HomeMy WebLinkAbout12-13145 CITY OF ZEPHYRHILLS �
- • 5335-8TH STREET
(813)780-0020 13145
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13145 Address: 6938 MEDICAL VIEW LN
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: 02-26-21-0290-00000-0070
Improv. Cost:
Date Issued: 6/07/2012 Name: NORTHWIND PROPERTY MANG LLC
Total Fees: 25.00 Address: 5850 CAMERON RUN TERR#916
Amount Paid: 25.00 ALEXANDER VI 22303
Date Paid: 6/07/2012 Phone: (813)780-2550
Work Desc: FPM- FIRE ALARM ANNUAL-VASMCH
W�
��
� �� � �-
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 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. Atl
work shall be pertormed 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
sisaso-oo2o City of Zephyrhills Fire Fax-613-780-002�
' Permit Application
Date Received �"�J �Z— Phone Contact for Permit �,'��l 9�12 ►9 Q 3
-,__-.,:-.... _�_��;,_—�_ ..r;�__ - - = - - - - - -- _ _ -_ - -_- — —_ = = - ---�._ ___- =_- -
_....:.. : ...:-.., . :-
_ _. ,. ,., ...,,..T... ........... _�___x..-�,s...__.. . _..
.. :..:.-ti
_. . __.__ ,... -- - - -- ----- -.__r._ .._>- ._�:,.--',_ . _ .--
Owner�s Name (3�T/{(�tl�tilQ P�eTy I'�l��,r �LG Owner's Phone Number � 7� ��� ��'/� J
Owner's Address �7/1� I U���il.(J �l �(�X��p�1Q 1�rJ ����� �
Fee Simple Titleholder Name Tit�eholder Phone Number C� � �
Fee Simple Trtleholtler Address
_._. _..__..._> ... �., - '- - - - - - '- = -= - - -- -- `- -
-:.._. :.:,.�:. �:,:�:.�-'-�> - - ' - - - - - ._ -._.
...:F .;
:,. .... _;._:�:�._......-.,.:'k.:.-...�'�.�-_.�z-,.�_:s. =�.s'..�<:- --=�-- ��-a:±�is-s- ' -
JobAddress ����/.' /7� ��3� �'iFDiIAL V I�'�9�lb Z/�/�5 �-� ������ Lot# �
Sub Division Parcei#
. --.._..._..__. ....---..... - --- - -- ° - - � �
_. - -" �'�a.rve"-ra�i�E ...�. —.vd'P_�f-�.:.Fx�"- �vvG ^:�'�:i v.a� �c:'4e`u.-="ffiSf?_ —
'_ . ._'..:a::s:ua:'vai.. N_c�=..__..v:_.�. �;�..:�a. ,. �.e_=T'i __..._. �._ -.+'au�SC�".=. -?1.���a4..�!.ii'.S3":'�"__x._-.t�._:.__—_ __. _
� Bio-Hazard Waste Storage-ANNUAL � Hazardous Material(Tier il or RQ Facility)ANNUAL
� Comm Exhaust Kitchen Hood/Duct a Nood�nstailation
� Controlled Bum � LP/Natural Gas-installation
� Emergenq Generator<30 kw a LP/Naturai Gas-ANNUAL Sale
� Emergency Generator>30 kw C Pl�ces of Assembly-ANNUAL
aFire Protection Maintenance-ANNUAL � Recreational Burn
ry emi � t er �� i �
Spnnkter � ❑ ❑ ❑ � � Sparklers ��
Fire Alarm � ❑ � �( � � Sprinkier System Installations � �
Hood Ciea�ing � ❑ ❑ ❑ � � Standpipes(Sprinkier Sys)
Hood Suppression � ❑ ❑ O � � Torch RoofinglT'ar KetUe
� Fire Alarm Instaltation a Waste Tire Storege ANNUAL
� i Fire Pumps
UFire Works
� Flammable Applicatiorn ANNUAL Valuation of Project
� Fuel Tanks
� Other:
- - - ..-_,,,_ �-�-- - - - - _ = - -
,_,,_ . _z��-��.y,. .
,__.r:,��._Y.._:-�.,r_...,. __ti ..�. .
��- - -- ---=�=r
....
___.�..�_,_:,,._�._..-.a=�..�.�.�.::�:s=__=r.__.___._..�.-__�.:s.,�.����ra�.�i-��=-...--- -- - _. __.�__ --- -
_.._._. _ _. :�. ..>..._=,.=w_..::.:.. _ --=_
��� ��
Contractor Company To�c.l Sp�u�'t'On . {r�c.
Signature Registered Y/N Fee Current Y/N
Address 3 5 31 K¢ ,�onQ. Ra�. license# E.F 0000 Ny� �
ELECTRICIAN Company �
S�gnature RegiStered Y/N Fee Current Y/N
Address License# � --,
PLUMBER Company
S�gnature t Registered Y/N Fee Current Y/N
Adaress License# �— —�
MECHANICAL COmpany �� �
Signature Registered Y/N Fee Currant Y/N
Address License# �— �
OTHER Company
Signature Registered Y/N Fee Current Y/N
Address LiCenSe#
--°--.. ._ _._. .
.._., ,rr:_===�---'•= _ "" -- - - - ' _= -- -
�._.:,�:--h-=`-_:-_._._�,� :, ,_. .,. .. __-,_. �. _. ...-- _s- ��- .3 -- - - -
_- - _. ..___._....._,,:�_:_-:_�=:__�-_: ,>-_�..:..__ ___ - = -- ,
Duections
Fili out application completely
Owner&ConVactor sign back of apptication,notarized(Or,copy of signed contract with owner)
if over 52500,a Notice of Commencement is reqwred(Mechan�cal work over 55000)
Supply iwo(2)sets of tlrawings with applicable documentation
Allow 10-1a days for review after submittal date. Parcel ri-obtained from Properly Tax Notice(http://appraiser.p.ascogov.com)