HomeMy WebLinkAbout12-13149 CITY OF ZEPHYRHILLS �
5335-8TH STREET �
. (si3)�so-oozo 13149
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13149 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: 6/07/2012 Name: HCRA PROPERTIES I LLC
Total Fees: 25.00 Address: 333 N SUMMIT ST
Amount Paid: 25.00 TOLEDO OH 43604
Date Paid: 6/07/2012 Phone: (813)788-7114
Work Desc: FPM- FIRE ALARM QUARTERLY- HEARTLAND HCR MANOR CARE
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Chapter 633, Florida Statutes,authorizes the City to charge and collect user fees to pay for the oosts 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
813-780-0020
City of Zephyrhills Fire
Permit Application Fax-813-780-0021
Date Received _/�
- _ Pnone Contact tor Permit �,�'} q y z 1 g Q 3 �
Owner's Name �.�jG /�� �.y� ' �., ,
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3�a aa - �wner's Phone Number �i,/7f 7�� 7`l
Owner's Address �uzy �, � �a3a G��5/,�i�
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Fee Simple Titlehoider Name
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Fee Simple Titleholder Address Titleholder Phone Number �� `--'J
JobAddress ��T(-,C�'/�(� �C.� ��l�6� 1..�,c,�i �_ _ �_,__:,_: _:�_ _
Sub Division �� �� �`� y t/�
Lot# �
Parcei# —��
aBio-Hazard Waste Storage-ANNUAL ' ''--� ' _ - - I
� � Hazardous Material(Tier II or RQ Facility)qNNUAL
Comm Exhaust Kitchen Hood/DuCt �
� Controlled Burn Hflod Installatinn
� Emergency Generator< a �P�Natural Gas-instaliation
� 30 kw �
Emergency Generator>30 kw LP/Natural Gas-ANNUAL Sale
� Fire Protection Maintenance-qNNUAL � °�aces of Assembly-qNNUAL
t�Y emi ,�'� � Hecreational Burn .� � / � l
Sprinkler 1 e� `''f
❑ � � c � - �
Fire Alarm � Sparklers �
❑ ❑ � ❑
Hood Cleaning ❑ � Sprmkler System Instailations
❑ ❑ � �
Hood S u p p r e s s i o n a � Standpipes(S pri n k l e r S y s)
� � � � � Torch Roofing/Tar Kettle
Fire Alarm Installation
❑ Fire Pumps � �^/aste Tire Storage ANNUAL
� Fire Works
� Flammable Applicacion_qNNUAI
� Fuel Tanks Valuation�f�ro�ect
Q Other
Contractor � ._ ,__
Signature Company ' -
T'�—
Aadress 3g3� K� +0„ Registered Y/N Fee Current Y/N
c�ECTRICIqN License# q g ��
Signature Company z
Address Registered �'/N Fee Current
Y/N
�'LUMBER License# r�—"` �
Signature Company
Address .
Registered Y/PJ Fee Current
Y/N
MECHANICAL License# �
S�gnacure Company —
Address Registered Y/N Fee Current
GTHER Y/N
; licanse#
=igra`:ur� � ��'���—.
Company
Address �_ Registered Y/N Fee Current
Y/N
�irecuon;. _License i� �
Fill out application�pmpletely - -_ -
Owner&Contractor sign back of application,notarized Or,co
If over 52500,a NoUCe of Commencement is required(Mechanical work over�$5000) �th owner)
Supply two(2�sets of drawings with appiicable documentation
Ailow 10-14 days for review after submittal date.
Parcel#-obtained from Aroperty Tax Notice(http://appraiser pascogov com)