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10-11099
CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 11099 ANNUAL FIRE: PROTECTION MAINTENANCE Permit Number: 11099 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: 10/28/2010 Name: ALLIANCE CHURCH OF ZEPHRYHILLS Total Fees: 50.00 Address: 6251 FORT KING RD Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 10/28/2010 Phone: (813)782 -8865 Work Desc: FPM- HOOD CLEAN ANNUAU SUPPRESSION SEMI- ALLIANCE CHURCH OF ZEPHYRHI - - - 50.00 15 _ i_ ._ A 1 ina 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." Ari I P -27" 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 913 - 780-0020 City of Zephyrhiils'Fire L`j Fax - 813 - 790-0021 i I Permit Application ( I Date Received 1 1 Phone Contact for Penns 1 •• 7 - :Ct•! 1 1G4'N'I1 :+P!11%T.T�IfR;.nT..T, •.:,.:..,,-. e. ww• n..:..:.::::.. u• c. n,..;..... r. 1•.. n. m.. wn- rA1Mp+ 1�T9A1R1 !!LN17-- -------- .- .a.-.,. vx.. ns, r.. � " YS91 g 9.. nnIV' rRil/.. n. Tl !ir'wf'!AC".MT.:�"T'.^".^. : ... = •D4J..w..•, .. .. . . 27-687 1 28C I Owners Name 'Alliance Church of Zophyerhills I Conte Phone Number 1813 -782 -8865 11 I Owner's Address 16251 Fort King Rd. Zephyrhills, Florida 33542 • I Fee Simple Titleholder Name (Alliance Church of Zephyrhills 1 Titleholder Phone Number 1813- 782 -8865 1 1 I Fee Simple Titleholder Adores., 16251 Fort King Rd. Zephyrhills, Florida 33542 I r 7 :%Nac^¢2?„5 tiYd4f:1ot1.^•+"! ..., .„vwlal r!Rnn1atp1nranan ... .. irsrcrina aanacces, , _ ... ..1,... * R& F, 1rm ncr. .cmf.ro'nrwr"rcnr.:3'mealr wurt.,: r...-r,,r:: Job Address 16251 Fort Kin >Rd. Zephyrhills, Florida 33542 Lot# l I Sub Division I Parser a 03- 20- 21 -Q010- 09500-0000 I ,.,. c,..f,„.. .n. :Dn...1. ry[^; iN@; N! fnngf+ minY.11. :u......,..,,,,, y. 9(.: Gi'Er rirfflrm m..,, wn• .I..vuv..w— ,6.rzte1Q.'er.rsfrir .1i?Y!mvor -&-rn mwr.F rCx,.— .- -_.:r.n,5ru',,,,w.. ,,,,.... ...r•,••..r.c...14:'.P. 0 Bio-Hazard Waste Storage - ANNUAL Fumigation Tent 0 Comm Exhaust Kitchen Hood/Duct u Hazardous Material (Tier 11 or RO Facility) ANNUAL. 0 Controlled Burn 0 Mood Instadadon Q Emergency Generator < 30 kw = LP/Natural Gas - Installation I I Emergency Generator 3. 30 kw f LP/Natural Gas - ANNUAL Sale 0 Fire Protection Maintenance- ANNUAL I Places of Assembly- ANNUAL Sprinkler Lj O 0 0 0 Recreadonal Bum tiro Alarm El O O O n SparMon: Hood Cleaning © O O X 1 Sprinkler System Installations Hood Suppression D ❑ ❑ f7 a Standpipes (Sprinkler Sys) Fire Alenn Installation = Torch Roofing/Tar Kettle 0 Fire Pumps Q Warts Tin: Storage ANNUAL R Are Works Flammable Appllcallon- ANNUAL 3501 Valuation of Project I_I Fuel Tanks 0 Other: 1 • I + :r?4nmx wi ¢:A•;! I1 r% larill "it4tF.IIMIATZTAJ'JfirS :IR:•` 71101 .1$17 d:.RR^er4". :.... ` ,,..,,-, • '.4... n . 'c• w. ^a .... - A,,, .. :a.... : 1 ........... ...x >: ,:tir.?7C.^."r.v.r contractor `Kevin Hoch Company Fire Systems Inc, I Signature Registered Y/ N J Fee Current I Y / N I Address IP.O.Box 48741 St. Petersburg, Florida 33743-8741 1 License I I ELECTRICIAN • Company I sic...hue Registered Y / N J Fee C "rent I Y/ N I Address I I License* 1 PLUMBER I Company I Signature Registered Y / N j Fee Current I Y / N I Address J 1 License* I MECHANICAL Company I Signature Registered Y/ N J Fee Current I Y / N I 1 Address I 1 # I OTHER Company I Signature Reoistered ( Y/ N 1 Pea t:urrant I Y/ N I Address I I License* .. .. .