WebLinkAbout11-12463 r
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020 12463
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12463 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: 10/17/2011 Name: FLORIDA SENIOR PROPERTIES
Total Fees: 25.00 Address: 6701 DAIRY RD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/17/2011 Phone:
Work Desc: FPM-QUARTERLY 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 a
the Fire Department's Fire Marshal or required permits or opening up for commerciai activity without an appro ved fi al f
inspection shail be charged double permit fee per day of operation or a minimum of $100.00, whichever is greater. All
work shall be pertormed 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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PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION OFFICER
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
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CITY OF ZEPHYRHILLS �'I '
� 5335 - 8TH STREET
(813) 780-0020 / 12463
ANNUAL FIRE PROTECTION MAINTENANCE
Permit , � ��: a�=<.:- , :e:� �e �:�s# u .
umber: 12463 � , 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:
Square Feet: � � Block: Section:
Est. Value: Subdivision: CITY OF ZEPHYRHILLS
Improv. Cost: Parcel Number: 02-26-21-0010-03900-0060
Date Issued: 10/17/2011 Name: FLORIDA SENIOR PROPERTIES
Total Fees: 25.00 Address: 6701 DAIRY RD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/17/2011 Phone:
> �:
Work Desc: FPM-QUARTERLY FIRE SPRINKLER FOR FLORIDA SENIOR PROPERTIES
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Chapter 633, Florida Statutes, authorizes the City to charye and ooliect user fees to pay for �e �� � fi
prevention and protection related activities such as inspections, plan review, administrative fees, and other
costs re�abed 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. Ali
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."
�..
PERMIT EXpIRES IN 30 DAYS WITHOUT APPROVED INSPECTION OFFICER
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
2EPHYRHiLLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
a��-�so-oo2o c:ity or cepnym�us f�re
D 1�/�� Permit Application F�-���-�so-oo2�
Date Received
Phone Contact for Pertnit ��' � 7� r i
Owners Name ��p{�' ��� �✓l 1'O� �f'"�O i I 3 ��
� Owners Phone Number
Owners Address (a `�(� ��� t r� 1 � � � 5 L��5,�,�
Fee Simple 1'itleholder Name �� �� ��
Fee Simple Titleholder Address l`rtleholder Phone Number
Job Address �D �� / .! ►�t OQG�- 1 V'j'l t � �� � �,(.. .� �1�� ��
Sub Division Lot #
��� # oa- �-oz.l- ooi o- o3q� Do6o
� Bio-Hazard Waste Storege - ANNUAL �
a Fumigatfon Tent
Comm Exhaust Kitchen Hood/Duct
� � Hazardous Materia� (Tfe� �� ar RQ Facility) ANNUAL
Controlled Bum
a Hood Installation
Emergency Generator < 30 kw �
a LP/Naturai Gas-Instailation
Emergency Generator > 3p kNr �
a Fire Protection Maintenance - ANNUAL �P�Natural Gas-ANNUAL Sale
a Places of Assembly /1NNUAL ,
❑ [c� emi � � ❑
Sprinkler i / Q / � � �'
Recreational Bum �
Fire Alarm ❑ O ❑ r � � �/
� L� � 3Perklers ,� `"� �
Hood Cleaning � 0 � I"' ❑ S
❑ I_ � prinkler System Installation�
Hood SuPPression ❑ � O I� ❑
� L-- StandPiPes (Sprinkler Sys) �----- --
Fire Aiartn Installation � Torch Roofinglfar Kettle
Fire Pumps �
Fire Works
Waste Tire Storage ANNUAL
Flammable Appllcation- ANNUAL ��--�--�
Fuel Tanks � 6 ��'" 1 Valuation of Project
Q Other.
Contractor
Signature �, Company re � la✓1 SY1c��
Address ���� Y N Fee Current (�
'7 1 D �'t ►raFP,,.:� �as�ra,P l�z,c'-r' `-� �.. 3� license #
ELECTRICIAN
Signature Company
address Re9istered Y/ N Fee cumerrt Y/ N
PLUMBER u�e�+se #
Signature Company
Address ��s�� 1r / N Fee Current Y/ N
MECHANIC Lloense #
Signature Company
Address ��s�"� Y/ N Fee current Y/ N
OTHER
License #
Signature Company
Address �� Y/ N Fee Current Y/ N
Directions: License #
Flll out application completely,
Owner & Cor�ractor aign back of application, notarized {pr� copy of signed ccnUact with ow�
If over $2500, a Notice of Commen�ment is required (Mechanical w�ork over $50pp)
Supply two (2) sets of dra,M�9s �h appltcable dxumerdation
Aliow 10-14 days for reviemr a{�r submkfal date.
ParGel #- obtalned from ProDe�tY Tax Notice (httPy�aPPraiser.pascogov.com)