HomeMy WebLinkAbout10-10594 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10594
ANNUAL FIRE PROTECTION MAINTENANCE
41,912 OSIVA
Permit Number: 10594 Address: 6251 FT KING RD
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:
Improv. Cost: 77 °T:
Date Issued: 6/22/2010 Name: THE ALLIANCE CHURCH
Total Fees: 25.00 Address: 6251 FT. KING RD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/15/2010 Phone:
Work Desc: FPM - ANNUAL FIRE ALARM FOR ALLIANCE CHURCH
P IALTY EL _ •NIC TEM . IN I ` RM F 25.00
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IR A EPTAN final ' �. ,., �.._._,: ; 2 � x � r �'... "•. �.....'f s. -a: =.. b��.
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 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
f
813-780-0020 ( / t2 City of Zephyrhills Fib Fax- 813 - 780 -0021
Permit Application
.
)ate Received r A Phone Contact for Permit rj 1 1 1 1
)wner's Name IC , A • 4 • .e. . ILA \l er's Phone Number 1 7/3 7
hvners Address l ( , i:‘! r. ( 'P 1 1' r 1 1 �j F l 3 3 5
=ee Simple Titleholder Name I Titleelder Phone Number ` 1 / I
=ee Simple Titleholder Address I
r ,4't ..:,., : ', r' • _ ',' . .r.u: 4,:4 ., : ..r , ,, f ? : `
mow: `.�� <r�s ,..,.- - s : � .
Job Address it Yr-�� Lot # Soo e ,,,
Sub Division 0: t L (') L Z e ' � `ys US , / l Parcel # - a ( " ail rn 'a9 �xzx7
.�� �'^ ...••4 , -.
n Bio-Hazard Waste Storage - ANNUAL 0 Fumigation Tent
E Comm Exhaust Kitchen Hood/Duct 1 1 Hazardous Material (Tier It or RCI Facility) ANNUAL.
n Controlled Bum n Hood Installation
n Emergency Generator < 30 kw n LP /Natural Gas - Installation
Emergency Generator> 30 kw I ( LP /Natural Gas - ANNUAL Sal / �9
Fire Protection Maintenance - ANNUAL n Places of Assembly-ANN
U/4L 41 J (/
ml �SemiJ 1""' t Uther //
.,r/
Sprinkler n ❑ ❑ 0 n Recreational Bum
Fire Alarm ❑ ❑ A l n Sparklers C/4
Hood Cleaning 0 ❑ ❑ ❑ l I 1 Sprinkler System Installations
Hood Suppression ❑ ❑ ❑ I 1 1 1 Standpipes (Sprinkler Sys)
n Fire Alarm Installation n Torch Roofing/Tar Kettle
Fire Pumps n Waste Tire Storage ANNUAL
Fire Works
Flammable Application- ANNUAL
1 { Valuation of Project
I Fuel Tanks
0 Other I OA
_ *. -.i, a ;'
Contractor s ����
Company o r( V 5,
Signature h t : A Registered 1611314311 Fee Curren [ ®1111
Address G • Gt � . . , ► ___ _ �
�T vuzis- License # I E F 1 00 U (0 Li 1 1
ELECTRICIAN Company
Signature Registered Y / N Fee Current Y / N
Address License # I
PLUMBER Company
Signature Registered Y/ N I Fee Current Y / N J
Address I 1 License #
MECHANICAL Company
Signature Registered Y / N Fee Current Y / N
Address I 1 License #
OTHER Company
Signature Registered Y / N Fee Current Y / N
Address Li #
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Directions: " `W" ` —� .. s
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)