• ..,... .1. . •.... 1:'::. n+: r.• 1: o-. f., n: 11... IN: i:'. 1i:, W,.;.,. inr,. ii' v.:,: 11. ni.. W.:: .. . I: IN,,.. r.::: htlX'[' 1.:. 1. rMML. IY" 1". I.. n'., . f:. l....• n•.• r.. v...•- e�\. JMLI..-., Ir. �M. A•. r' J• r ' I: MMY91. f..: N: r• r.. :�.� :,u.ax.M�.,..- •.n. :.vr.... .try.., :,ti�,...,•....,I : : :.rv.. •.: :. : :c :IW, :hy.ar. r.F. :....v DIrecdon3: .. ... All out application completely, Owner 8 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 S5000) Cuddly two (2) sew of drawings with applicable documentation Aflow 10.14 days for review after submittal date. Parcel* - obtained from Property Tax Nodce (http: //appraiser.paseogov.eom) 813 -780 -0020 City of Zephyrhills Fire 'Fax- 813 -780 -0021 Permit Application Date Received Phone Contact for Permit 727- 6 67 - 12 851 r2r�r r?anJnmra .., •,.xrlO.. _ , �ns7x .. ...,... r „am:: rr rlP .clrq!nR;1TU';ARITR N,r.r arro• wurr ....r... .ra...... gTl.7.Ir1 ...... .. ... Ownarn Nd,n6 (Alliance Church ofZephyerhille 1 owners Phone Number I813_7R9.RRR5 1 1 I Owners Address 16251 Fort King Rd. Zephyrhills, Florida 33542 I Fee Simple Titleholder Name 'Alliance Church of Zephyrhills I 'Titleholder Phone Number 1813=782 -886 1 I Fee Simple Titleholder Address 16251 Fort King Rd. Zephyrhills, Florida 33542 I a: c•., ru•. dipoSt! rm;ma 9rsr' r. tl? tr:: olgenter .RUti(arsymemtwAIFmitir7r pom r,„.+ IPS......„• °..,... 11!'...,,...1X . ... .,. : mnr�Jli irpr'r sr .royINmurm. ...T., Job Address 16251 Fort King Rd. Zephyrhills, Florida 33542 1 Lot # I Sub Division ' I Parcel # 03- 2621 001 0950 0.0000 I ....r. '' ». . ... , ;n ... r .,C!I7+.r w.nv.wwrnrseaaxw,.0 JM!y:!fM . . I'. A "P'1'V1 Y,a.ns.�.........._.n• ..� .., .,.... .... _.tom• .. .... .. .... .. ,•I.:.r. *Y ^• »ar.:mr!C . ..,.,,, _.. , ._ ata7rmtpM ...._. _... _. . . I I !to-Hazard Waste Storage - ANNUAL n Fumigation Tent 17 Comm Exhaust Kitchen Hood/Duct I I Hazardous Material (Tier 11 or RQ Facility) ANNUAL Controlled Bum n Hood Installation 0 Emergency Generator < 30 Kw LI LP /Natural Gas - Installation n Emergency Generator 30 kw n LP / Natural Gas - ANNUAL Sale El Fins Protection Maintenance - ANNUAL = Places of Assembly-ANNUAL Wp iwri (y j rther Sprinkler 0 0 0 n Recreational Bum i• ire Alarm E 0 0 0 I 1 n Spin Mere Mood Cleaning 0 0 O ❑ I 1 El [1 Sprinkler System Installations © Hood Suppression 0 X I:1 ( 1 Standpipes (Sprinkler Sys) n Fire Alarm Installation a Torch Roofing/Ter Kettle El Fire Pumps ICJ Weeto Tiro Storage ANNUAL Fre Works a Flammable Application. ANNUAL ' 1751 Valuation of Project a Fuel Tanks Ej Other: I I rr:,77,,,7�7,:a .-r,l. ,,e.vouniunv:mm.en TRm2"^nMa�.T�. ., . .. .... '! elemrCmna tr .!ra`.., .- •.q. -,,,.. ...