HomeMy WebLinkAbout13-13870 CITY OF ZEPHYRHILLS
5335-8TH SIREET
(si3)�so-oo20 13870
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13870 Address: 37922 DAUGHTERY RD BLDG 4
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: 03-26-21-0010-00100-0010
Improv. Cost:
Date Issued: 2/12/2013 Name: DAUGHTERY ROAD PROF CENTER LLC
Total Fees: 25.00 Address: 6719 GALL BLVD STE 106
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/12/2013 Phone:
Work Desc: FPM-ANNUAL FIRE SPRINKLER FOR BAY AREA MEDICAL CLINIC
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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 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 pertormed 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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` Permit Application
Oate Received � � Phone Contact for Permit _�� ��( 7 7
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Qwner's IVame '�' � (�tI�L Owners Phone Number �—S��� �� �' b
Owner's Address 3 �� �,{„ �
Fee Simple Titiehoider Name TiUehaider Phone Number �� �� [�
Fee 5imple Ti(leholder Address
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Job Address t (,� d�17 � y Lot t� C�
Sub Division Parcei#
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o Bio-Hazard Waste Storage-ANNUAL � Fumigation Ter�t
Q Cumm Exhaust Kitchan tiood/Duct Q Fiazardous Material{Tier II or RQ Facitity),ANNUAL
� Controfled 8urn o Hood Instailation �
QEmergency Generatar<3Q kw � LP/Naturai Gas-tnstallation%'f
QEmergency Gerierato�>30 kw Q LPINaturel Gas-ANNU Sale
� Fire Protection Maintenar�ce-ANNiIAI. Q Places of Assembly- NNUAL ` ��f Q
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� Sprinkler � ❑ D i� � � RecreaGonel Bum f
Fire Alartn � Ct D Q U � Sparklers
liood Cleaning � ❑ ❑ ❑ � � Sprinkler System Instalia s
Hood Suppression � O ❑ O � � Standpipes(Sprinkler Sys)
� Fire Alarm instailation o Torch Roofing/Tar KetUe
� Fire Pumps � Waste Tire Storage ANNUAk.
Fire Works
Flammable Appiica on-ANNUAL r , Valuation of Project
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fuei Tanks
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Contractor Company
Signatura Q.[.�-�. Registered Y!N Fee Gunent Y/N
Addrass Q Z License#
ELECTRICIAN Company
Signature Registered Y 1 N Fee Curcent Y/N
Address License#
PLUMBER CompaRy
Signature Registerec! Y/N Fee Current Y/N
Address License#
MiECNAIViCAL Cp��y
Signature Registered Y!N Fee Current Y!N
Address License#
O7HEf2 ComPe�Y
Signature Registered Y/N Fee Current Y/N
Address �����#
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Directions:
Filt out application compl@tely.
Owner 8 Contractor sign back of application,notarized(a,copy of signed corrtract with owner)
if over$2500,a Notice af Commencement is raquirad(Mechanicai work over$5000)
Supply fwo(2)sets of drawings with appiicabie documentation
Ailow 10-f4 days for review after submiitai date. Parcei#-obYained from PropeRy Tax NoUce(http:Jlappraiser.pascogov.com)