HomeMy WebLinkAbout11-12568 CITY OF ZEPHYRHILLS
5335 - 8TH STREET /�
(sis) �so-oo20 12568
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12568 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: 11/29/2011 Name: FLORIDA SENIOR PROPERTIES
Total Fees: 25.00 Address: 6701 DAIRY RD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11 /29/2011 Phone:
Work Desc: FPM-QUARTERLY FIRE SPRINKLER FOR FLORIDA SENIOR PARTNERS
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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 Aaompany 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 A7TORNEY 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
si�-�so-oo2o c:ny ot cepr�ymms r�re
Fax-813780-0021
Permlt Applicatfon
Date Received Phons Cor�:t for P�rtnit �� ��
Owners Name r �+ l� 1�1 Ownsh Phons Wumbsr � J �a- C�
Owners Address Q � c
Fee Simpb Tltleholder Name TitlsFqldsr Phone Number U� C
Fee Simple TiHeholder Address
Job Address ( �� 'T Y Y t � ��J �-- � 3�, �i Lot # C
Sub Division Partxl !! �o� - � ` � � �O� �- �� j� - �. �
Q Bb-Flazard Waste Storage - ANNUAL � FurniysUon TeM }
� Comm Exhsust latchen Hood/Duct � Flundous M�tsria� (Tbr 11 or RQ Faeiltty) ANNUAL
� Contr�olled Bum � fbod Installatlon
� Emar+pencY Genscator < 30 kw LPRJ�U�rai C3es-Insblletlon
� Erns�gs^eY Gsnsrator> 30 kw LPMabwai G�s,ANNUAL Sals '--
Fire Pro�eWon Mainbrnnce - ANNUAL Pleces af Asssmbly,ANNUAL /
� � � Sprinkler O O Rea�o�l Bum � /�
Fire Alarm �❑ ❑ O � S�*� � h �
L�1 �\ >� �
Fiood Geanin9 � O 0 D� SpriNdsr Sys6sm installatlons �-
Flood SuPPrsssion � ❑ ❑ ❑ � � SfsndPlPes (3Prinlde� Sys)
a Fre Alartn Ir�laUon � Taoh Rootinp/Tu K�tle
fiire P�m�ps � Waste Tiro Storage ANNUAL
Rro Works
Flammabb Application. ANNUI►� Veluetlon of Projed
Fuei Tanks
Q Other.
Contractar Corr�any � ✓1C�
Signature V��� Reg�sterod Y N Fee C�uront Y N
Address � c� � Liosnss # (o o.. �
ELECTRICWN �
S�g"etu''8 Repistsrsd Y/ N Pes Curnent Y/ N �
�"� uanse #
PLUMBER ��
Sig"etu''e Rspfs�d Y/ N Fee Curtsr,t Y/ N
�" Licsnss #
MECHANI �
signaturs Rspist.r�d Y/ N Fes cumsnc Y/ N
Addross Lkeras #
OTHER ��
�" 8Y1f° RspbUe�sd Y/ N Fes Cunsnt Y/ N
Address Ucsnse #
Directions: � . � .,
Fiil out spplication compl�tsly.
Owrwr d� Contracbor sipn b�dc of apaieatla�. notariz�d (Or� coPY af sipnsd oontrad wNh awnsr)
If over 52500. a NoUoe of Commsnosment fs rsqu�sd (�Aer.har�ical work ovsr 55000)
Suppy two (2) sets of drawings wNh appHcabls doax�Uon
Allow 1 Q14 days for roview aRsr submkf�l dabs. Pareel �- oDLined from Properly Tax Nofios (M�J/appraiasr.pascogov.com}