HomeMy WebLinkAbout13-13955 _ CITY OF ZEPHYRHILLS
5335-8TH S7REET
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ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13955 Address: 7050 GALL BLVD
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: 30-26-20-0000-00200-0010
Improv. Cost:
Date Issued: 3/05/2013 Name: FL HOSPITAL OF ZEPHYRHILLS
Total Fees: 25.00 Address: 7050 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/05/2013 Phone: (813)783-6189
Work Desc: FPM- FIRE ALARM SEMI - FLORIDA HOSPITAL
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A inal
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 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
Ciry of Zephyrhills Fire Fax-aia-�eaooz�
813-780.0020
Permit Application
Date Received 2l26/2013 Phone Contact for Permit 813 313 1611
Owner's Name Florida Hos ital Ze h rhills Owner's Phone Number �0 �
Owner's Address 7050 Gall Blvd ZEPHYRHILL FL 33541-1399 �� �
Fee Simple Titleholder Name Titleholder Phone Number
Fee Simple Titleholder Address
Job Address Lot# �
Sub Division Parcel#
� Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen HoodlDuct � Hazardous Material(Tier II or RQ Facility)ANNUAL
� Controlled Burn 0 Hood Installation
� Emergency Generator<30 kw � LP/Natural Gas-Installation
� Emergency Generator>30 kw � LPlNatural Gas-ANNUAL Sale
� Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL `
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Sprinkler ❑ � � Recreational Burn l
�re Aler�'�, ❑ c x ❑ 0 � Sparklers
Ho� � ❑ ❑ ❑ � � Sprinkler System Installations
Hood Suppression ❑ � ❑ ❑ 0 � Standpipes(Sprinkler Sys)
� Fire Alarm Installation 0 Torch RoofinglTar Kettle
� Fire Pumps 0 Waste Tire Storage ANNUAL
� Fire Works
� Flammable Application-ANNUAL Valuation of Project
� 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 Compan
Signature � Regist Y/N Fee Cw Y/N
Address �icense#
PLUMBER Compan
Signature
Regist Y/N Fee Cu Y/N
Address License#
MECHANICAL Compan
Signature � Regist Y!N Fee Cu Y/N
Address License#
OTHER Compan
Signature Regist Y/N Fee Cw Y!N
Address License#
Directions:
Fiil 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 Property Tax Notice(http://appraiser.pascogov.com)