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HomeMy WebLinkAbout12-12842 CITY OF ZEPHYRHILLS ��' 5335-8TH STREET r� (si3)�so-oozo 12842 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 12842 Address: 38240 DAUGHTERY 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: 02-26-21-0010-00600-0010 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. 33541 Date Paid: 2/29/2012 Phone: (813)783-6189 Work Desc: FPM- FIRE ALARM ANNUAL-ADVENTIST HEALTH SYSTEM � �� �� 1 ��� � � 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 costs relabed 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." �.. 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 _ _ " "__ �..� ...._..�....J.....�,.. ..... ...,...�.............. Permit Application Da[e Received ne __...._�. -- ,..:>...__,.. ._.....: . , .. .__._. ,,,,�,_,.. :,,_- , .: • . --- � .. - - - Pho Contact for Permlt .._.._�...,,,. --- - .. _ , _ , _ ,_ _._.. - - - - , .. ,--. . _ . .. r . .... . -�. .� .. _ Owner's Nan'1e (��(1 Owners PI►one Numbar [�� � Ownera Addrass � � Fee Simple TiUeholder Name Tltleholder Phone Mumber � � � Fee Simple Titlehoider Address i=___�:.- °� ';='• •. -- ---- - -- - - -- -- _ = --° - - - - - ._ - - -- - = . _-_ ��_, - _. ::_ :_:.._:_.a... ._r .. ,�_,_. ..._......_.�... . - - ._. . . .,. . . . ..... ,._,...,,,., , ,: • . ,. ,•. .:.-: :,:._ ..... ..::....: ..w, ,,, ----- �— --_�.-- --_. .�------ ------- - _r .,:=;.,..:=--�-;�=-:�� Job Address 3 �� � iJCJ� f..oi# U Sub Otvision Aarcet# �..� :.��:.-;i_---._._.._. .. ,_,.,. . ....:-_-__ -:��-..` - �_ � .. - -� _°-, � . ... . .._ , .. .... --_=-_-c--.-.-..-._.�__.- --_ . � .._. .:. ...... .. .. .. . .... ., - ,. ,.._. . . �... ;.. . ,. .._,.;.. . —.,-.,. : , ..•.. ...,,.•, .. � BiaHazarcl Weste Siorege-ANNUAL Q Fumipation Tant , Q Comm Exhaust Kltchen HoodlPuct � Hezardous Material(Tier U or RQ FaGlity)AMNUAL � Controfled Sum Q Hood Installadon � Emergency Generalor<30 kw � LP/Alatural Gas-Instatlatlon � 'Emergency Generator>30 kw � LPMaturel Gas-ANNUAL 8ate , Q Flre Profedion Mafntenence-ANNUAI. � Places of Assembty-ANNUAL � em �n er Sprtnkler � ❑ ❑ q � � Recreational Bum �?j � � Fire Naart � ❑ ❑ � � � Sparkfers 1 Hood Cieaning � O €] ❑ � � 5prinkler System InstallaGons Hood Suppresslon � p p p � � Stendpipes(Sprinkler Sys) aFIre Alarm Instaltation � Torch Roofing/Car KetUe F!re Pumps � Waste Tire Storage ANNUAL �ire Works filammable Applicatiort-ANNUAL ���� Vafuation of ProjecE Fuel Tanks � Other: f;;=„�-::...: :�.:,.:.....-.-.._„ ." .. ... .... . ... ...... . . . ....� , ._ . ._ �-- . . ..: _.- . > • -.- .-._., � � - .-=. . .. . : =;. . � . .-_ , . Contractor Company t Slgnxture ✓ Reg(stered Y/N J Fee Curreni Y/N Address Y license# ELECTRtCIAIV Company Slgnature Registered Y/N Fee Current Y/N Address Llcense# �� --� PLUMBER Company signature Regiatered Y/N Fee Current Y/!�1 Address License# MECHANICAL Company Slgnature Registered Y/N Fee Current Y/N Address L;cense# OTiiER � Company Sigrtature Registered Y/N Fee Currant Y/N Address ___...... _ >_.__ �,�.a.,:.:a:.;..,-a-_.. . __.__ _ -- - -- .:.�...._.._ _,:...._..._...-.,..,,., ..,. �_ .._._ _. . . .<...-...:,� . _ . _ _ ..:.- . .- - ------------- -- ... ........ - -------------- _. .._ __... . . - - - - DIfCCUOTIS: ------....---- ...-.. . - � _. .. ,----------- ----- °-- -- - o Ffll out appltcadon completety. Owner 8 Conirector sipn back of applficaUon,notarized(Or,copy of signed contract with ovmer} If over�2500,e NotiCa of CommencemeM(s requf�eci(Mechanfcal work over$5000) Supply two(2)sets oi drawfngs wfth applicable documentation Afirnv 10•14 days for review after submittal date. Parcel#-obtained Bam Property Fax Notice(ht;p•1lappraiser.pascogov.com)