HomeMy WebLinkAbout13-14163 . , CITY OF ZEPHYRHILLS ��;: '"
5335-8TH SIREET �.�•
(si3)�so-oo20 14163
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 14163 Address: 38233 DAUGHTERY RD
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 35-25-21-0010-12300-0000
Improv. Cost:
Date Issued: 5/10/2013 Name: ADVENTIST HEALTH SYSTEM
Total Fees: 25.00 Address: 7050 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILL FL 33541
Date Paid: 5/10/2013 Phone: 813)783-6189
Work Desc: FMP-SPRINKLER QUARTERLY- FL HOSPITAL CENTER WOUND & HYPER
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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 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 A7TORNEY BEFORE RECORDING YOUR NOTICE
OF COMMENCEMENT."
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PERMIT OFFICE '
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
eis-�eo-oo2o City oiZephyrhills Fire Fu•813780.W21
' Permit Applicadon
D«a�„*te R�eived 5/7/2013 Phone Contact for Permit 813 313 1611
Owner"s Name FL Hos ital Ze h ills-Ctr Wound Care 8 H� rbar�� Owners Phone Number ���
Ovmer's Address 38233 OAUGHTERY RI ZEPHYRHILL FL 33540
Fee Simple Titleholder Name Titleholder Phone Number �� �
Fee Simple Titlehokier Address
Job Address �
Lot#
Sub Division Parcel#
� Bio-Hazard W aste Storage-ANNUAL ��� ��rr � Fumigation Tent µ
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL
❑ Controlled Bum � Hood Installation
❑ Emergency Generator<30 kw � LP/Natural Gas-Installation l �/� 2
� Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale j � ,, / �
� Fire Protection Maintenance-ANNUAL ��m� � pl��s of Assemby-ANNUAL L,Y� /
��
Sprinkler � X� � � Recreational Bum
Fire Alarm � � Sparklers
Hood Cleaning � ❑ ❑ o � 0 Sprinkler System Installations
Hood Suppression ❑ ❑ ❑ ❑ � O Standpipes(Sprinkler Sys)
❑ Fire Alarm Installation 0 Toroh Roofing/Tar Kettle
Fire Pumps � Waste Tire Storage ANNUAL
Fire Works
Flammable Application-ANNUAL
Valuation of Project
Fuel Tanks
❑ Other
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ConVactor� �Wanda Paradis Com Sim lex Grinnell ���
Signature Regist Y/N Fee Cu Y!N
Address 4701 Oak Fair Btvd Tam FL 33610 License#
ELECTRICIAN Company
Signature � Repist�_ Y/N Fee Cu Y!N
Address License#
PLUMBER Company
Signature Repistd_Y/N Fee Cu Y/N
Address
License#
MECHANICAL Company
Signature � Regist�Y/N Fee Cu Y/N
Address License#
OTHER Compan
Signature Regist Y/N Fee Cu Y/N
Address�
License#
Directions: .�.r,�„�..„�.,, ., -. e„
Fill out epplication completely.
Owner&Contractor sign back of application,notarized(Or,copy of signed conVact with owner)
If over a2500,a Notice of CommencemeM is required(Mechanical work over$5000)
Supply two(2)sets of drawings with applicable documentation
Albw 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http:/lappraiser.pascogov.com)