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Home My WebLink About12-13464 :.� � � CITY OF ZEPHYRHILLS 5335-8TH STREET 13464 (813)780-0020 ANNUAL FIRE PROTECTION MAINTENANCE Permit Nurr�ber: 13464 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: 9/18/2012 Name: HCRA PROPERTIES i LLC Total Fees: 25.00 Address: 333 N SUMMIT ST Amount Paid: 25.00 TOLEDO OH 43604 Date Paid: 9/18/2012 Phone: 813)788-7114 Work Desc: FPM-QUARTERLY FIRE SPRINKLER FOR HEARTLAND HCR MANOR CARE � ��— l� ,� � l� � � 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. 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 / ' µ 813-780-002D City of Zephythilis Fire Fax-813-780-0021 Permit Application Date Received �1 --r� `�^^***^� -__=== -_ ., . ._.._ .. Phone Contact for Permd C� � ::..-.. ,. . -- _ _ -- =:-.LL:=.,;:.;_:�.::-�,:-n �=_:_;:�___,:._;_-��- 4�iz 1943 Owner's Name �ii�QT(il�Nd G� m�A�O l2. � - � L� Owner's Phone Number �/?j 7��' 7/� Owner's Address ��Q ��f/ � �D?,/Q�/ � ,Ll�� L ��5,/l J r o �T �r/— Fee Simple T�tleholder Name � �''�''� Titlehotder Phone Number � L--`J Fee Simple Titiehofder Address L��.�� - - _<. _.._:._ ,::.. ., _..._ - -- ,r.-�:,>,:s,h,..�,....._�,�='-�=-r:=_:_._._.._. . -r_ �: ....�..--::�-�.-:_n�....... . . .. ....:..�-�,.� - � _.. .._,:�-,r_x,;.:,;r._�.:.�;,,.:_..„��e�;':=_�:=.::.:-.-.:.-_:_- 4 `, e / -=.�:L--..3,�,« ._. ;.�- - _ Job Address �O ��Q �i/�c�S/ Iv ,��d 3� '3�/7�LLy �L ��Cy� �� !� J Sub Division Lot# - ._.._._. _ , ,,. -:_= . �.._,�_,_.-- _..:.,,�;..,. :.. arcel# � BiaHazard Waste Stoxage-ANNUAL �' �Hazardous Material(Tier,li or RQ Facility)ANNUAL � Comm Euhaust KitChen Hood/Duct ❑ Q Hood)nstallation ControAed Bum Q ❑ IP/Natural Gas-Instaliation � Emergency Generator�30 kw � LP/Naturai Gas-ANNUAL Sale Emergency Generator:>30 kw � Q ?la:,es�tAssemoly-ANNUAL �----� Fire^rotection Maintenance-ANNUAL � Recreational Burn � emi �n er ❑ Sprinkier � � � � �� ❑ Sparklers Fire Alarm 0 � � ��j � � � Sprinkier System Installati ns �J Hood Cleaning � � � � ❑ ❑ 5tandpipes(Sprinkler gys) Hood Suppression O O ❑ � Q � Torch RoofinglTar Kettle ' Fire Alarm Installation � � Waste Tire Siorage ANNUA� Fire Pumps � Pire Works � Flammable Application-ANNUAL �� Fuel Tanks Valuation of Project ❑ Other� _ -- --_=�� .,_ . .. _ ,... ,._ __ . _...�_, :_.:,:: __`�-�._.,. .. .._ . . .:.:.. -.- ____._::....._.��..__. - t,:,�.�. _ a on ractor _. .:_.,::-.:,�-.. ��=-� .. _. Siynature Company ..�-- " �'�=�-4 �_�� -- _ Registered Y/N F n �aaress �g3� � on ee Current Y/N tLECTRICIAN ��cense# QZ S5��Z � Signature Company Address Repistered Y/N Fee Current Y/N Pl UMBE R ��Cense�! � S�gnature Company Address Registered Y/N Fee Current Y/N MECHANICAL License# � Si�narure Company '—'-----� Address Registered Y/N Fee Current Y/N GTHER � ��cense# _�9ra<.ur� �,. Company Registered L Y/N � Fee Current Y/ � Address �-----. - '- '" LiCense# ��;ec;�ons: ,,__..._-r_.-_:_: ,..,�� _,___t. —� ,_.. _ ._ _ _,. ,_ -z;.,.t=�::-.., =`_-��*'—�------- Fill out application�mpletely. Owner&Contractor sign back of application,r��fiz��Or,�py of�9ned contract with owner) If over g2500,a Notice ot Commencement is required(Mechanical work over$5000) Supply hvo(2)sets of drawings with appllcable documentation Allow 10-14 days for review after submittai date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov com)