HomeMy WebLinkAbout13-14710 CITY OF ZEPHYRHILLS
5335-8TH STREET
, (si3)�so-oo20 14710
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 14710 Address: 6701 DAIRY RD
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: 02-26-21-0010-03900-0060
Improv. Cost:
Date Issued: 11/12/2013 Name: FLORIDA SENIOR PROPERTIES
Total Fees: 25.00 Address: 6701 DAIRY RD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/12/2013 Phone:
Work Desc: FPM- SPRINKLER QUARTERLY- WESTBROOKE 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
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813-780-0020 City of Zephyrhilis Fire ` Fax-813-78 2�
Permit App' tio r. ^ �
Date Received ��, �/ h�ne Contact for Permit �/?j C.�� �� / /�1
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Owner's Name � ��s�Pho�Number C� � �
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Owner's Address
Fee Simple Titieholder Name �� (� L Titleholder Phone Number � � ��
Fee Simple Titleholder Address
Job Address V1�U ���, � � /' I � �� �� Lot# �
Sub Division
Parcel#
a Bio-Hazard Waste Storage-ANNUAL � Hazardous Material(Tier il or RQ Facility)ANNUAL
� Comm Exhaust Kitchen HoodlDuct Q Hood Installation
� Controlled Bum � LP/Natural Gas-InstaHation
� Emergency Generator<30 kw a LP/Natural Gas-ANNUAL Sale
� Emergency Generator>_3,0._.k-w--�' � Places ofAssembly-ANNUAL
�' �� o ( �
rotection Main anYerf`ce-ANNUqE Recreational Burn � �]
Y er � � �
Sprinkler ❑ ❑ Sparklers
Fire Alarm ❑ ❑ ❑ � ❑ Sprinkler System Installations
Hood Cleaning � ❑ ❑ G � � Standpipes(Sprinkier Sys)
Hood Suppression � ❑ ❑ ❑ � � Torch Roofing/Tar Kettle
� Fire Alarm Installation � Waste Tire Storage ANNUAL
� Fire Pumps
� F�re Works
� Flammable Application-ANNUAL
� Valuation of Project
Fuel Tanks
� Other•
Contractor
Signature L Company �� V
Registered /N Fee Current /N
Address /(I � Q_ a. � License#
EIECTRICIAN
Signature
Company
Registered Y/N Fee Current Y/N
Address
License#
PLUMBER
Company
Signature Registered Y/N Fee Current Y/N
Address
Lioense#
MECHANICAL
Company
Signature Registered Y/N Fee Current Y J N
Address
License#
OTHER
Signature
Company
Registered Y/N Fee Current Y/N
Address
License#
Directions:
Fill out application completely
Owner 8 Contractor sign back of application,notarized(Or,copy of signed conVact with owner)
If over$2500,a Notice of Commencement is required(Mechanical work over$5000)
Suppiy rivo(2)sets of drawings with applicable documentation
Ailow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice htt /Ja
( p: ppraiser.pascogov com)