HomeMy WebLinkAbout13-13956 CITY OF ZEPHYRHILLS
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ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13956 Address: 37834 MEDICAL ARTS CT
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: 34-25-21-0080-00000-0030
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)788-0411
Work Desc: FPM- FIRE ALARM SEMI- FL HOSPITAL PREMIER SURG CENTER
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A 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 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
8�3-780-0020 City ofZephyrhdls Fire Fez-813-760-0021
Permit Apphcation
Date Received 2/26/2013 Phone Contact for Permit 813 3'I3 1611
Owner's Name FL Hos Ze h rhills-Premier Sur Ctr Owner's Phone Number �� �
Owner's Address 37834 Medicai Arts Ct ZEPHYRHILL FL 33541-4325
Fee Simple TiUeholder Name Titleholder Phone Number �� �
Fee Simple Titleholder 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 �
LP/Natural Gas-Installation
� Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale
� Fire Protection Maintenance-ANNUAL ��� � Places of Assembly-ANNUAL
Sprinkler � ❑ � � Recreational Burn / � �����
Fire Alarm � ❑ x ❑ � � Sparklers �
Hood Cleaning � � ❑ ❑ � � Sprinkler System Installations l
Hood Suppression � ❑ _ ❑ � � Standpipes(Sprinkler Sys)
❑ Fire Alarm Installation � Torch Roofing/Tar Kettle
� Fire Pumps � 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 Cu Y/N
Address 4701 Oak Fair Blvd,Tam a FL 33610 License#
ELECTRICIAN Company
Signature � Registd Y/N Fee Cui Y/N
Address
License#
PLUMBER
Company
Signature Regist� Y/N Fee Cui Y/N
Address
License#
M EC HAN ICAL Company
Signature � Registd Y/N Fee Cui Y/N
Address
License#
OTHER
Company
Signature Regist� Y/N Fee Cu Y/N
Address
License#
Directions: "
Fill out application completely
Owner&Contractor sign back of appiication,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)