HomeMy WebLinkAbout13-14399 CITY OF ZEPHYRHILLS ,,/
5335-8TH STREET
(813)780-0020 14�99
ANNUAL FIRE PROTECTION MAINTENANCE �
Permit Number: 14399 Address: 6701 DAIRY 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: 02-26-21-0010-03900-0060
Improv. Cost:
Date Issued: 7/26/2013 Name: FLORIDA SENIORS PROPERTIES INC
Total Fees: 25.00 Address: 6701 DAIRY RD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 7/26/2013 Phone:
Work Desc: FPM- SPRINKLER ANNUAL-WESTBROOK MANOR
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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 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
s�s-�so-oo2o City of Zephyrhills Fire Fax-813-780-0021
Permit Application
Date Received Phone Contact for Permit �G�r.�---� �� �LJ�����}
Owner's Name � Owner's Phone Number � Z I �'�'�'( 1
Owner's Address �� �Q I �
Fee Simple Titleholder Name Ttleholder Phone Number � � C�
Fee Simple Titleholder Address
Job Address � \ 1 �.J� Lot# �
Sub Division Parcel# � �" �� � V �
' � D� - U�(q�
� Bio-Hazard Waste Storage-ANNUAL � Hazardous Material(Tier il or RQ Facility)ANNUAL
� Comm Exhaust Kitchen Hood/Duct � Hood Instaliation
� Controlled Bum � LP/Natural Gas-Installation
� Emergency Generator<30 kw � LP/Natural Gas-ANNUAL Sale
aEmergency Generator>30 kw � Places of Assembly-ANNUAL � ���v��
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Fire Protection Maintenance-ANNUAL Recreafional Burn �
�� emi � er �
Sprinkler ❑ ❑ ❑ Sparkiers
Fire Alarm � ❑ ❑ ❑ � � Sprinkler System Installations
Hood Cieaning � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys)
Hood Suppression � ❑ ❑ ❑ � � Torch Roofing/Tar Kettie
� Fire Alarm Installation � Waste Tire Storage ANNUAL
QFire Pumps
� Fire Works
FlammableAppiication-ANNUAL Valuation of Project
� Fuel Tanks
Q Other•
Contractor , � Company � • ��
Signature Registered /N Fee Current Y/N
Address "]C � License# �_ p,
ELECTRICIAN Company
Signature Registered Y/N Fee Current Y/N
Address License#
PLUMBER Company
Signature Registered Y/N Fee Cur2nt Y/N
Address
License#
MECHANICAL Company
Signature Registered Y/N Fee Current Y/N
Address License#
OTHER
Company
Signature Registered Y/N Fee Current Y/N
Address License#
Directions:
Fill out appiication compietely
Owner&Contrador 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
Ailow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http:!/appraiser.pascogov.com)