HomeMy WebLinkAbout13-13868 CITY OF ZEPHYRHILLS
5335-8TH SIREET
�sis��$0-0020 13868
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13868 Address: 37908 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: 03-26-21-0010-00100-002A
Improv. Cost:
Date Issued: 2/12/2013 Name: DAUGHTERY ROAD PROFESSIONAL CN R
Total Fees: 25.00 Address: 6719 GALL BLVD STE 106
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/12/2013 Phone: 813 973-2657
Work Desc: FPM-ANNUAL FIRE SPRINKLER FOR FLORIDA GASTROENTEROLOGY
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Chapter 633, Florida Statutes,authorizes the City to charge and oollect user fees to pay for the costs of fire
prevention and protection related activities such as inspections, plan review,administrative fees,and other
oosts related to the aforementioned.
Complete Plans, Specifications and Fee Must Accompany Application. Commencement of work without written approval of
the Fire Departrnent'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 acrnrdance 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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Permit Applicatian
Date Received �� � Phone Contact for Permit �' ���i St � « �>?7
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Owner's Name �O�s Owners Phone Number C�!.� C�E'J � p
Owner's Address � Q
Fee Simple Titieholder Name Tftiehoider Phone Number C� �� C�
Fee 5impie Tit{eholder Address
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Job Address t.� � (�'t� lot# ��
Sub Division Pa���
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o Bio-Ffazard Waste Storage-ANNUAL � Fumigation TeM
QComrn Exhaust Kitchen Hood/Duct o Hazardous Materiai(Tier 1►or RQ Facifity)ANNUAL
Controlled Btxn � Hood lnstaliation
QEmargency Generator<30 kw � �P/Natural Gas-I�statlation
a Emergency Generator>30 kw � lP/Natural Gas-ANNUAL Sale
� Fire Protection Main4enance-ANNUAL Q Places of Assembly-ANNU /'��/
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� Sprinkler � l7 D Recreationai Bum /� d
Fire Alarm � D C7 C7 � � Sparkiers (
Haod Gleaning � ❑ ❑ ❑ �� � Sprinkler System Installations
Hood Suppression � p ❑ ❑ � � Standpipes(Sprinkler Sys)
� Fire Atarm Insialiation o Torch RoofingtTar Ketde
� Fire Pumps � Waste Tire Storage ANNUAL
� Fire Works
� Fiammable Application-ANNUAL �— � Valuation of Project
Fuel Tanks
[� Other:
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Contractor Company
Signature Registered Y/N Fae Current Y(N
Address license#
ELEC7RICIAN ��y
Signature Registered Y/N Fee Current Y/M
Address License#
PLUMBER Company
Signature Registered Y/N Fee Current Y/N
Address License#
MECHANICAL �m��y
Signature R�'tstered Y/N Fee Current Y/(d
Address License t�
OTHER Company
Signature Registered Y(N Fee Gurrent Y!N
Address Lic�nse#
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Directians:
Fill oui application completely
Owner 8�Contractor sign back of applicaiion,notarized(Or,copy of sFgned contract with owrrer)
if over$2500,a Nalice af Commencement is requirsd(Mechanical work over$5000)
Supply two(2)sets of draHrings with applicabie documerrtatton
Allow 10-14 days for review afler submittai date. Parce{#-obiained from Property Tax Notice(http:ltappraiser,pascogov.com)