HomeMy WebLinkAbout09-9450 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9450
ANNUAL FIRE PROTECTION MAINTENANCE
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Permit Number: 9450 Address: 6151 12TH ST
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE - PROTECTION MAINTENAN Township: Range: Book:
Proposed Use: CHURCH Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number:
Improv. Cost: § fr. 4 : ° ;. 7` ,.,. ,
Date Issued: 8/24/2009 Name: CHURCH OF THE NAZAR
Total Fees: 25.00 Address: 6151 12TH ST
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/24/2009 Phone:
Work Desc: FPM -FIRE ALARM ANNUAL- CHURCH OF NAZARENE- schedule 8/21/09
N ''L A 1• V 1 SBA UA FIR 'ERM F E 25.00
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FIR A E AN E 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." tr
Aar
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 -780-0020 City of Zephyrhills Fire `/ ,1 Fax- 813 - 780 -0021 .
Permit Application
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Date Receiveu i Phone Contact for Permit
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Owner's Name l Qr / 0 T f 1�{'i ,�u�-eRE'Re Owner's Phone B' Number / 3 75.- 7.3.1 (.r7
Owner's Address (5/ / a Y s A . /VI /1s 3 3 [Z [ D
Fee Simple Titleholder Name Titleholder Phone Number
Fee Simple Titleholder Address I (
.N s .,, ,,.r z , V a ,:' . , A ;
Job Address Lot #
Sub Division Parcel #
n Bio- Hazard Waste Storage - ANNUAL n Fumigation Tent
n Comm Exhaust Kitchen Hood /Duct I Hazardous Material (Tier II or RQ Facility) ANNUAL
I I Controlled Bum n Hood Installation
n Emergency Generator < 30 kw I I LP /Natural Gas - Installation
F - 7 Emergency Generator> 30 kw n LP /Natural Gas - ANNUAL Sate
n Fire Protection Maintenance - NNUA n Places of Assembly- ANNUAL
y 'Semq 1771 Uther
Sprinkler n ❑ ❑ ❑ I I Recreational Bum
Fire Alarm ® ❑ ❑ ti I 1 I 1 Sparklers log
Hood Cleaning 0 ❑ ❑ ❑ I 1 I I Sprinkler System Installations , , . �' 8
Hood Suppression Ei ❑ ❑ ❑ I I n Standpipes (Sprinkler Sys) 5 (( 2 91
n Fire Alarm Installation n Torch Roofing/Tar Kettle � eC l - J
n Fire Pumps n Waste Tire Storage ANNUAL 724e-
Fire Works
I Flammable Application- ANNUAL
1 ( Valuation of Project
n Fuel Tanks
I Other: I e ...„,,,,,,..„.
Contractor !i?I Company Registered Y/ N I Fee Current 1 Y/ N I
Address 1 License # I
ELECTRICIAN Company I
Signature Registered Y/ N I Fee Current I Y/ N I
Address I I License #
PLUMBER Company I
Signature Registered Y/ N I Fee Current I Y / N 1
Address I I License #
MECHANICAL Company I
Signature Registered Y/ N I Fee Current I Y/ N
Address I I License # I
OTHER Company I
Signature Registered Y/ N I Fee Current I Y / N I
Address I I License # I
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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)
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