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14-15096
CITY OF ZEPHYRHILLS � 5335-8TH STREET °'' �si3��so-oozo �5096 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 15096 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: 3/18/2014 Name: HCRA PROPERTIES I LLC Total Fees: 50.00 Address: 333 N SUMMIT ST Amount Paid: 50.00 TOLEDO OH 43604 Date Paid: 3/18/2014 Phone: (813)788-7114 Work Desc: FPM- SPRINKLER & FIRE ALARM ANNUAL- HEARTLAND MANOR 5 . i �. ����� / � �� `� r' , � ina Chapter 633, Florida Statutes,authorizes the City to charge and collect user fees to pay for the costs of flre 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$100.00, whichever is greater. All work shall be performed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." _-�` � r � t � ;, .,.,r�.. ��� ��', a PERMIT OFFICE PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION -8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 ats.�so-oo2o Ci ofZe h rtuAs Fire � . p y Fax-813-780-0021 , ' � Permit APPlic�tion � Date Received , - � PhOne COntad for Permit - � � ___._._ ��� 9�4z 1943 ��:. - _ .. _ �,._.... _ --- Owner's Name �_�.:.a��,. r.,._: : ........ . .. 2T��wo - cQ m�uo,� n-,e,� o�r�N��� � 7PP ��l Owner'sAddress 3(��Q �E�L}/ �� Z'/��y�HIC`s r� 2Y��/� G K/ %J •�� M Fee Simple TitleDoldar Nery�e . . , . . . . � � � �_'1 ;itlehdder Phone Number Fee Simple Tillehoider Addr�Bsa .::+� .�.:::�;.. ,_ i 3�'��O �N ,� ��:�.;�� � �_ �._-.:_.., JobAddress ,�/ � � ���s /� ����� � �� Lot# 5ub Division _ .. _ _ - Parcel* ,..; �.,��-,,�.a�-�+-�,•:- —�:.�zw�e..�-'..��-��y�- ._m., w .*.r_z':- w'3�--�'a_:ii�ttl�i^x- -- � I ., �,�,^t,�a,+f•�-?a TM"^>'w__... ? B�o-Ma¢ard VYaaee SOorap�-ANNUAL � }�dous MBtEtel(Tier II w RQ Fadtiry)ANNUAL - ❑ Comm Exhaust ICl6chen Hood/puct Q Hood&�Astion ❑ Controlled Bum Q LPMalural Csasdr�IletiOn � Emer98ncy Gena�atar<30 kw � LPH�apirai Gas-AMNU,AI.Sale Emer9ern�Genera6Dr s 30� � Fire''toFeC6on Mair►tenaexe.�, . � P�Ces Of Asaentby,ANNUAL � �� Q ��s�, Sprinkier X' p � +� � � Spa�r$ Fue Nerm � 4 ❑ j'—'} �� L�_1 ��kier Syskm Instafiations /) Hood Geaning � � � � i �U �+�p�P�s.(Sprinkkr 9Ys� Hood Suppresaicn ❑ a Q � Q 7orch RoofinptTar Kattle ..1(I�/ � Fire Alarm Ins�118Don � �.� Q MhsEe T1re SODrage ANNIUAL Fire Pumps Fire Wbrks Fiammabl6 AppliCation-A�ry�NJAt, Fuei rar,ks , Valuation of Project ❑ �r �. �W ��:: ConVactw � �,.�, _ • •±�tt.u;,.�:�- Signature �y .�-� � Aoaress i R�ed Y i.N;� Fee Current Y/N t�ECTRiciaw — '�c:enses Q ` .� ia Signature Co[rp9qy. Address � Y/N . Fee Current Y/N �'!UMBER ��'�# � ,�gnature • Cpmp�tY Address � 1'Z N Fee Current Y/N r��FCHANtCAI ��� 1 - ��ynature �. Address �� ��N Fee Curtent Y/N GiHER ���� ' � `,yr,a!u�g L r�..��,. ,�w.