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HomeMy WebLinkAbout13-14427 CITY OF ZEPHYRHILLS 5335-811i STREET - " (813)780-0020 14427 � ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 14427 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: 8/08/2013 Name: ZEPHYR HAVEN NURSING HOME Total Fees: 25.00 Address: 38250 A AVE Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 8/08/2013 Phone: (407)975-3000 Work Desc: FPM- SPRINKLER QUARTERLY ZEPHYR HAVEN NURSING 5. � V"�. � �, . �� I 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 RECORDING YOUR NOTICE OF COMMENCEMENT." ��� �. r . � � � L � , �; ,� L,.�-l,.-c,, � -�a�-� PERMIT OFFICE PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 --- --- .,.._., ....� ...".�...�..,....,. .... •- - - -- ---- Perinit A�plication Date ReceEved � _ t� ���� �� k:-�ti.sS•ki-..a::.g�;t,:'yii:na:�c.;,�.,...�.�.?3_m°.s. ,. ..;. ....:�,: . ...e. .-�._ ._._..�._,_ �. . • _ , .-_. ... _:_ - . ..-..c.-..-. . .t Phons Coniact far Permit a•.. r -x,.p.�,.. �,...._ ... _.. . - ., -.,a— . . .. .,, -_._..... .. ... ... . . .o.Kns••.�a..r,�..,,y O►vne�s Name l.__�4.�-,� '��, Owners Phone Number [��e1_..!-1 � � I`!�. Owners Address � � Fae Simple 7111eholder Name TiUeholder Phone Number C� � � Fee 5impte TfUehoider Address � ' F�..,. .r—�-�..-..:::':.�.�,.�-.-.�-t'�i-..-'.�:�...-..'i'�-____..'_, _ - — �r�:r - -... _ ��--_ "—, __ _ __ '�k:' _ - _� - .-.y�:j:r1.. ..,+'�`-:'i�'�-�a�,'_:�r ,:l...tl..i-nle�_�.s�_5i"-+.'4.-.-� 's!L'' - - -- �i'•i_'�"`.'_._ _ _ - _ - :�i'.- .-.1�:� i�..._..�'fi�n�`.',:�..w%i::!c=ai:.n�i�..t_,. in:�� Job Acidress` �ilt���� �' - - .:;�.l � Lot# � Sub Olvisfon Parcel# � � - -- - ---:_�+ - _;z-• - ---- ^-i`S:°..,,.,-.;,...�_ -- _ _-r=..-..' ' `-- --.:-.-,.:dtir,-3au?:��>i:a.°�;;c,_�4;,:,���:�3L:a3�u:_�.,s.^.�u-':AF<:.:�':t�ia,'Kf .rk�i�:�.?F�IF:ti_:s.�..-.. .-,i��-"'i2'�v'"'.c:.i-r.::1'f_!^cc�s..T � __ ___ve.� n a BlaFfaza►d Waste Sforage-lWNUAL Q Fumigalion Tent � Comm�xi�aust Kitchen Hood/Duct Q Hazardous Maiedel{Tfer II er RQ Fadllty)ANNlJAL , , • � Controlted Bum � � Hood InstaUat�on , aEmergency Generetor<30 kw a LP/Natural Gas-InsEallatlon . QEmergency Generator>30 kw � LPMatura!(3as-ANNUAL Sale o Fire Proteciion Mafntenance-ANNUAL Q Places ofAssembly-ANNUAL n Z7 . em er_ ��� � - .-- - --- - -- --- - - --------�-o � �- Sprinkler � � � B � Recrealionaf Sum Fire Alarm � � Q ❑ � � Spariders Hood Cleening � ❑ � CJ � � Sprinkier System InstellaUo�s Hood Suppresslon � � ❑ ❑ � � Standptpes(Sprinkler Sys) , a FIre Alerm Inataltailon � Torch Rooflngll'ar Kettle Flre Pumps Q Waste T(re Slorage AWNUAI �itB 1Morks �lammable Applicadon•AMIJUAL Valuatlon of ProJect Fuel Tenks . Q Other: 4. `::5: ' +_'!_','- " _ - a.�t'a _ _ ___ _ " = _' =1`.' - - i\ ';�; _ _ _ L.�:' _ _—___' '_ l`1 ti-:`+ �:�:.�;...�:t:`i. ..i^T3�w veS-+..>..�.4:%uF€t�%35z.:..�.........,_.3:s�i:;2iS::Ci:t�!`:i:....r:_� _,._�.-_� ._.�._.....N�....�......... . ...:.._..... . .�....s��:�P�:eo-:�..,. -x-:�^��.^.':7� �:x.�':i2ii�'sill%x...E±�r3:fr3 Confractor j ' Company � Sfgnature � Regtstered Y/1� Fae Current Y/N Address ��icense!� ELECTRECIAN Company Sfgnature RegEstered Y/N Fea Cunent Y 1 N Address ' Ucense# T i PLUfu�BER Company Slgnatnra f2eglstered Y/N Fea Curcent Y./N Address License# �� MECHANICAL Company Signature Reglstered Y I lr! Fee Current Y!N Addcess Ucense#� � OTHER Company ' SlgnaWre Regfstered, ' Y/N Fee Current Y/N Addcess Lfcensa# ����� � �. � �....._ ::: ._..-_:< . , __.:_�:•..----- -�- �. __�.__��_.,�_:=- .-,----------- - -- •--.._. --- - ---- - .� .a .,-,...w_a- k 1 . :.r: .�x._._.;... r...... . . -......_, .F _ _ _a:...'�.�-.- - ��•, ,v=�' DtrecUons: � FUI ouf appl3caUon compfately_ dwnar&ConUector slen beck ai applicatlon,notarized(Or,copy of signed contract wltii owner} !f over$2500,a NoUce of Commancernent is required{Mechanical work over$5060} 5uppiy two(2)aets of drawings wifh appitcable documentat3on Allow 10-'i4 daya for revle�v after submiNal dete. � Parcel#-obialned from Properly 7ax fJotice(http:i/appraiser.pascogov.com)