Loading...
HomeMy WebLinkAbout12-12840 CITY OF ZEPHYRHILLS � 5335-8TH STREET (813)780-0020 12840 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 12840 Address: 7350 DAIRY RD Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL. Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 35-25-21-0010-06900-0020 improv. Cost: Date Issued: 2/29/2012 Name: ADVENTIST HEALTH SYSTEM Total Fees: 25.00 Address: 7050 GALL BLVD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 2/29/2012 Phone: 407)975-3000 Work Desc: FPM- SPRINKLER ANNUAL-ZEPHYRHILLS HEALTH & REHAB _� r l� V , ,'� `� � � r ina 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 aosts 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 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." �.. 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 ,.,..-,��-�,,..,, �..��y�, c_cN��y�nrno� ��n �d„-�,,,•,�..-,,,.�� Permit Application Dale Received ----. _.,_ - - Phone Contact for Permit E.:r.:..,_ -_ ....r;:,_:.�,_:,-.., .. ..._ ..._. - .- � � . . ,_ ._ -...-- .. _,........_._.�_._.�..�_ .. - _.... . ,. ,,a�a�.n-.r.�_ - . _.. . ....:"_"" __..:...,."_'_"" " '... _. . . . ,�, ' ' _' ' " _ -' Owners Name Ownars Nhone Number C.�L� � Owne�s Address • � . . Fee Simple 7itleholder Name TtUehofder Phooe Number C� � � Fee SlmpEa Tltleholder Address _.y. .. .:,^,,,;_.,�...... . . ..�..,:, . - - - � - - - ;- ,_ _ - - :,_ -- ... � ... <,..•;,;,;, ,:._ ._�, �.�xa+ . ..cr.-.:-: - .r:.,,.��:��_.. .... - _ , ._..: �s-- - - - - - - - '•t..' - • - ------ ---- - --- -,, . . - � ,�., �. .�� � ..,� .:....._ . _.. , .. ... . _' '.. .__:_. ....... _ . .�.:..Y:�... � ___._c._._..... - . .,._ _. . . . . _ ., ....._ .,.: �.,. � . : -.,. ., . ... .:.� t �Job Address Lot# Sub Division Parcel# �-,:.�..,_�_..;....•--:..-,�=;-:.:.,��._.;:� ._ -- -.- � . -, ,. --�,.. .�...;,;. - -- : _ ., -_ - , -- - - _ -_ - ��.���ti� -� _�...,_ _. -,L- .. .__. . ._�.-._. . . _ ., _ ,... ,.,.., - . . . _ � , .. , t. , �..... ..., _ - - ..__ _ .. .-=�, � Bio-Hazard Waste Storage-AtJNl1AL a FumigaUon Tent � Comm Exhaust Kitchen HoodJDuct a Hazardous Materlal{7ter 11 or RQ Faciliiy}ANNUAL QControlled Burn � Hood lnstallaUon � Emargency Generator<34 kw � lPliValurai Gas-lnstalfaE3on � Emargency Qenerator>30 kw � LPMalural Gas-ANNUAL Sale � Fire Protectiort Mai�tenance-ANiJUAt � Places of Assembiy-MINUAL �y emi � er ,! Sprinkler � ❑ f� T�t, � ReCreationalBurn �LLj� Fire Alarm � ❑ 0 O � � Sparklers �' � ` �/ Hood Cleaning � O � � � � 5prinkier System Instailadons � Hood Suppression � fJ ❑ ❑ � � Standplpes(Sprinkler SysJ oFira Alarm insteltation � Torc3i Roofing/Tar Kettle � Fire Pumps � Waste Tire Storage ANNUAL � Fire Works eFEammabie ApplEcalion-ANNUAL ��--� Valuation of Project Fuel Tanks Q Other: . .___._......:_..,._. _ - - E:4�;.'�:�.��'...._..�.'.-,.-.... . ._, , i'.l':. ' : .. . ".. -� ' ,. ... :' -..�.. .. ...,. _.... _�__ . ._ . . . ,- '.'-.. ..�..'� .. ... ... ..: . .... . ..: . .. ... ......... ' .�. a�.'.'��. Contractor Company Signalure ' Registered Y/N Fee Curcent Y/N Addr�ss License# ��� ELECTRICIAN Company � Slgnatura Registered Y/N Fee Current Y/N Address License# —� PLUHSBER Company signature tte9�6tered Y/N Fee current Y/N Address Licanse# MECHANICAL Company Signature Regisfered Y/N Fee Curcent Y/t�! Address Ucense# OTtiER Company Signature Registered Y i N Fee Current Y/N Address Licanse# �-k:��>��;�:,�:�;�. •:,,=_,.....:,...�.-,---_->,,. - = - - - - - - -- - - -- - - -- -- , -- - , x - _ ,.._. .::....:.:.:..:....::.. ...... . •:.. .<;�._ .�.... _._, ...� •- - - - - ., . ......�.-.-..-._.,•.., •.-._..�,. - - .., . . ... ....... :. :. . ... ... �._,__, ., - - -- . .__ ...-----• —•- , ... . .�.. ._... �_�. ,.., ,- �.<. �-, .. Dirnctions: - --------------- FIl1 oui eppffcation oompietely. Owner&Cortiractor sign back ot appiication,noterized{Or,oopy of al�ned conUact with ownerj [f over$2500,a lJotice of Commencement ia required(Mechanical work over$5000) Supply lwo(2j seb of drawings with appitcable documantaUon Allow 10-14 days for review after submittal dale. Paroel#-obtained from Properly Tax Notice(httpJ/appraiser.pascogov.00m}