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12-12838
CITY OF ZEPHYRHILLS � 5335-8TH S1TtEET (sis)�so-oo20 12838 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 12838 Address: 7050 GALL BLVD Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL. Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book: Proposed Use: MEDICAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 30-26-20-0000-00200-0010 Improv. Cost: Date Issued: 2/29/2012 Name: FL HOSPITAL OF ZEPHYRHILLS Total Fees: 50.00 Address: 7050 GALL BLVD Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 2/29/2012 Phone: 813 783-6189 Work Desc: FPM- SPRINKLER & FIRE ALARM ANNUAL- FLORIDA HOSPITAL � � C , ., � I � _ , � . , ina Chapter 633, Florida Statutes,authorizes the City to charge and collect user fees to pay for the wsts of fire prevention and protection related activities such as inspections, plan review,administrative fees,and other oosts 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 activiry 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 813-780-0020 (;lty 01 L.BphyfhillS F-If8 Fax•813-780-0021 Permit Application Date Receive�i F'hone Contacl for Parmit .- :.:., .. . ----. . .. .. _. _ ._ ..._� .�... .. ...:. Owner's Nama � Owners Phone Number O►vr18r'8 AddfBSS r . Fee Slmple Titlehoider Name TiGeholder Phona Number � � � Fee Simple TiUehotder Address ...,::,�:.,.,,,.=,:.-•:-. _. - - - r_..�,_�.,._..__:.-:.,�..,,,�.._:;...v.,�_.�_,-....� _ _ _ i„,� � , ��.._„�r:- _ :__�.' ...._.. ,:� ,.,�. ,y_: :_ ;,::� .. ... . ......... .... _ ..._ _"'_�"`'__'�."' . _.. . _ '_"_`_"'^._':..__'_"__ ._,.. � ;.c,.:�• .. .... ' _ ' ' . -„ ... _ r-o <..�.r:.;..�....n.�]C'.�. .:� 1;q�:�o::,.. .. ' ..- .� _ -.:7„ i`� �ob naa��s ��l - c.�� - _ TU Lot# Sub Dlvleion Parcel# ,::��...... . .::..... �, _•,�.._ -:... --....r__.�:,�,� .h. ._:::, - ,--_--------- -- - =--- - - - - -- _.... _.-,....._�:.., . .. . .........,:'= =_=:_::_==::_=__-�,s.:-.-.� .,.._r,::.� ..:,�_::: : ---:.,:.: .., - - -- - -- ---- - - -- -- - - .. •.. :��_ -.,-. - . .__.. ...._ ,.._...,_,_..,.. .. > . _ _. ._. :�. T..— _. � � _ - ._._..._.'._.�'a_'_._':""_`!_`__'=i-;�'':"--T`=`2_0 8io-Hazard Waste Slorage-AMIJUAL � FumfgaUon Tent Q Comm Exhaust Kitchen HoodlDuct a Hazardous MateAal(Tfer II or RQ Facflity)ANNUqt a ConVoited Bum � Hood InstalleUon � Emergancy Generator<30 kw � LPlNalural Gas-Instaitation � Emergency Generator>30 kw � LPlNaturai Gas-ANNUAL Sale aFir�e Protection Maintenance-ANNUAt, a Placea of Assembiy-ANNUAL �� � em � er � Sprinkler � � � � � � Recreational Burn 2% FireAlarm ❑ ❑ �� � RR � � Sparkisrs Hood Cleaning � ❑ D O � � Sprinkler System Installa6ons Hood Suppression � p ❑ ❑ � � Slandpipes(Sprinkter Sys) QFire Alarm Installafion � Totch RoofinglTar KelUe Fire Pumps � Waste Tire Storage ANMUAL f�(e WO(k6 Flammable ApplicaGon-ANNUAi. Vatuation of Project � Fuei Tanks Q Other: f.r�':;T>..;f-"=.c...„-.':,--� ' - _ - _- - - . .. - . - �. - . .._-:-:.. •__..,..,_t:v-�...__�.r.,. -�.:���— _ _ . .. _ - - . .. �._...._._.._... .._..:.�. „�-..,��.,. -r.: _. . .. _ . . ._.-._... -.. ._ �.. . .:' .._,...:� � ... ... ......... . __ . „ _,........ _.. .._. .. . .: � . _., _ _ ... .. . . „ _. � .. .. ._ - -.+r,.r. _ ..-._...- �. .. . ...-....-�.. .>�:s.-_,.. _. . .. .... .,...-.� . ... ._. ,_:_....,.��.:.,.+_::>.�!.-:.:':::c::_.;��.x .::::::••�.a Cont�ctor /1��`-Y.�-� Company �m Signature � tte9is�ered Y 1 N Fee Current Y i N Addrosa "; ��)^ v �� license# �— � ELECTRICIAN Company � Signature Reglstered Y/N Fee Curcent Y/N Address , License# PLUMBER Company "` Sipnature Re8lstered Y!N Fee Curcent Y 1 N Address Ucense# MECMANICAL Company � Sfgnature Regfatered � Y/IV Fes Current �Y!1�1 Address License# �� OTHER Company S(gnature Repfstered Y/N Fea Current Y/N Address �:.;.-,-.._._>�:=..,. ,.,. __,,�.-�-----°=-- ...:_. .: . - , ...:..:... .... ........ ......--.:- .-,�,..�;... _ - .... _.� , . ;,,.:. ..., .....,,.-.-.. ._ -. - - �..._ _.:,._.:_. ,_:.;. ... ,>: Direcqons: --- ----- - ... . _ — . --...---_.-=---- •----- �--- --.. ._ _._;�;-';.-_. ,.. . -. -.__.,.. ...�-_,. �...r Ftll out applicaUon compielely. Owner&ConUactor stgn back of applicatlon,notarized(Or,oopy of slgned conUaci wilh rnmer) If over$2500,a Nodce of Commencement(s requlred(Mechanlcaf work over$50U0) Supply hvo(2)sets of dravdngs with applicable documentaUon Allow 10-14 days for revlew aRer submittal date. Parcel#-obtained iram Properiy Tax Notice(http://appraiser.pasco0ov.com}