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HomeMy WebLinkAbout08-8440 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8440 ANNUAL FIRE PROTECTION MAINTENANCE a.a • ,.. .,tin ..: Permit Number: 8440 Address: 6251 FT KING RD Permit Type: FIRE PROTECTION MAINTENANC E ZEPHYRHILLS, FL. Class of Work: FIRE-PROTECTION MAINTENANCE Township: Range: Book: Proposed Use: CHURCH Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: Improv. Cost: : . Date Issued: 10/17/2008 Name: THE ALLIANCE CHURCH Total Fees: 25.00 Address: 6251 FT. KING RD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 10/17/2008 Phone: Work Desc: FPM-ANNUAL HOOD CLEANING FOR ALLIANCE CHURCH OF ZEPHYRHILLS FIRE SYSTEMS INC FIRE PERMIT FEES 25.00 I f✓�___ dg ___ Iiit. a.K;. `z ,..3 �` '5 'w cf�A`•3 -,y. ", a � FIRE ACCEPTANCE Final 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." a., P IT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- Fire Marshal Office- 813-780-0041 813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 Permit Application Date Received Phone Contact for Permit II II Owner's Name /Gl f �! Z Owner's Phone Number tU Owner's Address S >l Fo, r Fee Simple Titleholder Name (<) c r Phone Number 713 I 7€ Fee Simple Titleholder Address re A Job Address CU 2.SFôrk 1 n Lot# Sub Division Parcel# a�-(c9 a-(- 1 —©99c9— OI Bio-Hazard Waste Storage-ANNUAL Fumigation Tent Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tier II or RQ Facility)ANNUAL Controlled Burn Hood Installation Emergency Generator<30 kw LP/Natural Gas-Installation Emergency Generator>30 kw LP/Natural Gas-ANNUAL Sale ED Fire Protection Maintenance-ANNUAL LI] Places of Assembly-ANNUAL ty Other Sprinkler ❑ ❑ ❑ Eli Recreational Burn ... Fire Alarm ❑ ❑ ❑ [ Sparklers Hood Cleaning ❑ ❑ ® II 11111 Sprinkler System Installations /7'''111J /[.' L/ Hood Suppression ❑ ❑ ❑ I E] Standpipes(Sprinkler Sys) Fire Alarm Installation a Torch Roofing/Tar Kettle Fire Pumps Waste Tire Storage ANNUAL Fire Works Flammable Application-ANNUAL — Valuation of Project Fuel Tanks Other: Contractor ( Company �*r� P L Signature �' ( E. 'Registered /N Fee Current N Address �f� License# ELECTRICIAN Company Signature Registered Y/N I Fee Current Y/N Address License# PLUMBER Company Signature Registered Y/N Fee Current Y/N Aadress License# MECHANICAL Company Signature Registered Y/N Fee Current I Y/N Address I License# OTHER Company Signature Registered Y/N Fee Current Y/N Address I License# Directions: 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(http://appraiser.pascogov.com) FLORIDA JURAT(F.S. 117.03) OWNER OR AGENT CONTRACTOR Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this by by Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced as identification. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped 10/14/20@8 15:15 813-783-8698 ALLIANCE CHURCH PAGE 02 �'Y , C�1r,� ♦ i�� hF di'ie�r�, $,r"C�i3° p \f ,.. _...._..._. --�� State License 50454200012004 f4�� ` FIRE SYSTEMS INC. Restaurant fire wppressfon and grease exhaust maintenance speclaiists DATE: OCTOBER 15, 2008 P.O.Box 48741 St. Petersburg, FL. 33743.8741 Phone 727-687-1285 Fax 727-343.1422 EXPIRATION DATE OCTOBER 14T"2009 firedealer mail.com Non mail facility: 3300 28`h st_ N TO Alliance Church of Zephyrhills 6251 Fort King Rd. Zephyrhills, Fl. 33542 813-782-8865 Church 813-469-9600 c-phone Attn: Ron Penny rpalliance®3oaks.coL1m SALESPERSON JOb PAYMENT TERMS Alliance Church of Kevin Hoch ,Zephyrhills Net 10 Days QTY t 0XWPT10N 1 - 11 foot hood Annual exhaust hood pressure cleaning maintenance in accordance with NFPA 96 fire code standards 350.00 Thank you for the opportunity to submit our proposal for your fire suppression system installation. Subtotal 350.00 Sales Tax EXEMPT Total $350.00 � r Quotation prepared by: � �''�- -. -- _ This is a quotation on the goods named,subject to the conditions noted below: (Describe any conditions pertaining to these prices and any additional terms of the agreement. You may want to inc e contingencies tha will t the quotation.) To accept this quotation,sign and date here and return: lc4.tj , THANK YOU FOR YOUR BUSINESS/