HomeMy WebLinkAbout11-12521 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(si3) �so-oozo 12521
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12521 Address: 6215 ABBOTT STATION DR 101
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Wo�k: FIRE-PROTECTION MAINTENAN E Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: SILVER OAKS VILLAGE
Est. Value: Parcel Number: 03-26-21-0200-00000-OOCO
Improv. Cost:
Date Issued: 11/16/2011 Name: CERVALLOS, JUAN
Total Fees: 25.00 Address: 6215 ABBOTT STATION DR (101)
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11 /09/2011 Phone:
Work Desc: FPM-ANNUAL FIRE ALARM FOR WOUND CARE CENTER
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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
PERMTT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
s��-7ao-aa2o City of Zephyfiilts'Fi� Fax-813-780-0021
Perrnit Application �
)ate Received - Phone Contaet for Pertnit ��
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hmer's Name Y1 �4` l� � 1 �� S Owne�s Phone Number ���
)wners Address �
'ee Simple T�leholder Name Titleholder Phone Number ���
=ee Simple TiUeholder Address
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Job Address p U}� �" � L) (D 2 I.5 Lot # �
Sub Division � `�� Paroel # � – '" �� (� � G p
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� Bio-Hazard Wasie 5torage - ANNUAL � FumigaUon Tent
� Comm Exhaust Kltchen HoodlDuct � Hazardous Matedal (Tier II or RQ Faclliiy} ANNUAL
a ConVolled Bum � Hood Installatlon
� Emergsncy Generatar < 30 kw � LP/Natural Gas-Installation
Emergency Generator> 30 kw � LPlNatural Gas-ANNUAL Sale �- �� � -
Flre Protection Mai�enance - ANNUAL a Places of Assembly-ANNUAL ��/'
�y em� AT er �
5prinkier � ❑ O O � � Recreatlonal Bum h / � �
Fire Alartn ❑ ❑ }�] � � Sparklers ,[ I � C J ( �
Hood Cleaning � ❑ O /❑ � � Sprinkler System installatlons �� ; (� � � / �
Hood Suppression � ❑ ❑ O� � Standpipes (Sprinkler Sys)
� Fire Afartn InstallaHon a Torcfi. RoofinglTar Kettle
Fire Pumps � Waste Tira Storage ANNUAL
Fira Wotics
Ftammable Applicatlon-ANNUAL r Valuation of PrOjeCt
Fusi Tanks
Q Other.
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Contractor Comparry -� � �.cr `�� �,
Signature ' Registared Y N Fee Current N
Address 1 _ � Licen9e # `J b i�
ELECTRICIAN Company
5lgnature Registered Y/ N Fee Current Y/ N
Address License #
PLUMBER Company
Signature Registered Y/ N Fee Curtent Y/ N
Address License #
MECHANICAL Company
Signature Registered Y I N Fee Current Y/ N
Address License #
OTHER Company
Slgnature Registared Y/ N Fee Current Y i N
Address Ucense #
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Direetions: •<•"� =-= a - — - • "' d i ^- � --_ "'�' -
Fill out apptication completely.
Owner 8 Contractor sign back of application, notarized (Or, copy of signad contract with owner)
If over 325D0, a Notice of Commencement is required (Mechanip! work over 35000)
Supply two (2) sets of drawings with applica6le dacumentation
Allow 10-14 days for revtew after submittal date. Parcal #- obtai�ed from Property Tax Notics (http:Uappraiser.pascogov.com)