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Name: FLORIDA DISTRICT OF THE
WESLEYAN CHURCH INC
Address: 38924 C Avenue
ZEPHYRHILLS, FLORIDA 33542
Phone:
City of Zephyrhills
5335 Eighth Street
Zephyrhills, FIL 33542
FIRE-003270-2021
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date: 11/30/2021
Permit Type: Fire
Class of Work: Places of Assembly
Building Valuation: $0.00
Electrical Valuation:
Mechanical Valuation:
Plumbing Valuation:
Total Valuation: $0.00
Total Fees: $50.00
Amount Paid: $50.00
Date Paid: 11/30/2021 12:31:35PM
REINSPECTION FEES: (c) With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c) the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection, whichever is greater, for each subsequent reinspection.
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit required from other governmental
entities such as water management, state agencies or federal agencies,
CONTRACTOR SIGNATURE
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813-780-0020 City of Zephyrhills Fire Fax-813-780-0021
I Permit Application
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Owners Name
Owners Address
Fee Simple Titleholder Name
Q"..Vj11W1 lot
Job Address
Sub Division
Address
I
Bio-Hazard Waste Storage - ANNUAL
Comm Exhaust Kitchen Hood/Duct
Controlled Burn
Emergency Generator < 30 kw
Emergency Generator > 30 kw
Fire Protection Maintenance - ANNUAL
M M01 er
Sprinkler 0 0 D
Fire Alarm ME) 0 op
Hood Cleaning 0 0 0
Hood Suppression 0 0 0
Fire Alarm Installation
Fire Pumps
Flammable Application- ANNUAL
Fuel Tanks
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ZE
EM
Fumigation Tent
Hazardous Material (Tier If or RO Facility) ANNUAL
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Hood Installation
LP/Natural Gas-Installatior
LP/Natural Gas -ANNUAL Sale
Places of Assembly -ANNUAL
Recreational Bum
Sparklers
Sprinkler System Installations
Signature 1 I
Address
OTHER
Signature
Address
standpipes (Sprinkler Sys)
Company
Registered
License #
Company
Registered
License
�Y / N�Fee Fee Current / �N��
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Y / N�Fee Fee Y I .��
Fill out application completely.
Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner)
If over $2500, a Notice of Commencement is required (Mechanical work over $5000)
Supply two (2) sets of drawings with applicable documentation
Allow 10-14 days for review after submittal date. Parcel # - obtained from Property Tax Notice (hftp://appraiser.pascogov.com)
11/29/21, 3:25 PM Tax 2019 - 2024.png
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Certificate �lurs�ber �fFect3ve Gate i�xpir�tian Cate Exomptictr at�:gary
This certifies that
PI YRHILL3 WESLEYAN CHURCH
36924 C AVE
PHYRHILL FL 33542-5 45
is exempt from the payment of Florida sales and use tax on real property rented, transient rental property rented, tangible
personal property purchased or rented, or services purchased,
1. You must provide all vendors and suppliers with an exemption certificate before snaking tax-exempt purchases.
See Rule 12A-1.033, Florida Administrative Code ( A. ),
2. Your Consumer's Certificate of Exemption is to be used solely by Your organization ation for your organi ation's
customary nonprofit activities.
. Purchases made by an individual on behalf of the organization are taxable, every if the individual will be
reimbursed by the organization.
4. This exemption applies only to purchases your organization snakes. The sale or lease to others of tangible
personal property, sleeping accommodations, or Bather real property is taxable. Your organization must register,
and collect and remit sales and use tax can such taxable transactions. dote: Churches are exempt from this
requirement except when they are the lessor of real property (Rule 12A-1.070, .A.C,).
5. It is a criminal offense to fraudulently present this certificate to evade the payment of saps tax, 'Under no
circumstances should this certificate be used for the personal beneflt'of any individual, Violators will be liable for
payment of the sales tax plus a penalty of 200% of the tax, and may be subject to conviction of a third-degree
felony. Any violation will require the revocation of this certificate.
6, if you have questions about your exemption certificate, please call Taxpayer Services at 350-488-6600, The
mailing address is PC Box 6460, "Tallahassee, FL 32314µ64 0.
https:lldrive.google.com/drive/u/6/search?q=tax 111