HomeMy WebLinkAbout09-8993 CITY OF ZEPHYRHILLS
-- 5335 8TH STREET
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(813) 780 -0020 8993
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 8993 Address: 5855 16TH ST
Permit Type: FIRE PROTECTION MAINTENANCE 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: 11- 26 -21- 0010 - 05000 -0010
Improv. Cost:
Date Issued: 4/06/2009 Name: ST. ELIZABETHS EPISCOPAL CHURCH
Total Fees: 25.00 Address: 5855 16TH ST
Amount Paid: 25.00 ZEPHYRHILLS
Date Paid: 4/06/2009 Phone:
Work Desc: FPM - SUPPRESSION SEMI- ST ELIZABETH EPISCOPAL
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SECURITY FIRE EQUIPMENT LLC FIRE PERMIT FEES 25.00
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FIRE ACCEPTANCE Final � � d'
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." -Il!
P T. 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
813.7804020 City of Fbi- Fix -813 - 780.0021
Permit Application
Dale R.oeiwd - Phone Contact forPema - 1 Dames Name SST E r�l...r� , Owners
nur Phone Number 18 1 P'- 1/..20a2
Owners Address I SrrsZr /G'- s Te
Fee StmplsTAehoider Herne 1 1 ll isimider Phone Nutter 1 1 1 1 1 •
Fee Slnnpis'liista ier Mdress I
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.let Ad�i.s
stets oivk+las Proei #
0 ebHrard Waste Storage -ANNUAL Q Rinigelion Tent
0 Comm lathe set l0tdsen Hood iust 0 Harardaas Msisii (Tier ti orRQ Facility) ANNUAL
Conlnoied Bern EI Hood instelielion
H {ienereior <30 lam LPINduel t instaldon
6nwgenciffenesater> 30 kw J LP/Newel GisaAIMMtAL Sae
0 PiieP lolse.�fonMadenenos- AiMN1AL - Places of AseembipANNUAL
EISHEREEI 0---Al
Spr@idsr 0 0 0 RSaeatioui &.n
Roe Atenm 0 O 0 IIIIII Wilms
Hood Peening 0 0 0 MI Spriider&y. inela lions
HoodSuppsession 0 0 Sterdpipes (Spieler Sys)
Fire Mom Waist on Tads Rosinyfr Rake
Rns Pumps ;Nests Tie Omega ANNUAL RteWeeks
RemmebleAppioaron- ANNUAL f Valuation Of PlO]9C(
Fish Tanks
Other: I
Contractor
I Cowpony
Signature 1 _ti .�=•:..: 'ti:..... .,. -.�a�wa.�5.�-= :.Se: -;. .,..r:. r -..-.. -... _....;Y tis ` - :'gin Fad ;-.' raF }F3'..'�- a,.- aes,..�.a^' 1'4s^:;.5 'l:.ii�•4' ��.z. r?: -. .wY>
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- 1 - Registered I - YIN - I Fee Oxtail I Y! N I
Address I 1 License # I t
PLUMBER
Sign Lure - - Reghtered Fes Ghent
A d d r e s s II Mena* I I
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Registered I Y /14 I Fee numint t Y/ N I
Address I 1 Lions# I I
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FR out apptioaYon aamptetely.
Owns OaMreoioratpt bit of applioellea notatesd (Or, cow of signed mama Wilt owner)
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N over 32600. • Make of Oomm.noenwrt te n<gdred.(Ms chuffed wok owrS8000)
Supply Iwo (2) sods of drawings wills appiosble documendlon -
Maw 10- 14days forma wairsubmitted dela Parcel* - ablated from Rope* Tex Notice gelatappreitsrp.eoogovoan)
MICE OFD IIMBENCTIOlak The taid■rsignsd understands that this pans* malt.be'subjectb:-`dedifir ogee -
#tidi raw be agars residcine then county eigsilelions. The essunea nesponsiblEy for•+oonip#aaoetwith any
,p-Yc able dead restrictions.
*IMBIBED c _ —
=Waders to andarlei a tares., they _ '
:ontracior is not licensed as r+egeaec!
Hider stone kart rise water or misncled-coriacior are uiceitaks as b wait lbMAekernigairemenls may apply for the
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CON APPINI IIT: I Ilme all time ink orlon ilallaapplicsion is aoosrale and
that all walk wll be dane to compbarroe wit ail applicable tars regmleihe coabu tIon, zoning and and
fimmin[ ment. Anion is hereby made to Obtain a penult* de * arid issioisd■ei as banded. 1 c erdfy
•� w474 Cr mrisaftricest prior to issuance of e pernth arc' that alE work will be performed to
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uJniess the work authorized by such remit is commenced UMW) sek alines to permit issuance, or a work autuur gay
+he. nprm9# ;c as rcrranrlari anandoned for a nerio t rit su !e2 months slier the Wae vie W r'ik G. t tdJCilti 6t i
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iARi ING TO Vii: .. t a V . = t ry man_ • e t i � - MI t�s
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WIT I4 vra rR t pump t7R AN ATTORNEY B 4i Y i-
c1 JURATTAA_ 117:031
OWNER OR AGENT V4ii1l KAM MAN.
SIthserslieri and slam to (or attuned) before me Ws Subscribed anct sworn to (or aflame) De7t8D me this
WhO petsesally bootee to ate or tiasitmetromduced Aim Wile petsomeihr known iss me or [>a e pextuced
Name W t ► IM will a !� °� •� . rR .nt ieretera�teeseo
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