HomeMy WebLinkAbout13-13854 CITY OF ZEPHYRHILLS
' S335-8TH SIREET
(813)780-0020 y�`854
ANNUAL FIRE PROTECTION MAINTENANCE �
Permit Number: 13854 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: 35-25-21-0010-10500-0000
Improv. Cost:
Date Issued: 2/08/2013 Name: FL HOSPITAL OF ZEPHYRHILLS
Total Fees: 25.00 Address: 7050 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/08/2013 Phone: (813 783-6189
Work Desc: FPM- SPRINKLER QUARTERLY FL HOSPITAL
� ��� �-- ,
C� . r �
, � �� �
�
,
ina
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 pertormed in accordance with Ciry 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
613-780-0020 City of Zephyrhdls Fire Fax-Bt3-780-0021
Permd Applica4on
Date Received 2!6/2013 Phone Contact for Permit 813 313 1611
Owner's Name Florida Hos ital Ze h rhills Owner's Phone Number �� �
Owner's Address 7050 Gall Blvd ZEPHYRHILL FL 33541-1399
Fee Simple Tideholder Name TiUeholder Phone Number �� �
Fee Simple TiUeholder Address
Job Address Lot# �
Sub Division Parcei#
� Bio-Hazard Waste Storage-ANNUAL 0 Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL
� Controlled Burn � Hood Installation
❑ Emergency Generator<30 kw 0 LP/Natural Gaslnstallation
� Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale � `
� Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL ���
��mL� � ( z� �
Sprinkler � x ❑ ❑ � � Recreational Burn 1 1�-�
Fire Alarm � ❑ ❑ ❑ � � Sparklers
Hood Cleaning � � ❑ ❑ � � Sprinkler System Installations
Hood Suppression � _ ❑ ❑ 0 � Standpipes(Sprinkler Sys)
❑ Fire Alarm Installation � Torch Roofing/Tar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
Fire Works
Flammable Application-ANNUAL Valuation of Project
❑ Fuel Tanks
❑ Other
Contractor Wanda Paradis Comp Sim lex Grinneil
Signature Regist Y/N Fee Cu Y/N
Address 4701 Oak Fair Blvd Tam a FL 33610 License#
ELECTRICIAN Compan
Signature � Regist Y/N Fee Cu Y/N
Address License#
PLUMBER Compan
Signature Regist Y/N Fee Cu Y/N
Address License#
M EC HAN ICAL Com pan
Signature � Regist Y/N Fee Cui Y/N
Address License#
OTH ER Compan
Signature Regist Y/N Fee Cui Y/N
Address License#
Directions:
Fill out application completely
Owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner)
If over$2500,a Notice 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. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com)