HomeMy WebLinkAbout13-14348 „ CITY OF ZEPHYRHILLS
5335-8TH STREET
�sis)�so-oo20 14348
ANNUAL FIRE PROTECTION MAINTENANCE
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Permit Number: 14348 Address: 38250 A AVE
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: 14-26-21-0010-01300-0010
Improv. Cost:
Date Issued: 7/11/2013 Name: ZEPHYR HAVEN NURSING HOME
Total Fees: 25.00 Address: 38250 A AVE
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 7/11/2013 Phone: (407)975-3000
Work Desc: FPM- FIRE ALARM ANNUAL-ZEPHYR NURSING HOME
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Chapter 633, Flo e.�a Statutes,authorizes the City to charge and collect user fees to pay for the costs of fire
prevention and p� �tection related adivities 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 RECORDING YOUR NOTICE
OF COMMENCEMENT.”
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PERMIT OFFICER �'
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
eia�eo-oozo Ciry of Zephyrhdls Fire Fax-813-780-002'I
Permit Application
Date Received 7l8/2013 Phone Contact for Permit 813 313 1611
Owner's Name Ze h r Haven Nursin Home Owner's Phone Number 0� 0
Owner's Address 38250 A AVE ZEPHYRHILL FL 33542
Fee Simple Titleholder Name Titleholder Phone Number �� �
Fee Simple TiUeholder Address
Job Address Lot# �
Sub Division Parcel#
� Bio-Hazard Waste Storage-ANNUAL 0 Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL
� Co�trolled Burn 0 Hood Installation
� Emergency Generator<30 kw 0 LP/Natural Gas-Installation
� Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale
� Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL
����� 0
Sprinkler Recreational Burn
Fire Alarm � ❑ X 0 � Sparklers
Hood Cleaning � ❑ ❑ ❑ 0 0 Sprinkler System Installations
Hood Suppression � ❑ ❑ ❑ 0 � Standpipes(Sprinkler Sys)
� Fire Alarm Installation 0 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 Cui Y 1 N
Address 4701 Oak Fair Blvd,Tam a FL 33610 License#
ELECTRICIAN Compan
Signature � Regist Y!N Fee Cui Y/N
Address License#
PLUMBER Compan
Signature Regist Y/N Fee Cu Y/N
Address License#
MECHANICAL Compan
Signature � Regist Y/N Fee Cui Y/N
Address License#
OTHER Compan
Signature Regist Y/N 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 Property Tax Notice(http:!/appraiser.pascogov.com)