��� Addeess �9�ermd Y/N Fee Curr�t Y/N �-uect�ons . !iClns9# . , ._.... Y�a--s.t-- -- Fill Out appliCation Complete,yy, Owner 8 COntractor gip�barJt af appfieeyp�.�tOr,�PY of signed eo�trset wittt owner If over 52500,a Notice pf Comm�����I walc Over�Sppp � Supplyr M�o(2)s�s of dr�wj�gg yyy�.��� ) . Alfow 10.i4 days for revier�,e�r�d�e. ' Paroel#-obtained frprrt Aroperty T�ac Fbtiae(httpJlappreiser.Pascogov.com) eis-�so-oo2o City of Zephyrhiils Fire Fax-873-780-002� ` • Permit Application oate Receiveu — Ptwne Contaa tor Permit ��'i 9y Q �9 q 3 � �.��� - �,,-.:_:�-.� ��,.:_<-��-�,�.�-�---�__. _..... ..__.__ ... _.... �=::�n�_��:�,::...���=- _ _ t Owrtzrs Name �ff�Qni��� ��CIL rnfll�l4�i��Z" Owner'g phone NumbEr P�3 0 0 ����i Owner'sAddreSs �6 /�OZ� �/�Qf� �,ri ��j�/�Q/y�/��r � 335�F�. � Fe=S�mcie Titleholder Name Tideholder Phone Number �� �� � �ea srrple ritteno�aer Aadress . .y�.:x�;_. • 1 ,. .. .. . - —�— ' ...�_,w_._.._..y_... p � ,�.-�r_::H„ 1;:.��. �:.,. .. Jc�A�dress Q o��� K d/G � "l�l�,S � 3 35�2-- Lot# � Su�uivision ��� ,,, _-_:.��_.�,,,.,-- :::��. ...._�.�.:'��,- ���.: . .;..r�a:: - .. -'--��sao�t�._ --� :: �:c.�i:e�,c:..��- �-.�:::_.:-.. ❑ , �iii*' . . . . . .'2�-"�+;'1 "^_. ..._._ .. . Sio-Hazard Waste Storage-ANNUAL � H�p���t(1`�er II or RQ FaciGty)ANNUAL � Comm Exhaust KRchen iiped/puct Fbod Instailati0n � Conffolled Bum � � LPlNeturel G33-Instaliation � Emergency Generator<30 kw a �p/Natural Ges.ANNUAI Sale � Emergency Genetatpr>30 kyv � PlaCes of Asgertlbly,ANNUAL � Fire ProLection MaiMenance-qNNUAI a ��a!8um Sprinkler �� ��� a S��rs Fire Alartn � ❑ Q �Q Q � g���cys69m instalfations �� tiood Cleanin9 � O ❑ D � Stsndpipes(Sprinkler Sys) Hooc SuPPression � :❑ ❑ O � Torch RoofiaglTar Kettle � Fire Alartn Installation � INt►ste 71re,,cLp�ge ANNUAI. QFire Pumps � Fire VYbrks � Flammable Appliption•ANN(Jq� � Valuation of Project Fuel Tanks ❑ Other. .,_ _w. � �.,� �, Cc,�Gactor � �.x _.. -' . ��e'_.—.-._._�_-.:�.:., .. S:�pnature ��►Y � ( �• Re9isterod Y/N Fe�Current Y 1 I�t Adaress 35 31 V+ �}b� a, i.ieenae# F �1! r:_cCTRICIAN ;�r,na:ure COmPafly atl•�reSs Re9�stered Y/N Fee Current y/� _u��aER u��* -1 Siynature COR1P8ny Re9is�red Y/N Fee Current Y/N AdCress r.�ECHANICAL ��# � S�gr,atu�a Company Atldress Registered Y./N Fee Cunant Y/N OTHrR License� ��— S,grature �mP�Y Address �'�� Y r� Fee Current Y/N :::y. .�: _ ��;�.. ... �: :_ _ uce�se� ,.LJonS ��-' -`�-� .�-.._...vaoc-_.ry.a;.a .. +oe.s'�_,.�: . ::::.�... ... tin out a - - 9�'�-'z'"��"',. PW�Cition corTWlotNy. �_ . Owner 8 Contractor S+9n b3ck of aPP���atlOn.�otarized{Or,copy of signed contract wim owner) . !f over 52500,a Notice of Comn�neempyt�����M������er 55000) SuPA�Y Nro(2)Sets Of drawiflgS wflh 8pP1'�bl@"dOpJrtfP.tlydtlOtl Auow t a1a days ior raview arter submitqJ date. RarGel#-obtained from Prop�rtyr Tax Notice(htip_!/appraiser.pascogov.com)