HomeMy WebLinkAbout10-10889 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10889
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 10889 Addres 6125 12TH 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: 02- 26 -21- 0080 - 00200 -0020
Improv. Cost: WZ
Date Issued: 9/03/2010 Name: CHURCH OF THE NAZARENE
Total Fees: 25.00 Address: 6125 12TH ST
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/03/2010 Phone:
Work Desc: FPM - SUPPRESSIO SEMI- CHURCH OF NAZARENE
RNANI • IR A •UIPM FIR - 1 25.00
I ` A - TAN E inal
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."
err'
At: 1 0 1 2 ,
P 1111 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
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813-780-0020 City of ZePhYrhals.1 Fax-813-780-0021
Permit Application • .- -
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Date Received " • - 1. . I - '.- - Phone contact for Permit r ------- 1 17 1 ------ j
0%11061 Nem • • • - • preopgrAw2E-rifiorzyziwz - .....49,7 - °woes Phone Number 1 1 1 '1
Owner's Address thiwkwideammit iiviewArira_...____ irzffilm_._____ArirgimEgrital,
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Fee Simple Titleholder Name Titleholder Phone Number I 11 • I
Fes SimpleMieheider Address . 1 .. . .
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Job Address I I I I I Ill 17. ;14r■ -440WIA I I I I I I I I I I I I I I I I I I I I I I I . I I I I I I I I I I I III S I I I I
Sub Division Parcel 5
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I:=1 Rio-H Waste Storage - AMU AL • ED Fumigation Tent •
El Conen Exhaust 10tchen Hood/Duct E:l Hairdo's, Maisie, (Tier 11 or RD Facility) ANNUAL
0 conwhd Bum ED Hood ketaletion
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Effergency Generator <30 kw LP/Nitural Ges-Installation
6nergency Generator > 30 kw LP/Nebsal Ges4NNUAL Sale
Pk* Protection Maintenance -ANNUAL Places d Assembly-ANNUAL
• DM IMIS MEI &Calli
Sprinkler 0 0 0 Recreational Bum -
Rre Mann 0 0 0 Sport:kw*
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. Hood Cleaning 0 0 0 SprInIder System hi-'-- . .
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Hood Suppresion
0 k 0 Stmidpipes (Sprinkler Sys)
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• Relno instelletion _ Eli Tomah Roofing/Tar Kettle
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Fie FumPli , — ' - Waste 'Tire Storage ANNUAL
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RIO Wades i
Flermetie Application- ANNUAL .,..
.1 • 1 valuation of Project
• .. Ami Tanks
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Centre** • • WIF„ZIONIIM ConclAY VI a : - -ArAkrIl
simian WAk■ItW...dilit%ftvin% R501Milmi Irifingli lir l'IMI , ' -
Address itqcli 1,11.11earir4-7All • • limn-. ::
ELE - •• Compeny
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Signature Registered Y / N Fee Current j Y/ N j
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Address 1 ' License * 1 .
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PLUMBER Company i... I .
Signature Registered Y L/ N j Fee Curried 1 Y iN j
Address I Wenn # 1 I •
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mEcHAtaci . _.
Company
Registered I Y/N J Fee Current 1 , Y/N I I
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Address 1 • Ucense ft 1 -
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OTHER , Company
Signeture Registered 1 V/ N i RIO Conant . j Y/ N 1
kddr.fis. I • , 1 wane*
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Owner BtCoriniMer " 114 ..., . Or.' a( 21 05 misxmirlif %WM ovifilir)
If over 52500.11 NOON . - • . ' ■ ' .. . VAA Mgr S5000)
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Sy he:42).arits ot al
AIM 10-14 days for mw :eftecsublrittefdite. N. - ' 6 : *lute 5 - obtained from Property Tax Notice (110mIlsppraiser.pascogov.com)
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' NOTICE OF :DEED RESTRICTIONS idenigned•und. stands<•that this permit maybesub desid", rictions"
which may be -more'restrictive'thanlOoiti regUiatlons, The enderstgned .assumes responsibility, obmplia . any .
apple tile.deed restrictions, , . ntractr -or
• 'UNLICENSED .iCO�CTORSVO H ►CTOR :RESPONSIBILITIES: - if -the - owner �hs . . o the
contractors lo undo lake work, they may be required lo be licensed In accordance with state and .local-re�+iations.
contractor Is not licensed as required by law, both the miner and contactor may be cited - for a -misdemeanor violation
under state law Nth* owner or intended contractor are uncertain myth what licensing -requirement may :apply for the
80 intended
9. F re, they
are advised to Contact the •Pasco County ceding Ins tlon .: np Se tion.at 727.847-
8009. ` tiurherrnore If the owner has 'hired :r contractor or bontracaors, he is advised 'to .have the .contractor(s); sign
x Block• of this application 'for which they wel be responsible. ' If you as the owner Sion as the
portions pf the " o� <n��Pasco
contractor, that may be an ndlcation that be !sniff *party y leased alld taint erlUtierkto'p fitting piivlleges
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County• 500.00 or more, 1
CONSTRUCTION .UEN LAW"(Chapter713,Florida Statutes .asa�rnendsd): tf valuatio o f work Is $2;
Certify that I, the applicant, have been provided with a copy of the 'Florida Construction Lien Laws— Homeowner's
Protection Guide' prepared by`
the Plorida Department of ire and Consumer Affelln. . i f the pNoant;is someb e
other than thalownee, I certify that 1 have obtained a copy of the above described document and promise to goortfilith to
deliver It to the bwner' prior to commencement.
.CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and
that all work will be done in compliance with all applicable laws regulating construction, zoning and land indicated
development. Application is hereby made-to obtain issuance to a do w o r k and that all vdl performed .
erforme to
no work or installation has commenced prior land
meet standards of all laws regulating construction, County and y codes, .zoning regulations, and
that I understand that the regulations' of other
development regulations in the jurisdiction. 1 also nsibiltty to what actions I
government agencies may apply'tO the In�ded works-and that It Is my respo
must takelo be in compliance.
If I am the AGENT FORTHE OWNER, l promise in good.faith to Inkam the owner of the permitttvconditions set forth in
is affidavit rioor•to commencing construction. I understand that a sep permit~ be requtr ` Y ale work.
this p Included irrahe applkatbn. A
plumbing. signs wells pools. air conditionir�s gas, or installations a not a�uthortty to v� can alter', or
permit issued shall be construed to be a license to proceed
thereafter
set aside any provisions of the technical oodes, nor shall istuancre of a permit prevent the BulIding Official f r o
requiring a n of errors in plans, .coristruc ticn or, violations of any codes. Every permit invalid
K is Commenced Within abc months of permit issuance, or if work authorized by
unless the work suspended or! by such d for of sbi (6) months after the time the work Is commenced. An extension
the permft is acted. In or abandoned far a period net to exceed ninety (90) days' and will -demonstrate
. be re cis in writings from the Building for ninety et a period , the
.apb is considered abandoned•
theeaEensbn. if work for ninet�r )
R : YOUR Ir a 70 R ECORD A'NOTICE.OF CO .. ENT MAY RESULT IN OUR
v r CONSULT
PAYIN ,�
TO YOUR cis'. '
WARNMI�i
irJ :S. ii .03)
Arati
ovisEn "' '
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1Mi0 kFgWn �-t11e Of hailAtive ...+ -s . w of Identification.
as Identification.
/ nosy PubNO
0onnmas+�onNo� ,:
Name Of Printed a etampsd
Plante ode ,► or stamped
$11101.44014 "
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