HomeMy WebLinkAbout11-11415 CITY OF ZEPHYRHILLS ./
5335 - 8T1-1 STREET
(813) 780 -0020 11415
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11415 Address: 6151 12TH 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:
Improv. Cost:
Date Issued: 1/18/2011 Name: FIRST CHURCH OF NAZARENE
Total Fees: 25.00 Address: 6151 12TH ST
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1/18/2011 Phone:
Work Desc: FPM- FIRE ALARM ANNUAL- FIRST CHURCH OF NAZARENE
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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." W!
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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
JUL /13 /2008 /SUN 04:13 PM ZEPHYAHILLS BUILDING FAX No. 813 P.002
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n13-780-0020 � � � 1 1
Permit Application - -
Date Received :Phone .Contect for Permit 2 3 3 br t® 3rd 2 - •
-�� -. .... _.. _.....
Owner's Name, .I i o t - si Gn4•i.Z li, c r +� 3 ,1. .2. 1 Owner's Phone Number 1 � t 1. 117 cY; 1 I '1 u 3 2 .I
Owner's Address • L b I S l j 2+'t i 2k y.. - h'i 11.5 , FL `.3 3 9 0 . I
•
Fee Simple TiUeholder Name • ( • • 1 Titleholder Phone Number 1 . 1 1 1 1 I
Fee Simple1fUeholder Address 1 i-- .�
Job Address I lv S t Z tL S► Z� '1 r Yt t l S FL_ 3 35'11 ------ Lot # 1 1
1 • •I' I • 1
Sub Division _. .
Parcel
•
n Bio- Hazard Waste Storage -.ANNUAL •' p Fumigation Tent •
0 , Comm Exhaust Kitchen Hood/Duct Hazardous Material (Tier 11 or RQ Facility) ANNUAL ..
a Controlled Burn. ' ' 1 Hood•Inatefatlon •
• Q Emergency Generator•< 30 kw • LPMatural Gas - Installation
. 3 •Emergency Oenerator> 6o kw J . • .. . ' Q LP /Natural Gas - ANNUAL Sale •
ED Fire Protection Maintenance - ANNUAL • 173 Places of Assembly- ANNUAL .
L"irF4 is ull � L'uL3i •
Sprinkler E3 O 0 .0 a Recreational Burn, . ,
Piro Alarm ' 13 O D IJ • = Sparklers •
• Hood Cleaning 0 O 0 = Sprinkler'System Installations
• Hood Suppression 0 0 . .0 0 El Standpipes (Sprinkler Sys) • • • • a Fire Alarm Installation Torah Roofing/Tar Keale •
R . Fire Pumps • . • • • • • . =I Waste Tire Storage ANNUAL .. • • • •
Fire Works • • . '
FR Flammable Application- ANNUAL .I • • •1 Valuation of Project
Fuel Tanks
Q Other. 1
Contractor —+` Company 1 th - ' CY\ . 'n'-tr
Signature .. Cam'- 'f'utl— ( A '°it �'� �. Registered t4 Fee current / N •
J
Address ( 1..., L t_% 2- 3z ;n j �Yn' v. ? " 7c w.... L - ' 3 I L.3 y 1. -_ ucense #...J t3 F 2- VCOU 33 1 . ._
ELECTRICIAN • ' 0 Company 1 •
Signature . Registered I Y / N 1 Fee Current 1 Y / N 1 •
Address I • j , , License # 1
PLUMBER . . • • • • Company I 1
Signature I • • ' ' • Registered Y / N Fee Current 1 Y / N .
Address ( • 1 License # I 1 . • • 1
•
MECHANICAL Company . '1
Signature 0 Registered I Y/ N 1 Fee Current 3 Y• / N J' 0
Address I • •] Lltenae # .
OTHER • ' . . . . . Company
Signature Registered I Y/ N J Fee Current 1 Y/ N I
.Address • • License # .
'ructions: •
• Fill out application completely. • •
Owner & Contractor sign back of application, notarized (Or. copy of (Hgned contract with owner) •
If over 132600. a Notice of Commencement 10 requlred.(Mechanlcal work over $6000) •
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. /appreieer.paseogov.com)
RECEIVED 07- 13 -'09 15:56 FROM- '8137800021 TO- 0 Devcon Security P002/002