HomeMy WebLinkAbout10-11154 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 11154
ANNUAL FIRE PROTECTION MAINTENANCE
v
Permit Number: 11154 Address: 6040 8TH ST
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: 02- 26 -21- 0080 -00A00 -0010
Improv. Cost:
Date Issued: 11/16/2010 Name: FIRST CHRISTIAN CH URCH
Total Fees: 25.00 Address: 6040 8TH ST
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/16/2010 Phone: (813)782 -1071
Work Desc: FPM- FIRE ALARM ANNUAL- FIRST CHRISTIAN CHURCH
my °,�. 4
• 1 ' � - - .11
r ,-(5.---(
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." 11PP
ti
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 Zephyrhills'Fim 1 Fax -813- 780 -0021
-
Permit Application
)ate Received Phone Contact for Permit 1
)wners Name I i- •t lzs± (' �ni` . C_ v, Gt r. rc z l Owner's Phone Number 1 Z/ 3 I) /7Xe). I 170-777
)wners Address 11Q 0 J $irt., St Z ee 1,,` t 1. 1 / S i c / 33 5 a-_. ,
:ee Simple Titleholder Name 1 I Titleholder Phone Number ( I
:es Simple Titleholder Address I
Job Address — I Lot #
Sub Division IINIMIEIIgBNINIMIIIIII Parcel # 6 a • - , .1 - Ot) JO - oo r
n rd Waste Storage - ANNUAL Fumigation Tent
El Comm Exhaust Kitchen Hood/Duct n Hazardous Material (Tier 11 or RO Facility) ANNUAL
E l Controlled Bum 1 Hood Installation
n Emergency Generator < 30 kw El LP/Natural Gas - Installation
•
Emergency Generator> 30 kw n LP /Natural Gas - ANNUAL Sale •
Fire Protection Maintenance - ANNUAL n Places of Assembly ANNUAL
t ";,�c7 Isemr� timer
Sprinkler 0 ❑ ❑ ❑ n Recreational Bum
Fire Alarm ❑ ❑ }o 1 1 El Sparklers -
Hood Cleaning ❑ ❑ / ❑ _ 1 I El Sprinkler System Installations
Hood Suppression D ❑ ❑ Cl ' . I El Standpipes (Sprinkler Sys)
El Fire Alarm Installation n Torch. RoofinglTar Kettle
Fire Pumps a Waste Tire Storage ANNUAL Valuation of Project
Fire Works •
Flammable Application- ANNUAL
Fuel Tanks
Other: 1
Contractor IF
G ��. 1 Compan wi .. .c, e,
Signature Registered 'Wm/ Fee Current Ml
Address 3 ■ • - . - Ih. .. - r License # (E F. ' i 7 b b t 0 N 3 ,.
ELECTRICIAN' Company
Signature
I Registered Y / N Fee Current Y/ N
Address License #
PLUMBER Company
Signature I Registered Y/ N Fee Curr Y/ N
Address 1
` License # 1
MECHANICAL Company
Signature Registered Y / N j Fee Current ` Y / N I
Address I I License #
OTHER Company
Signature
Registered Y / N Fee Current Y / N
Address I _ ! License #
Directions:
All 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)
•