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Home My WebLink About13-14546 CITY OF ZEPHYRHILLS 5335-8TH STREET 14546 (813)780-0020 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 14546 Address: 38220 HENRY DR 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: 02-26-21-0080-OOA00-0122 Improv. Cost: Date Issued: 9/17/2013 Name: HCRA PROPERTIES I LLC Total Fees: 50.00 Address: 333 N SUMMIT ST Amount Paid: 50.00 TOLEDO OH 43604 Date Paid: 9/17/2013 Phone: (813)788-7114 Work Desc: FPM-QUARTERLY FIRE SPRINKLER & SEMI FIRE ALARM FOR HEARTLAND HCR 5 . � � z�,��3 f � 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$100.00, whichever is greater. All work shall be performed in accordance with City Codes and Ordinances. "WAR'NING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." r � ,,. �� ; � � , �� , �,�.��-�, c,.� � PERMIT OFFICER ° PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 � � 813-780-0020 City of Zephyrhills Fire Fax-$��-�ao-ooz� Permit Application !�ate R?ceived ' " Phone ConCact tor Pertnit ��7� Qy 2 �9 9 3 _ . ,�__�_:._._.�.�.. z-.._=° «z Y�-,�._ ---_-_-_`_....�- -,,_ __ _. �._. �.--:..�_� _ _ �a,..�r---:_ —.�� y.�:=..:--,�-__- ��-_�=s-.�.�.,��... .,_., <�,�,�� -.-�.�._. _..:_:.. ...�.._�.. ... Owner's Name �I�A�.TL+�}/�I d C FL //6/��Q 2 �� Owner's PhOOe NU�ttbe� � �� uwner s Address 3�a�o '��'�� ✓� ��s r L 3 3� `r�- � �ze S�mp1e Titleholder Name Titleh0lder PhOi1e Number � C� C-_� ' <<�moie T�UeholtlerAtldress . f _.___.. . ._. .�.,- - - - t=-=- - - - -r:�:�:»r'3a,.."�'"" - ..,«s.rT":=_��._.._ .< - ;:;h.iddreSS �O �oCO �W�y /✓,�/✓C �,��'�f/�.LS f C�' %��T� LOt#_ � :;uo Drvision p�# � __.....,._.._.�._._-.nr. __..,._...._...__ ._.: ""—�'�' -- - - � - '_- _.a_-_.��.�. �'.,.�.�.,��T�n� �38��,.- ' . _ . ' - "�i�.�s=___a'-_.---�- ' � BiaHazard Waste Storage-ANNUAL � Hezardoua Materiel(Tier II or RQ Facifity)ANNUAL � Comm Exhaust Kitchen HoodlDud Q Hood�nsql�adon � Controlle,d Bum .., � LP/Neturel G89-Itufailation � Emergency Gerterator�3U kw � LPlNaturai Gas-ANNUAL Sale � Emergenc.y Generator>30 kw � PlaCes of Assembly-ANNUAI � Fire Protc�ction MaiMenance.ANNUAL Q �e�reatlonal Bum ❑� �� ❑ Sprinkler Q ❑ p $�� Fire Alarm � 0 ji( � � � ��r Sysdem In$tailations Hood Cleaning O {J" O Q Stencipipes(Spnnklsr Sys) Hooc Suppression Q [� O � Torch Roofing/Tar Kettie � Fire Alarm Instaliation Q Waste TEre S'tpr8ge ANkUAL � fire Pumps Fire� � �lamrr�ab�e,4ppiication-ANNUAI r � Valuation�of Pro�ect Fuel Tan�Cs [] ^Other:_� I - - - - _�;.:��;.--__._ i.;,ntracior �m ' � �O � � ',�grawre Registerod Y/N Fee Current Y!N �1dd;ess 35 31 k+ nt Cieenw# F: O �i 1 i t�'?ftICIAN �Om�y � w��ature Registerocl YI N Fee Current Y/N ,ahdress ��# ,;•�tEiFa � "^"—�-'--� �m�,Y ____ "_i �''"3`u�`' I Reyis6ered Y/N Fee Current Y/N �',tldress LIC@r�58# m P C,HAN�CA L ��ny __ � „cna2urz Re9+sterod Y./NTFee Cunant Y/IV Address �� —�.,_.,� �tHFR " comparry --'1 "qr,aturE � Re9istered Y f N Fee Curcent Y/N 4drress = -=__='__v._ . :- =ra _�____�------..,_,. �-�._,�:,._-.