HomeMy WebLinkAbout13-13954 CITY OF ZEPHYRHILLS
5335-8TH STREET
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ANNUAL FIRE PROTECTION MAINTENANCE �
Permit Number: 13954 Address: 38240 DAUGHTERY RD
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book:
Proposed Use: NOT RPPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0010-00600-0010
Improv. Cost:
Date Issued: 3/05/2013 Name: ADVENTIST HEALTH SYSTEM
Total Fees: 25.00 Address: 7050 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33541
Date Paid: 3/05/2013 Phone: (813)783-6189
Work Desc: FPM- FIRE ALARM ANNUAL-ADVENTIST HEALTH SYSTEM
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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 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
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
aia-�eo-oozo City of Zephyrhtlls Fire
Pertnit Application Fax-813-780-0021
Date Received 2/26/2013 Phone Contact for Permit 813 313 1611
Owner's Name Communi Care Mobile Office Buildin Owner's Phone Number �� �
Owner's Address 38240 DAUGHTERY R'ZEPHYRHILL FL 33540-1367
Fee Simple Titleholder Name Titleholder Phone Number ��� �
Fee Simple TiUeholder Address
Job Address Lot# �
Sub Division
Parcel#
� Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent
Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL
❑ Controlled Burn Hood Installation
❑ Emergency Generator<30 kw �
� Emergency Generator>30 kw LP/Natural Gas-Installation
� LP/Natural Gas-ANNUAL Sale ,/
Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL � �� /y
Sprinkler ���m� �% J�
� � � 0 Recreational Burn
Fire Alarm
❑ ° X 0 � Sparklers
Hood Cleaning � ❑ ❑ �� � Sprinkler System Installations
Hood Suppression � ❑ ❑ ❑ � �� Standpipes(Sprinkler Sys)
❑ Fire Alarm Installation 0 Torch Roofing/Tar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
Fire Works
� Flammable Application-ANNUAL
� Valuation of Pro�ect
Fuel Tanks
❑ Other
Contractor Wanda Paradis Comp Sim lex Grinnell
Signature
Regist Y/N Fee Cui Y/N
Address 4701 Oak Fair Blvd,Tam a FL 33610 License#
ELECTRICIAN
Signature � Company
Regist�_Y/N � Fee Cui Y/N
Address
License#
PLUMBER
Signature Company
Regist�_Y/N � Fee Cu Y/N
Address — —
License#
MECHANICAL
Signature � Company
Regist�_Y/N � Fee Cu Y/N
Address —
License#
OTHER
Signature Compa�
Regist�Y/N J Fee Cu 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 Pro e Tax Notice htt //a
P rtY ( p: ppraiser.pascogov.com)