HomeMy WebLinkAbout12-13067 CITY OF ZEPHYRHILLS �-�
5335-8TH STREET �
(ais)�so-oo20 13067
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13067 Address: 6701 DAIRY RD
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: 02-26-21-0010-03900-0060
Improv. Cost:
Date Issued: 5/11/2012 Name: FLORIDA SENIOR PROPERTIES
Total Fees: 25.00 Address: 6701 DAIRY RD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/11/2012 Phone:
Work Desc: FPM- SPRINKLER ANNUAL- WESTBROOK MANOR
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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 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
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Permit Appiication
Date Received �--� Phons Conta�'.t ior Pertnit I 3� � tf 777
Owners Name Ownsrs Ptata Numbsr �� � CL�t�r�
Oumers Addrass Q I�t I � �1... � �a,
Fee Simple litlsholder Name TiUsholdsr Phons N�unbsr �� � C
Fee Simple Titleholder qddress
Job Address �7 �. � L � �# �
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[� s�ro wa�stora9e-�NUnt. - .
� F�sr�yatlon Terrt
� �������� a Hwrdous MtEsriat(Tbr II or RQ Facilily)ANNUAL
o ��B�, o ��,
� Eme^8e^cY Gensra�or<30 kw LP/NaWral t3ts-tnstaUatlon
�9a�7'���tor>3�kw � LPMahral G�s-ANNUAL SaN
� Flre Protectlon Maintsnanos-ANNUAL � Placss of Asssmbly-ANNUAL
Sprinkisr L p ��� Rscroatlonal Bum /�
Fire Alarm � O 0 O (�'� g (�� I
L.J PsrM°rs }�l
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Hood Geankig � O O D Sprirddsr System Install�Ons ;� �
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�-bod suppression ❑ ❑ ❑ o � sandpipes cswinids�srs)
aFre Atartn Ir�stallation a Tor�ch R�ooflnp/Tar Kettls
Fire Pwnpa � Waste Tire Smrape ANNUAL
Rro Works
Flammsbie A�Iicatlon-/►NNUqL Valuafion of ProJect
Fuel Tanks
Q Other.
Contractor �
signature � � � z°ci-ton �
Re9tstered Fee Curront N
ndd�s � uos�# 6 ' �0 5
�c�icwN ��
signawre Reobbe�d � Y/NJ Fes Cumsnt Y/N
�� Licerns#
PLUMBER �
���"�° Rep�sosrod Y/N Fee Cumsnt Y/N
�� Ucerns#
MECHANI �
signature Rpists,sd Y/N Fss cumsnt Y/N
Addross �#
OTHER �rn
5,9,��re � l Y�N I �� Y/N
Addresa Liosnes�
Directions: , . . , � .,
FlU out application carr�pistely.
Own�r&C.ontracta tipn bu�c of applicatlon.rqtariz�d(Or�coPY aF sipnsd corrtract wilh ownsr)
If over b2500.a Notioe of Comrt�a�certisnt is roquksd(MscMnical work wsr 55000)
S�P�Y 1wo(2)ssls of drs�Mnps wNh applicabls doa�tlon
Aliow 10-14 days for rsvisw afber submkfal dats. Pareel N-obtairnd from Propsrty Tax NoNce(MtpJ/apprabsr.p�toogov.eom)