HomeMy WebLinkAbout12-13469 CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oo20 13469
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13469 Address: 7050 GALL BLVD
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book:
Proposed Use: MEDICAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 30-26-20-0000-00200-0010
Improv. Cost:
Date Issued: 9/19/2012 Name: FL HOSPITAL OF ZEPHYRHILLS
Total Fees: 50.00 Address: 7050 GALL BLVD
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/19/2012 Phone: (813)783-6189
Work Desc: FPM- SPRINKLER ANNUAUFIRE ALARM SEMI- FLORIDA HOSPITAL
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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 rnmmercial 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
DETACH BEFORE DEPOSITING �O. 3138254
� fiC�OICE DISCOUNT AMOUNT
L`Al'E NUMBER
09102012 PERMIT 292 0910 2A 0.00 50.00
056313 0.00 50.00
813-780-0020 City of Zephyrhilts Fire Fax-813-78U-0021
, Permit Applicatlon
Date Received 8' Z!� 2.. Phone Contacf tor Permit
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- - - --- - --------
Ownefs Name �QR%` � � Owners Phone Number � � �
Owner's Address 7�.jU (?' � /�� •�G KL.� �L• 3 ,�' �
Fee Simple Tit�eholder Name ?idehotder Phone tJumber � � �
Fee Simple TtUeholder Address
_ ... _ __ _ _ _ :- ---- -
...----
•------ - � --.-___-�---_-..-:.-.____:_----__'_ ,.-- --_- -:-- �.- •-- - - - ....._._
- - --- _._._ .. :... __- : _:_._....._- �
Job Address lot#
Sub Divisfon Parcel#
- . - - ---- -- -�— -- - --- ------ -- -- ---
� SlaHazard Waste SioraBe-ANNUAL � Fumigation Tent
� Comrr►Exiiaust Kitchen Hood/Duct � liazardous Maleriaf(7ier If or RQ Faaiity)ANNUAL
� ConVo1(ed Bum a Hood Installetion
� Emecgency Generator<30 kw � LPlNalural Ges-installation / �
� Emergency Generator>30 kw � LP/Natural Gas-/WNUAL 3ale (/�
d
� Fire Protectton Maintenance-ANWUAL � Ylaces of Assembly-ANMUAL ��
�y emi � er � �
Sprinkler � ❑ O � � � Recreallonal Bum
Ffre Atarm � ❑ � ❑ � � Sparkfers
Flood Cteaning � ❑ CI L7 � � Sprinkier Systam Inslallations
Hood Suppression � O O ❑ � � Slendpipes(Sprinkler Sys)
� Fire Aiarm Installation o Torch Roofing/Tar KatUe
� Fire Pumps � Waste Ttre Storage ANNUAL
� Fire Works
� Flammable AppiicaGon-ANNUAL Valuation of Project
aFuel Tanks
0 othe�:
-- - - - -
, ., . . ___ _._ .. --- - - - - - -- =-- -_ ----- - _-- -- -- ._ -- . - _ . -- ---;
Contractor � Company i�+ ,r�'Il►�l
Signature Registered Y/ Fee Current Y/N
Address Lfcense#
ELECTRICIAN Company
Signature � Registered Y/N Fee Current Y 1 N
Address License#
PLUMBER Company
Signature Registered Y/N Fee Current Y/N
Address License#
MECHANICAL Company
Signature Registered Y/N Fes Current Y/N
Address license#
O7HER Company
Signature Registered Y/N Fee Curreet Y/N
Address License#
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- - _,_,_.,. .-------._. ..__ . . _ .. ---- -- - - -- -- -
DUeciions:
Fill out epplication completely.
Owner&Contractor sign back of appiicalion,notarized(Or,copy of signed contract wiih owner)
If over$2500,a t�otice of Commencement is required(Mechaoical work over$5000)
Supply two(2y sets of drawings wilh appllcabte documentation
Atlow 19-14 days for reriew aker submitEal date. Parcel#-obtained from Property Tax Notioe(htfp:l/appraiser.pasoogov.com)