HomeMy WebLinkAbout12-12934 CITY OF ZEPHYRHILLS
5335-8TH SIREET
(s13)�so-oo20 12934
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12934 Address: 38220 HENRY DR
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: 02-26-21-0080-OOA00-0122
Improv. Cost:
Date Issued: 3/28/2012 Name: HCRA PROPERTIES I LLC
Total Fees: 25.00 Address: 333 N SUMMIT ST
Amount Paid: 25.00 TOLEDO OH 43604
Date Paid: 3/28/2012 Phone: 813)788-7114
Work Desc: FPM- SPRINKLER ANNUAL- HEARTLAND MANOR CARE
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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 shali 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 RECO IN Y R NOTICE
OF COMMENCEMENT." '
PERMIT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
813-780-0020 Ciry of Zephyrhilis Fire
Fax-813-780-002?
Permit Application
- Date Recewed �--� _ _ Phone Contact for Permit �},?�- q.�-+,2 �q(t3
Owner's Name cq�rL�alb — C/� rnitll(02 �FJ,�,� -- �� �� �
Owner's Phone Number
Ov�ner'sAddress �d p��C� �N�y [��Ij
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Fee Simple Titleholder Name �� �� f�
Titleholder Phone Number u
Fee Simple Titleholder Address
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Lot# �
Sub Drvision
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� Bio-Hazard Waste Storage-ANNUAL � ►iazardous Material(Tier II or RQ Faality)ANNUAL
� Comm Exhaust Kitchen Hood/DuCt � Hood Installation
� Controlled Burn Q LP/Natural Gas-Installation
� Emergency Generator�30 kw Q LP/Naturai Gas-ANNUAL Sale
� Emergency Generator>30 kw � Places ofAssembly-<�NNUAL
� Fire Protectior.Maintenancz-ANNUAL f—'-1
try emi � er �J Recreational Bum /1 �� `
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Sprinkler ��/
� � � � �,.� � Sparklers
Fire Aiarm � ❑ ❑ ❑ � ❑ Sprinkler System Installations
Hood Cteaning � ❑ C ❑ � � Standpipes(Sprinkler Sys)
Nood Suppression � O ❑ ❑ C� � Torch Roofing/Tar Kettle
QFfre Alarm Installation a Waste Tire Storage ANNUA�
� Fire Pumps
� Fire Works
� Flammable Application-ANNUAL ��
� Valuation of Project
Fuel Tanks
Q Other
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Contractor -- - -' - -- _.. :_�,_ ,_. _._. _ , —
S�ynature Company �o,��
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Registered Y/N Fee Current Y/N
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CLECTRICIAN
Signature Company �—
Registered Y/N Fee Currerit Y/N
Address
License# �—'1
PLUMBER _J
Signature Company
Registered Y/PJ Fee Current Y/N �J
Address
License# �— �
MECHANICAL
S�gnature Company
Registered Y/N Fee Current Y/N —,
Address
License# �
GTHEF ;
;g ' Company
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Registered Y/N Fee Current Y I N
Address � �
Cirec'�ons.
License# �
Fill out application Completely
Owner 8 Contractor sign back of application,notarized(Or,copy of signed contract with owner)
If over 52500,a Notice of Commencement is required(Mechanical work over$5000)
Supply rivo(2)sets of drawings with applicable documentation
Allow 10-14 days for review after submittal date. Farcel#-obtained from Property Tax Notice(ht�p:/lappraiser pas�Agov com)