HomeMy WebLinkAbout13-13867 CITY OF ZEPHYRHILLS
5335-8TH STREET
(sis)�so-oozo 13867
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13867 Address: 37900 DAUGHTERY RD
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: 03-26-21-0010-00100-0010
Improv. Cost:
Date Issued: 2/12/2013 Name: DAUGHTERY ROAD PROFESSIONAL CN R
Total Fees: 25.OQ Address: 6719 GALL BLVD STE 106
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/12/2013 Phone: (813 973-2657
Woric Desc: FPM-ANNUAL FIRE SPRINKLER FOR BAY AREA MEDICAL WALK IN CLINIC
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Chapter 633, Florida Statutes,authorizes the City to charge and collect user fees to pay for the costs of fre
prevention and protection related activities such as inspections, plan review,administrative f�ees,and other
oosts related to the aforementioned.
Complete Plans, Specifications and Fee Must Accompany Application. Commencement of work without written approval of
the Fire Department's Fire Marshai 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 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
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Permit Applica#ion
Date Received �`r�� Phone Coniacttor Permit J'^S� 7 t �7
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Owner's Name J� � /V�� dwner's Phone Number 8 1 3 .� [.LI � 1 ,E' f�
dwner's Address Q Q �{�
Fee Simple Titlahoider Name Tftiehaider Phone Number �� � [�
Fee 5imple Tittehoider Address
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Job Address �(� � O (� { Lot� � ��
Sub Division Parcel#
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� Bio•Hazard Wasta Storage-ANNUAL � FumigaSon Tent
Q Comm Exhaust Kitchen Hoad/Duct � HazaMous Materiai{Tler It or RQ Facility}ANNUAL
� Contcalled Bum Q Hood Instailation
QEmergency Generator<30 kw � LPiNatural Gas-Instatletion
aEmergency Generalor>30 kw Q LP/Naturel Gas-ANNUAL Sale
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Q Fire Protection Maintenance-ANNUAL o Places of Assembly-ANNUAL �' J
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�(' Sprinkler � CJ � � � � Recreational Bum �j �
Fire Alarm � ❑ Gl G7 � � Sparkiars
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Hood Cleaning � ❑ ❑ t� � � Sprinkler System Installatio
Hood Suppression � ❑ ❑ ❑ � � Standpipes{Sprinkier Sys)
� Fire Alarm InstaitaGOn o Torch RoofingfTar Kettte �
� Fire Pumps � Waste Tire Storage ANNUAI
� Fire Works
� Flammable Applicatiorl-ANNUAL �_— � Valuation of Project
Fuel Tanks
[� other.
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CoMractor Company
Signature � �(�—� Registered Y/N Fee Current Y/N
Address 'L l.icense#
ELECTRICIAN Company
Signalure Registerad Y I N Fee Current Y/N
Address Lice�se#
PLUMBER Company
Signature Registered Y/N Fea Current Y/N
Address License#
MECHANICAL Company
Signature Registered Y!N Fee Cunent Y!N
Address License#
OTHER Company
Signature Registered Y!N Fee Current Y/N
Address License#
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.Directions:
Fill out appiication completely
Owner&Cont►actor sign back of applicaiion,notarized(Or,Copy of signed coMrect with owner)
I#over$2500,a Notice a(Commencement is requirod(Mechanical woric over$5000)
Supply two(2}sets of drawfngs with appiicable documenfatton
Allow 1Q-14 days for review aRer submitta!date. Parcei#-obtained from Property 7ax Notice(http:t/appraiser.pascogov.com)