HomeMy WebLinkAbout13-14537 CITY OF ZEPHYRHILLS
5335-8TH STREET
• - . (si3)�so-oozo 145��
ANNUAL FIRE PROTECTION MAINTENANCE �
Permit Number: 14537 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): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 30-26-20-0000-00200-0010
Improv. Cost:
Date Issued: 9/12/2013 Name: FL HOSPITAL OF ZEPHYRHILLS
Total Fees: 25.00 Address: 7050 GALL BLVQ
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/12/2013 Phone: (813)783-6189
Work Desc: FPM- FIRE ALARM- SEMI - FLORIDA HOSPITAL ZEPHYRHILLS
��
� _� �'-� -- (�
� .
ina
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$100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCeMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE
OF COMMENCEMENT."
".` c^
i �
( f� ��
�J�,,,1:t-,�� `- �f � C' "���.
PERMIT OFFICE `
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
--- --- ---- -�-, -�--.---,- �--- --
Permit Application
Date Recaived `� ' Phone Contact for Permit �����-�-► � I
,.,�..::::-_� • -,.,,
�cC.jc'S�AS�i�l..4.b�:.1�:TY2.in•�i•�.. -.. .. ._'�_.—�-�:F---.—:.`--- ._. . -. .-.. �. �.� . . ti..fi ..i_..-L,�.:.-�m_. L__5..._.. r..� ...i .'.1.-.t..:'a("ilc-.':�'1F _
I. �.�i..'' . ::_.:�.�_ :.-.-:.•_'.'=x—'t..'�+>SI�F.::�:fii.�.�a..ru:�...�.� ..�" .. . .- .. . . . .� . ....._. ... . ..�.
Owne�s Name ^ Owners Phone Number � � �i�
Owneds Address
Fee 3(mple T(deholder Naroe 'fiUeholder Phone Number �,� � �
Fee Simpte TiUeholder Address
- rF '1.. --+�:az�-- - _ ... --•zs.a_r =:r�•f:�''� - •.+;1 --- - a:�., �_a. r.d.n �.F-,' .c;r.�.
"�. •."' '"'s. ....,._
'°'$�.22:.;'1E''_'_�'^:���i-�,�.�_��:�Sn 5:.�'�S:7-v�=,'E;; _ " ' - ':s_;F:__r.� ,...=%;-g's^�'_'::'..,.cc,:7�3, �r:.r.'f.iS
Job Addresa � - - —-- - - - - - ----- ----- -- - - -- Lot# �
Sub Divtsion Parcel# �
--,
_�,•�-r=:c:3,._...ew ��.�sx?:3._#;:u*i�,st�?'^".F'1'kf3f';it:;7!:��=��=�_. ,-_'-;�=�-_,,.,�.---�-��r— �-__----_ --_::.'s;f��..t-..�.;f�.i.L;x�.e,::...,..��^3�,sr3��.;_..=.-�?�"tii;��x�a
a BlaHaza►d Waste S{oraga-ANMtfAL � �umfgaUon Tent
a Comm Exhaust Kltchen HoodlDuct � iiazardous Mateda!(Tier!i or RQ Fac�lity)ANNUAI.
� o Controllad Bum � Nood InsiallaUon
oEmergency Gsneralor<3Q kvi a LPlNatural Gas-InstalfaUon .
� Emerg�ncy(3enerator>3�kw � LPlNatura�Gas-ANNUAL Sale
� Fire Protectfoo Maintenence-AtJNUAL Q Piaces of Assembfy-ANNUAL .
-----p----- -- ---�-�-�- ef_
S rinklar � ❑ ❑ O � Recreatlonal fiurn -— ------ - - - -- —
Fire Alarm ❑ � � � � Spartcters
Hoai Cieaning � ❑ O O � � Sprinkler System insialla6on5
Hood 8uppreasion � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) ,
� Fire 1liarm Installation � Torch Roofing/7ar Keflle
Fire p�ttnps a Weste 71re Storage ANNUAL
Fire Works
Fiammabis Application-ANNUAI �—� Vaiva#fon of Pro)ect
0 �.
Fue!Tanks
� oiher:
- �.�:�;,:���;>;<-.-:a�� - .,x:r�f.>-��.__�::_:..u.:. - _ -_ - - . - -.,�t� - —.<.o-:::. ,�,:�-�
1sb�:i:�.`1�'s:�3?�!''l:.^^„k',i;:rd!S�°-?.�',-:�:ar,F;:i�i_�;'rL�_-...>r.,,.,�,o...,_.�'��c!ic..x.r�.n.�,....... ........, ..«....__. .:-r ii ., :-i•..-�.,. .- :..._ :iz�z'.�S:�.k....�tii::i�:;t�.`�+:i:-,o?�F7:;., t�,.=r`�3a.i1:�'-�iia..ar3:�5
Contractor Company �
Signature Regfsteted Y/N Fae Curcent /
Address �� Llcense#
EI.ECTRICIAN Company
Signature Reqistered Y/�I Fee Current Y 1 N
Address i.fcense# '
PLUMBER Company
3ignature Reg3siered Y/N Fee Current Y/N ' '
Address License# �— ,
MECIIANICAL Company �
5isnature Reg(stered Y/N Fea Current Y/!�! ,
Address Ltcense#
OTH�R Company ' � �
S[gnature itegistered Y/N Fee Cu�enf Y/IV �
Address Ltcense# r—
,�. _i:, »..::_.: �..,.s__,n:_. - _,�rr.J..:...._.:--�_—��_.r-•:r..�exs-_.'____.Liii�'°.�. ��...�,.. _ , .. .._ �'�1�st•;'i�:x•.t;�
DlrectlOnS: '
Fill out applicetlon complelely.
C)wner&Corttractor sign back of applicatlon,nofa�ized{Or,copy of signed contract with owner)
If over$2500,a NoBce ot Commencement is requtred(Mectianical work over$5000)
Suppty hvo(2)sets of drawtngs wlth appitceble documenlaUon
Allow i0-14 days tor revle�v afler subm[ltel date. Parcel#-obtained irom Property Tax NoSice(httpJ/appraiser.pascogov.com)