HomeMy WebLinkAbout10-10173 1 CITY OF.ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10173
ANNUAL FIRE PROTECTION MAINTENANCE
,. µ7 :7:7 9 a E :' .-.- 1
, _s. , r �
Permit Number: 10173 Address: 38231 5T AVE
Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL.
Class of Work: Township: Range: Book:
Proposed Use: CHURCH Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11- 26 -21- 0010 - 15600 -0060
Improv. Cost:
Date Issued: 3/01/2010 Name: FIRST BAPTIST CHURCH
Total Fees: 25.00 Address: 38231 5TH AVE
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/01/2010 Phone:
Work Desc: FPM-ANNUAL FIRE ALARM FOR 1ST BAPTIST CHURCH SCHEDULED 3/2/2010
A " • j — - - 5.00
Ci b
3
60K
Cje I / 7,7-i d___D(1/42_ i ciej "
, .._ , , dV .. e,�{«,i�?aa.; xt,.,,.��
- A - A E inal , >..iamx'
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." �r
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 Zephyrhius Fax- 813-780 -0021
Permit Application .
)ate Received 5 -/—/P I - Ph C
w y�sV P`� Contact for Perm
)wner's Name '}' •*t_ _ , ARAM a a a Z 1). t , Owner's Phone Number Is/ 3 (7eS'4). 1 Is c
)wner's Address 3. 3 i H ► f - e . 7. (' k. its I '3 ' /
:ee Simple Titleholder Name 1 Titleholder Phone Number
=ee Simple Titleholder Address 1
-.- .. - ✓.. .. .. s .__. :n,,c .,.Y. '...., Ito- .o > - ' -. _ :, ..:' f ,, NEE
Job Address Lot #
Sub Division I I Parcel # 1
Bb- Hazard Waste Storage - ANNUAL Fumigation Tent
EJ Comm Exhaust Kitchen Hood/Duct n Hazardous Material (Tier II or RQ Facility) ANNUAL
El Controlled Burn n Hood installation
n Emergency Generator < 30 kw
LP /N Gas - installation
E1 Emergency Generator> 30 kw n LP /Natural Gas - ANNUAL Sal f t
Fire Protection Maintenance - ANNUAL n ��// Places of Assembly -ANN L /r /
•; emi li Vtner rl rr
Sprinkler n ❑ ❑ ❑ n Recreational Bum __ ,
Are Alarm H ❑ ❑ I 1 n Sparklers
Hood Cleaning ❑ ❑ al f I n Sprinkler System Installations dt
Hood Suppression Ej ❑ ❑ ❑ , I n Standpipes (Sprinkler Sys)
El Are Alarm Installation = Torch Roofing/Tar Kettle
H n Are Pumps
Waste Tire Storage ANNUAL • Fire Works
R FlammableApplication- ANNUAL
F Valuation of Project
Fuel Tanks
n Other: I
Contractor ,/ f Q }. CA-r0-1-11 eS
Signature 4-f;14.---,..4_ Company i ti- 9 Registered / N F Current Y / N
Address I ` ° I N e c ' i • .' t . 33 .. License # E F - (Qt( I 0-1 t p `
ELECTRICIAN
Company
Signature Registered Y / N Fee Current Y / N
Address I License # I
PLUMBER Company
Signature Registered Y / N Fee Current Y / N
Address 1
License #
MECHANICAL Company
Signature Registered Y / N I Fee Current I Y/ N I
Address I I License #
OTHER
Signature
Company
Registered Y / N Fee Current Y / N
Address i
k= - . mow. 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:Uappraiser.pascogov.com)