HomeMy WebLinkAbout12-12935 CITY OF ZEPHYRHILLS
5335-8TN STREET
(si3)�so-oozo 12935
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12935 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- FIRE ALARM ANNUAL- HEARTLAND MANOR CARE
. �
�
(Z
�;Z�,
ma
Chapter 633, Florida Statutes,authorizes the City to charge and collect user fees to pay for the costs of fire
prevenfion 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 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 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
�is-7so-oo2o City of Zephyrhills Fire Fax-813-780-002�
Permit Application
Date Received Phone ContaCt for Permit �}.Z'� 9 y Q 19 4 3
_.��,,,,_. _-:"_ =_- - - - - -- - a,-s �-...: - ---- ._ __ .
,.__.._..-. �-� _. ,.- _.:-.. _ .___ ---- -�--___ .
- =_..:.,, - - - - - - -=-
. _ ,,_-....._.,_.__,�,._ ._._:.. __::-_. _..Y �_�-,__�: „�.. ._....._ . ._ ._� - -
.-.,: ,.�:1.._........... , ;:,- -__�.-�<�...
Owners Name ��,�*L�}/�/b '��iC� �iqNb/L C��G Owner's Phone Number C� �� �
Owner's Address �d �a� ���y ��
Fee Simple Titlehotder Name Titleholder Phone Number C� � �
Fee Simpie Trtiehoitler Atldress
_ ._.._...._--�-= -- - - -- - - - - =�
-,..e..._-.-,.,�,.,,_.��_:..-�s..a�G=:�^,.rct::,xa,d7�e:,°4'�,H-�S:ro, �_���f=:�eT:��:_ _`�F�:��i�u:-';�ssuE'-.i.�"a.�rY�..�--: -_ --- - --_-=.a.;= ...
,;� "`
JobAddress 3� a�cY /'/��Q.y '� Lot# �
Sub Division Parcei#
.. ---_._.,.__..�.._,; - -- -- -_ - - - -- -
__. -
_. _. ... .s;YG.�,.-�-,:��... .,._,... .... . -• -- � _.. ,K...-- - -
_ ,- � �;V 4.:�:...�.�-.��:Y�;;rx.,..�.,_.F.. ....:,z_ =�.:.-._=r:��.�:�:.,,.,e., -... ,� ��.� -_�.:_;.
� Bio-Hazard Waste Storage-ANNUAL � Hazardous Materiai�er It or RQ Facility)ANNUAL
� Comm Exhaust Kftchen Hood/Duct � Hood Installation
� Controlled Burn � LPlNatural Gas-Instailation
� Emergency Generator<30 kw a LP/Naturei Gas-ANNUAL Sale
� Emergency Generaior>30 kw � Places of Assembly-ANNUAL
� Fire Protection Niaintenance-ANNUAL a Recraauonal Burn
r y emi �n er �
Sprinkler � ❑ ❑ � B � Sparklers n G� �
Fire Alarm � ❑ ❑ � � � Spnnkler System Insta�lations . � [v
Hood Cieaning � ❑ ❑ � � � Standpipes(Sprinkler Sys) �
Hood Suppression � ❑ ❑ ❑ � � Torch Roofing/Tar Kettie
QFire Alarm Installation � Waste Tire Storage ANNUAI
n Fire Pumps
UFire Works
� Flammabie Application•ANNUAL Valuation of Project
� Fuel Tanks
� Other:
_ . ,,:s...,.,..�.�:�:-.—�-� -<X-�_.,:_�,�.. - - - - - -- - -�_�� - - -
_. .,.,_.,.
��.
- �.,�.. .,., ���:.�w,-:,:� .__ __�_._:�.�.:�__._�.�_._-�=---._..__. __.,���� _ - ��� - --- ----- -. -���� -
�..,�w.=-.- - . ... ., :..:_-
s..�._.,...,_ 7 _ � � .;.�... _� � . ,.:�.. __.._ .
Contractor Company T �1 � �'1'O
Signature Registered Y/N Fee Current Y/N
Address 3 5 31 l�Q. ,�on Q. Ra�. License# E,F 0000 y 1
ELECTRICIAN Company
Signature kegistered Y/N Fee Current Y/N
Address License# `—�
PLUMBER Company
S�gnature �egisteead Y i N Fee Current Y/N
Address license# —�
MECHANICAL Company
Signature Registered Y/N Fee Current Y/N
Address License#
OTHER Company
Signature Registered Y/N Fee Current Y/N
Address LiCense# --�
_..�.,,._._., , _.,-. �._ ..._._. . ... - -- - ` - -= ' '_ -' - - -
:-
_
�:. --- --,....�__�-._..__._:,��-=x_:.�.,. _,._:_�_ =: � ...:. ......::.' --.,. _..__.._.n_:��_:=.::a^--�.<�_g�����-�.._..,.___ .�._ ._ _ ._ ,
,... ._...... ._. < . _. a ,_ . ,.
Directions:
Fill out appiication completely
Owner&ConVactor sign back of application,notarized(Or,copy of signed contract with owner)
If over$2500,a Notice of Commencement is required(Nechanical work over 55000)
Supply two(2)sets of tlraw�ngs with applicable documentation
Allow 10-1a days for review after submittal date. Parcel#-obtained from Properly Tax Notice(http:/lappraiser.pascogov com)