HomeMy WebLinkAbout09-9259 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9259
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 9259 Address: 6251 FORT KING RD
Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL.
Class of Work: FIRE - PROTECTION MAINTENANCE Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 03- 26 -21- 0010 - 09500 -0000
Improv. Cost:
Date Issued: 6/17/2009 Name: ALLIANCE CHURCH OF ZEPHRYHILLS
Total Fees: 25.00 Address: 6251 FORT KING RD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/17/2009 Phone:
Work Desc: FPM- ALARM ANNUAL- ALLIANCE CHURCH OF ZEPHYRHILL-SCH WK OF 22ND
;777
SPECIALTY ELECTRONIC SYSTEMS. IN FIRE PERMIT FEES 25.00
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FIRE ACCEPTANCE Final e:
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."
iTler
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 � ,1, Fax- 813 -780 -0021
Permit Application /ft
Phone Contact for Permit 1 V i
Date Received r
Owner's Name pi l I 6 4 / 'e. (p r k'Lc Owner's Phone Number 15k l 3 ( h l p), ,s,2' S
Owners Address t Q 1 f ' f� t /y RCS . /e t �J h + r ' ' (5 L ;33-5-`11a-
Fee Simple Titleholder Name Titleholder Phone Number I
Fee Simple Titleholder Address I
Job Address L a 5 1 -c+ r r , 5 {,,A • , Lot #
Sub Division , Parcel # 03 - 340 -.1 -n a • thS - crag)
I—I Bio -Hazard Waste Storage - ANNUAL n Fumigation Tent
n Comm Exhaust Kitchen Hood/Duct I—I Hazardous Material (Tier 11 or RQ Facility) ANNUAL
I - I Controlled Bum Hood Installation
El Emergency Generator < 30 kw I LP/Natural Gas - Installation
I1 Emergency Generator> 30 kw ED LP/Natural Gas - ANNUAL Sale
F✓Iq" Fire Protection Maintenance - ANNUAL I—I Places of Assembly- ANNUAL
r"'xi eII • Other
Sprinkler E ❑ ❑ ❑ [ ] Recreational Bum
Fire Alarm ❑ ❑ I I Sparklers vil‘-
Hood Cleaning _ ❑ ❑ ❑ I I rI Sprinkler System Installations 1/ Hood Suppression E- ❑ ❑ ❑ I I I Standpipes (Sprinkler Sys)
Fire Alarm Installation El Torch Roofing/Tar Kettle
Fire Pumps FT Waste Tire Storage ANNUAL
•
Fire Works
Flammable Application- ANNUAL I 1 Valuation of Project
Fuel Tanks
Q Other: I
Contractor Company rr ` 1 �404 1• S
Signature '' % Registered R� % Fee Current Y /
Address ' s" - ACM e N ...a_ti 1 j blip Q 1` 3 License # t - �LQ
ELECTRICIAN
Company (
Signature Registered Y/ N 1 Fee Current 1 Y / N I
Address License # ( I
PLUMBER Company I
Signature Registered Y/ N I Fee Current I Y/ N I
Address ! I License # I I
MECHANICAL Company ' I
Signature Registered Y / N 1 Fee Current I Y/ N 1
Address I I License # ( I
OTHER Company
Signature Registered Y / N I Fee Current I Y / N I
Address License #
Directions: ,. .a
Fill out application completely.
Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner)
If over 52500, 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 (httpJ /appraiser.pascogov.com)