�._�.u�:�:�-_- --.._._.. license# ,.�e::�ionS - - Fdl OUt appliCiition cCmple��y . - F.-=,_y, _ _ � - . Owner�COntraetor�srgn back of BPPN�aOn.notarizetl(Or,cpPY of s+9ned contract with owner) - If over S7SC0.�NotiCe of Commenpernent is requited t�niCal worlc pvor 55000) SuPp�Y two(2)Sets Of dravrinqS wrt118pPlfcablE dOCUR�ert� auow�o-�a days for review aRer sapmittal tl2te. parcel#-obtalned irom Pro Tax NoDCe h !!a raiser. p�KY ( aP� PP Pascagov.com) ' sisaao-oo2o City of Zephyrhills Fire Permit Application Fax•813-780-002� Date Received - ' - - _ Phone Contact for Permit �,Y� qL.�z �q�3 Owner's Name ��/yT`/A� C2 /y/�NO� �� a �� Owner's Phone Number � Owner's Address Q �a� �/f/ y �� –��/� / f_� 2�S�� Fee Simple Titleholder Name � ((��''--------�� Fee Simpie Titleholder Address Titleholder Phone Number �� .J �:...T.- __T_ ,.__,. ..s. _-_�..,.. JobAddress 3�aao �uQS/ �,� wJ�–�ILCs �L ��r51�� Sub Division Lot# � Parcel# � � Bio-Hazard Waste Storage-ANNUAL � � ❑ Hazardous Material(Tier il or RQ Facil ty)ANNUAL Comm Exhaust Kitchen Hood/Duct Q Q Hood Instailatian Controlled Burn a ❑ LP/Natural Gas-Instailation Emergency Generator<30 kw � LP/Natural Gas-ANNUAL Sale � Emergency Generator>30 kw � � Places of Assembly-ANNUAL Fire''rotection Maintenance-ANNUAL � try e�pi � ef Recreational Burn Sprinkler a t( � � ❑ Sparklers Fire Alarm ❑ ❑ n � � ❑ Sprinkler System Instaliations Hood Cleaning � C � � ❑ ❑ Standpipes(Sprinkler Sys) Hood Suppression � � � � ❑ � Torch RoofinglTar Kettle Ffte Alarm InStallati0n � ❑ Waste Tire Storage ANNURL Fire Pumps � Fire Works � Flammable Application-ANNUAL � Fuel Tanks Valuation of Project [� Other Contractor -- � - -- - - .-. :..,_ Signature Company -�-- ' , Registered Y/N Fee Currenr V I N �— �adress 353 i I� �on -- ��_' ' � CLECTRICIAN Ucense# q 3 � 1� z Signature Company �— Address Registered Y/N Fee Current Y/N Pl UMSE R ��cense# � Signature Company Registered Y/P� Fee Current � Add!ess Y/N MECHANICAL License# � Signature Company —' Address Registered Y/N Fee Current Y/N --'� vTHER � License# ��--� :�gra!ur� � Company Address � Registered Y/N Fee Current Y/N CirecSon; - - License# � Fill out application Completely Owner 8 Contractor sign back of application,notarized(Or,copy of signed contract with owner) If over 32500,a NoUGe of Commencement is required(Mechanicai work over 55000) Supply two(2)sets o#drawings with applicabie documentation Allow 10-14 days for review after submittai date. Parcei#-obtained from Proper,y Tax Notice(http:/lappraiser.pascagov com)