HomeMy WebLinkAbout13-13869 ��
CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oo20 13869
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13869 Address: 37914 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: Seation:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 03-26-21-0010-00100-0030
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 AMERICAN HEART INSTITUTE
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Chapter 633, Florida Statutes,authorizes the City to charge and collect user fees to pay for the wsts 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
ZEPHYRFIILLS FIRE RESCUE DEPT- 813-780-0041
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- Permit Appiication
Date Received
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Owner's tJame , Ovmers Phone Number Y�� �
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Owner's Address 3 �
Fee Simple TitEeholder Name Titiehalder Phane Nwnber � �� �
Fee Simple Titieholder Address
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Bio-Hazard Wasta Storage-ANNUAL � Fumigation TeM
Q Comm Exfiaust Kitchen Hood/duct � HazaMous Materiat(Tier It or RQ Facility)ANNUAL
� Controlled Bum o Hood instaUatian
QEmergancy Generaior<30 kw � Lp/tVatura�Gas-I�stallation ,%`
� Eme�ency C�nerator>30 kw � LP/Naturel Gas-ANNUAL Sale r
QFire Protection Maintenance-I�NNUqI, a piaces of Assembly-ANNU //� �
X Sprinkier p ❑ / � �f
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Fire Atartn � q Q ❑ � � g�rkiers
Hood Geaning � p ❑ ❑ � Q Sprinkler System tnstallatiorts �
Hood Suppression � O ❑ ❑ C� � Standpipes(Sprinkler Sys)
� Fire Alarm InstaUation � Torch RoofingfTar KetUs
� Fire Pumps � Waste Tira Storage ANNUAI
� Fire Works
Flammabte ApplicaUon-ANNUAt ��'
D � , Valuation of Project
Fuel Tanks
Q Other:
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Signature
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Ragistered Y I N Fea CuRent Y!N
Address V 'L licen5e# �',
ELECTF2ICIA
Signature ��ny
Reglgtered Y/N Fee Cuneni Y/N
Address
License i� �
PLUMBER
Signature
Company
Registered Y/N Fee Current Y 1 N
Address Llcense# '1
MECHANlCAI �
Signature
Company
Registered Y/N Fee Current Y/N
Address
License#
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Signature �pany
Registered Y/N Fee Current Y i N
Address
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Fili out appiication comptetely.
Owner&Confraclor sign back of appiication,notarized(C3r,copy of signed coMract with owner)
!f over$2500,a NoUce of Comrr�encement is requirnd(Mechanicat work over$500p)
Supply two(2�sets of drawings with appiicable dxumentation
Ailow 10-14 days for review after submiftat date. Parcef#-opfairted from Property Tax Notice(http:llappreiser.pascogov.com)