HomeMy WebLinkAbout13-14009 . . CITY OF ZEPHYRHILLS
5335-8TH STREET
(sis)�so-oozo � 14009
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 14009 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): Biock: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 30-26-20-0000-00200-0010
Improv. Cost:
Date Issued: 3/21/2013 Name: FL HOSPITAL OF ZEPHYRHILLS
Total Fees: 25.00 Address: 7050 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/21/2013 Phone: (813)783-6189
Work Desc: FPM- SPRINKLER ANNUAL- FLORIDA HOSPITAL
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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
eiaac�-oozo CdY ot 2eW�YAuts�re car8i 3rBOaozi
, q PotmitAppFt6tton
Date ReCClved 3/13l2013 Phone CanEecl for Perm[t 813 313 1811
... ....... . . .. ..
--- - -°,..:.....:... . . .
Owners Name Fbrida Hoa ltal Ze h ils Owner's ahone t�umtxr ��[_]C�
Owners Addreas 7050 GallBtvd ZEPHYRHILL FL 33541-1399
Fee Simpte TWehoider Neme Titleholder Phone Number ���
Fee Simple TlUehddar qddress
- `---- ---......-•--- -,_..,,.,.. _::.....,... .. - . . - .... ..........__...-_-,_-, ._-..
Job Address --- --- ---Lot H .�
Sub Dlvieion pe���� �
__ .,,.._.....n-,-�----_:.�,..._�,.;_._...,-...,_..._._ ..- _ - --:_ .
❑ Bto-Hazard Wasfe SYorape-ANNUAL � Fumigetton Tent . - ---'- -1 - -
❑ Comm Exheust iQlciien Hood/Duct � Hazardoua Malerial(7ier 11 or RQ Faaliry)ANNUAL
❑ Conlro�ed Bum �� Hood InafepaUon
❑ Emergency Generator<30 kw � LPBJatural Qes-Instaaation
DEmerpeney Generetor>30 kw � LP/Nalural Gas-ANNUAL Sale /���` /�/��,J
Fire Protection Maintenance-ANNUAL ��� � p��g�Asaembly-ANNUAL �{�( y'(JI,� l
s�nkter `1�
� x � Reueatiortal Burn
Flro Aiarm o � O Spa�ara
Hood Cleaninp o 0 0 � Sprinkler Syetem inalallalfons
Hood Suppresnlon [� o o ❑ � � Slandplpes(Sptinkiet Sys)
[] Fire Alarm InstaNaGon
� Torch Roofingfl'ar Ketlle
Firo Pumps � Waste Tire Storage ANNUAt
Fire Wotks
Flammable Application-ANNUAI �--7 ValuaUon ot ProJect
Fuei Tanks
❑ Other.
Contrector Wende Paradie Comp Sim ex Grinnep ^ -�
SignaWre Regist Y 1 N Fee Cu Y/t3
Address 4701 Oak Falr Blvd Tam Ft 33610 Liceose f�
EI.ECTRICIAN Com an
Signature � ReBf t Y!N FeeCu Y/N
Address License# �
PLUtiSBER
Signaturo Compan -�'-,
- Repist Y/N Fee Cu Y!N
Addross Licensa#
MECMANICAL Compa �-----�
Slgnafure � Repis Y/N Fee Cu Y!N
Address
License#
OTHER Com n
Stpnature Regis�! Y/N Fee Cv Y/N
Address
- .::... . .: ... . ...._ ...,.._........,,. License p
:...._..:...... .... .. . ... �__ ._ _:-.-------
Directfons: .. . .. .. .. . ._... . -. , �-� - . ._.
fiip out appUcatlon comptetely.
Owner&ConEtactor al8n back of appficaQon,notarized(Or,copy of signail conlrac!wilh owner)
lf over�2500,a MoUce o(Commencement is requlred(Mechenfcaf work over$5000}
. Supply Mro{2)sets ot Arawings witl�appticebie dacumente0an
PJlow t0-94 days tor revtew aftar submittal date. Parcel#-obtalned trom Properfy Tax Nottu(hup:/lappralaer.paaco8ov,com)