HomeMy WebLinkAbout12-13148 CITY OF ZEPHYRHILLS ��
` 5335-8TH STREET
(sis)�so-oo20 13148
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13148 Address: 6834 MEDICAL VIEW LANE
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book:
Proposed Use: OFFICE PROFESSIONAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0290-00000-020
Improv. Cost:
Date Issued: 6/07/2012 Name: HAITI INVESTMENTS I LLC
Total Fees: 25.00 Address: 6834 MEDICAL VIEW LN
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/07/2012 Phone:
Work Desc: FPM- FIRE ALARM ANNUAL- SELECT PHYSICAL THERAPHY
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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
- sisaso-oo2o City of Zephyrhiils Fire Fax-813-780-002�
Permit Application
Qate Received �Q•���/ � Phone Contact for Permit �,Z'� qy� 1 q
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Fe::S�mpie TiUehoiderAddress
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Bio-Hazard Waste Storage-ANNUAL � Hazardous Material(Tier 11 or RQ FaciJity I ANNUAL
� Comm Exhaust Kitchen Hood/Duct � Hood Installatfon
� Controlled Bum a LP/Natural Gas-Instaliation
� Emergency Generetor<30 h,N a LP/Natural Gas-ANNUAL Sale
� Emergency Generator>30 kw � Pia�;es of Assembly-ANNUAI
aFire Protection Maintenance-ANNUAL � Recreational Bum �
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Spnnkler � � � � ❑ t� I
Sparklers d
Fire Alarm ,,,t
� � J�'+ � � Sprinkler System Instailations
Hood Cieaning � p ❑ ❑ � � Standpipes(Sprinkler Sys)
Hood Suppression � q p p � � torch Roofing/Tar Kettle
� Fire Alarm instailation � Waste Tire Storage ANNUAI
� F�re Pumps
� Fire Works
� Flammeble ApplicaGon-ANNUAL
� Valuation of Project
Fuei 7ank5
❑ Other:
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S�gnature Company T' .}.,u� (u�1'O ,�
Registered Y/N Fee Current Y/N
Address 35 31 KQ �.}�pAe Rd.
License# �F 0000 y�l t �
ELECTRICIAN -
S�gnature Company
Registered Y/N Fee Current Y/N
Atltlress �
License# �
PL'JM6ER
S�gnature Company
Registered Y!N Fee Current Y/N
Adoress
License# �—� �
MECHANICAL
S�gnature Company
Registered Y J N Fee Current Y/N
Adaress
license# � �
OTHER
Cignature Company
Registered Y/Ti Fee Current Y/N
Address
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Fill out apphcation completely .._..�.'- --. _ . . _ ._ __ .,
Owner&ConUactor sign back of application,notarized(Or,�py of signed contract with owner}
it over 52500,a Notice of CommenCement is required(INe�hanical work over$5000)
Supply two(2)sets of tlrawmgs with appliCable documentation
Auow 1a�4 days for review after submittal date.
Parcel#-obtained from Property Tax Notice(http:!/appraiser pasco,yov com)