HomeMy WebLinkAbout12-13662 CITY OF ZEPHYRHILLS
� • 5335-8TH STREET
(813)780-0020 13 62
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13662 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: 12/04/2012 Name: HCRA PROPERTIES I LLC
Total Fees: 25.00 Address: 333 N SUMMIT ST
Amount Paid: 25.00 TOLEDO OH 43604
Date Paid: 12/04/2012 Phone: (813)788-7114
Work Desc: FPM- SPRINKLER QUARTERLY- HEARTLAND HCR MANOR
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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
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* City of Zephyrhills Fire
Permit Application Fax-813-780-0o21
Date Received
' - - _ Phone_Contact for Permit ���- q y z �q�3
Owner's Name E�'�TL/3�(, �CQ /yJgNo2 C'A,�,�
3�aao Owner's Phone Number p�3 78� ���t/
Owner's Address ��y �� 1/._!D 2� T
�T a ��l�Vi�f/CLS F� 335Y�-
Pea Simple Titleholder Name ��
Fee Simple Titleholder Address 7'itleholder Phone Number �� �---J
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Job Address 3�e�a p, f�Ei,/,2y ,/�2 .zEoyr2��c c s f�=-=3 3ST�
Sub Drvision Lot# �
- - _ Parcel# �
� B�o-Hazard Waste Storage-ANNUAL � � - - '
� Hazardous Material(Tier II or RQ Facility)qNNUAL
Comm Exhaust Kitchen Hood/DuCt �
� Hood Installation
Controlled Burn a
� LP/Naturai Gas-Instaliation
Emergency Generator<30 kw a
� LP/Natural Gas-ANNUAL Sale
Emergency Generator>30 kw �
� Fire Profection Maintenance-ANNUAL ?�aces of Assembly-ANNUAL
try emi � � �ecreational Bufn
t er
Sprinkier � � � ❑
❑ Sparklers � n/ / �
Fire Alarm � � � � ���p c��
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� � � Spnnkier System Installations
Hood Cleaning n O � ❑
❑ Standpipes(Sprinkler Sys)
Hood Suppreggipn � � � � ❑
oTorch RoofinglTar Kettle
Fire Alarm InstallaUon a
� Waste Tire Storage ANNUAL
Fire Pumps
� Fire Works
� Flammable Application-qNNUAL
� Fuel Tanks Valuation of Project
[� Other:
Contractor - -- - --. _ ._ _„_ _ ,
Sigrature Company -r- �
Registered Y/(�� Fee Current Y/N
�adress 353 f � �oh
c�ECTRlGAN License# q�g 5��0� ���z
S�gnature Company �
Address �-- Registered �Y/N J Fee Current Y/N
PLUMSER License# �
Signature Comp�ny M�
Address Registered Y/Pd Fee Current Y/N
MECHANICAL License#
S�gnarure Company -
Address Registered Y/N Fee Current Y/N
vTHER ; License# �
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=:gratur� ' Company
Address � Registered Y/N Fee Current Y/N
Cirec'�ons: -- _ _License# �
Fiil out application Cpmpletely
Own2r&Contractor sign back of application,notarized(pr,copy ot signetl contract with owner)
If over 52500,a Notfce of Commencement is required(Mechanical work over$5000)
Supply two(2)sets of drawings with applicable documentation
Allow 10-14 days for review after submittal date. Farcel#-obtained from Property Tax Notice(http:/lappreiser.pascogov com)