• r.. .r:.Y.P...n.l.F.. O.A.F. Q: T1Y'7Y;: .. -, ,.,. nnPTUa4�n •... ._F.i. w,.. �,..F....n,»..n c w+n.P.. ni •n� Contractor ^ Kevin Hoch Company 'Fire Systems Inc. ��» Signature Registered Y/ N Fee Current I Y / N I • Address IP.O.Box 48741 St. Petersburg, Florida 33743 -8741 I License# I I ELECTRICIAN I Company I . .signature ( Registered Y/ N J reel Current I Y/ N I Address I 1 License* I PLUMBER Company I Signature Registered Y/ N J Fee Current I Y / N I Address I I License* I MECHANICAL Company I Signature Registered' Y/ N J Fee Current I Y/ N I AOOrGSS I I License# I I OTHER Company Strohm* Registered Y N _I Fes Current I V/ N J Address 1 1I( sear "Y: •v:;: e..,.,...,; -- .... .... 1.'.• ?G.4. 114•' J.' xii• i.( k. ud' IL.: i:...: ry. i. i4W'+... v-'_ q..: ln:.:_ r:.±:; r: ar. l`I:».r..'_....:rrY.v.Y»I.:c�.v -:t '. T. - . 'n1 :.�. 4r.�:I._ ..._.... _ -.� r .- . rF ,. .,.....r. ».,•u:= V,r'.,a.y ...:„,. wrr.xr -r. rF._e ..., •..,.::•....:...e:..���'i.•::. �. -... ..:. ..:.:.:..v ... .r..l .... .M. 1'..1:1.:: A ..:..... . . Directions: Fill out appllcatIon completely. Owner & Contactor sign back of application, notarized (Or, copy of signed contract with owner) If over $2500. a Notice of Commencement is required (Mechanical work over 55000) Supply two Cz) sets of °raw fngs wnh apPllbab)e oocumenlason Allow 10-14 days for review after submittal date. Parcel # - obtained from Property Tax Notice (http / /appreieer,pascogovrcom) ) i t Systems Fi . ' e inc. , Fax Products and Services --a "• 0 - - - if • 1 il - - - ..„:-. - --,,,,,hric.r.„-' ..,...- ..,._ . __ __ ,.. 7 - . ..-------/ ---:...„ ...----- _ Zephyrhills ... _ . ,. 41 .. Building Dep. ..., - t . , ( lax nurrir; 813 780 0021 Comment : . - • .. •:'''.43' . Phon* Number.: 1 am sendin by mail a check for two permits and the business tax renewal. FprfrIZ , Thank you, Kevin Kevin Hoch Fire Systems Inc. De: , ( 10/26/2010) ( . \ilt t,( I 401) k i rarabOt Of 7) Na/Ce_ (,14,e. ., . c 4 _ fiia ( 1 k---( 5 a „4. „6 c Oeir . i g (o Cii,,e,k p(),/ ( • /4 4 y .. tikr r wt irazi 49 dA-- Fire Systems Inc huv://www.Tiresys emsusascom 727-687-1285 - 7TV bu 4 ' 8 ° ` ._„ "' • , ,....„„,, 1(: ' ` (4 V dl e , , ‘ ", ' -.•... -............,, 4. 727-343-1422 4 ---- - •.ripz, .#),,,, • - ,--• !...-. . . ...._ ,, . . .,: ,,.1, :. ".--7-.......7—. --" ..-- ....,..,._.. • t114-74 ■ - 04' It t.. 4 ...... ,- 1 1 1 , i,1, 7, , - , ,:. - ' -- - -- I, , - -, Iihm 4 4 w ' , :at,'`'' .‘,* - t•', t ..". - ,' :-. . . . , , , , , c '. : P.01 /01 TRANSACTION REPORT OCT /26/2009/MON 03:13 PM FAX(TX) # DATA START T. RECEIVER COM.TIME PAGE TYPE /NOTE FILE 01 OCT /26 03:13PM 917273431422 0:00:44 1 OK ECM 1543 i • Ffre S .s•• ne i _....... = Ilf , : Products and :Services : . I • ffer ""117arat:2=agalta;r: :. ... • ' • . 1 ' . ' • ;.• :' 7 .• .".' ' ? ' . III .?phyrhil is t , ,.. - _ __.__ • :Building Dept,. . - _ . , • • 1• 111 ` - • - • iW .. ry -� 8�:3 780 .ao21 - - eCommenit:: • tphonA.ia"p4 : Ii am 'sendin thy mais' i :a check �fortwo .f y , t % : ' permits...and the business tax :renewal.. :> • F ':`"fib `Thank•1,you, • • • Kevin . 'Kevin :Hoc 1. • :Fire Systems :Inc. ; per.; 1'o/2s/zo1 ' e � !U 4 ' - fir • ' • 1. , ,... c f_ Ala ( CS . . : / oak: • induinpraribef com ; ..":' . .7 4yet,,,i &Id • a ` c • -.- -, 413 rcam �� :� . • Fire Systems Inc. h tt ` : /www rest' (emsusa 727=687 - -: .. rid; ~ ~ •:' . -'� . . ".,;:: ; "� , 1, . • '.: ^ ^ � � / ; 1 11 Y • • • cke ck Ls r- peferl riew , / >7 c 7 - 7 -