HomeMy WebLinkAbout12-13038 CITY OF ZEPHYRHILLS
5335-8TH STREET
�ais>>so-oozo 13038
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13038 Address: 38250 A AVE
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: 14-26-21-0010-01300-0010
Improv. Cost:
Date Issued: 5/07/2012 Name: ZEPHYR HAVEN NURSING HOME
Total Fees: 25.00 Address: 38250 A AVE
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/07/2012 Phone: (407)975-3000
Work Desc: FPM- SPRINKLER QUARTERLY-ZEPHYRH HAVEN NURSING
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Chapter 633, Florida Statutes,authorizes the City to charge and collect user fees to pay for the costs of fre
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 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
ati�-�saoo2o City of Zephyrhills Fire �ax-813-780-0021
Permit Appiication
.
Date Received �
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Phone Contact for Permit
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Owners Name Ownets Phone Number � �
Owner's Address �`i'- {
Fee Simple Tilleholder Name Titlehofder Phone Nurober � � C�
Fee Simple TitlehoEder Address
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Su8 Division Percel#
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� B1aHazard Waste StoraBe-ANNUAL Q Fumigation Tent
a Comm Exhaust Kitchen HaodlDucl � Hazardous Materiat(Tier II or RQ Fadlity)ANNUAL
a ConVolled Burn � Hood Ins[alla6on
QEmergency Generaior<30 kw � LPMatural Gas-Installation
QEmergency Generator>30 kw Q LPINalural Gas-ANNl3AL Sale
� Fire Protedion Mafntenance-ANNUAL a Places of Assembly-ANNUA� �
� em � er �,t
Sprinkier � �~ ❑ � � � Recreational Bum ��v
Fire Atarm � ❑ ❑ � � � Sparkiers
Hood Cleaning � O d O � � Sprinkler System InstallaGons
Hood Suppression � O ❑ o � � Standpipes(Sprinkier Sys)
� Fire Aterm Installation � Tarch Roofinglfar Ketde
� Fira Pumps � Waste Tire 5torage ANNUAL
� Fire Works
� Flammable Appiica6on-ANNUAL �_—� Valuation af Project
� Fuet Tanks
Q Oth@r:
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ConVaGor Company � � �
Signatute � Registered Y/ Eee Currenl Y 1 N
Address i.icense#
E�ECTRICIAN Company
Signature � Registered Y/N Fee Current Y/N
Address License tf �
PLUMBER Company
Signature Regislered Y 1(�l Fee Curcent Y/N
Address License#
MECHANICA Company
Sigaeture Registerei! Y/N Fee Current Y/N
Address License#
OTHER Company r
Signature Registered Y/N �ee Current Y/N
Address License# �
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Directiuns:
FiiE ouf application compleiely.
Owner&Contractor sign back of application,notarized(Or,copy of signed contract with rnmer)
If over$25Q0,a Nolice of Commenoement is required(Mechanical woric over$5pD0)
Supply two(2y sets of drawings with applicaDle documentaUort
Atlow 40-74 days for review after submittal date. Parcei#-obtained from Property"fax Notice(http:!/appraiser.pasoogov.com)