HomeMy WebLinkAbout12-13516 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 13516
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13516 Address: 7340 DAIRY RD
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 35-25-21-0010-07500-0010
Improv. Cost:
Date Issued: 10/09/2012 Name: ADVENTIST HEALTH SYSTEM SUNBELT
Total Fees: 25.00 Address: 7050 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33541
Date Paid: 10/09/2012 Phone:
Work Desc: FPM- FIRE ALARM QUARTERLY- FLORIDA HOSPITAL DAYCARE
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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
a�3-�saao2o City of Zephyrhills Fire Fex-813-780-0021
'� � Permit Application
Date Received -� Phone tec C�
:._. ._ ,.,...: ... . .:...... -- - --------=--- -- -- =-- - -- - - --
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_ .,..,.�.__ ... . �-, . --.. . . . .._...._
- � -------•- ----------- °n t w Permit _ .__.. _ � -- - ----- -.::....__ -._--
Owners Name � �CeDeI � ,� �� S �/JL Owners Phone Number �_] �� �]
Owner's Address �7�7� / C L � �� ,3�,,,``�' ZS'
fee Simpte TiQehotder Name Tideholder Phone Number �� � C�
Fee Simpte Tfilehotder Address
_ ._.. ._
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- - - - - -- --- - -=-- - --- -
-------- - �- - - -_--_.:. ------•
Job Address Lot# ��
Sub oiv3sion Parcel#
-- - �- � - - - ----- -- -- - - -
_ ._ . - _ , _ _ _ . ..._.__-�------------ ��;
a 8ialiazard Waste Storage-ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen FloodlDuct � Hazardous Material(TEer II or RQ Facilityy ANNUAI �
Q Controlied Burn � Hood Inslallatlon L��(� . �E+1�
� ��^
� Emergency Generator<3Q kw Q LP/Natural Gasdnstallation �.�,
� Emergency Generator>30 kw Q LPMetural Gas-ANNUAL Sale 0
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Fite ProtecHon Maintenance-ANNUAL � Places of Assembly-ANNUAI. Si3 �
�y emi � r g ��I
Sp�nkler � I] ❑ ❑ � � Recrsational Bum ���j'�
FireAiarm � � ❑ ❑ � � Spariclers
Hoa4 Cleaning O � Cl � � Spri�kler System InslailaGons `#r��I�ii
Haod Suppression � � � O � � Star�dpipes(Sprinkler Sys)
aFire Alarm installaGon Q Torch Raofing/Tar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
� Fire Works
� Fiamtttable Appl[CaUon-ANNUAt Valuation of Project
Fuel Tanks
Q �lhef:
Contractor � Company ,� . �. _�_.._.�_._._---. -. .._,. ,
Signaiure Registered Y/N Fee Current Y/N
Address Ucense#
ELECTRlCIAN Company
Signeture � Registered Y/N Fee Current Y/N
Address License#
PLlftulBER Company
Signalure Registered Y!N �ee Current Y/N
Address l.icense#
MECHANICAL Company
Signature Registered Y/N Fee Cunent Y/N
AdBress License#
OTIiER Company
Signature Registered Y/N Fee Current Y!N
Address License#
- - -- ---_._,..,_._,_,,..--,---..:� _ : _ _. . - --- .. . - - -
DirecUons: � - - - -"--- ---- -
Fili out application completely.
Owner&ConUactor sign Uack of apptication,notarized{Or,copy of signed oontract with owner)
If over a2500,a Notice of Commencement is required(Mechanicai work over$5000)
Suppfy iwo(2)sets of drawings with applicabte documentalion
Allow tU-14 days for review aiter submiltal date. Parcet#-obiained trarn Ptaperty Tax lVo6oe(hltp:/lappraiser.pascogov.aom)