HomeMy WebLinkAbout11-12003 CITY OF ZEPHYRHILLS .�
5335 - 8TH STREET
(813) 780-0020 12003
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12003 Address: 39735 CHANCEY RD
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 24-26-21-0000-00100-0050
Improv. Cost:
Date Issued: 6/14/2011 Name: AGAPE BAPTIST CHURCH
Total Fees: 25.00 Address: PO BOX 1505
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33539
Date Paid: 6/14/2011 Phone: (813)788-0283
Work Desc: FPM-FIRE ALARM ANNUAL- AGAPE CHURCH
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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."
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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
s� �-�ao-ao2o City of Zephyrhiils'Fir� Fax
, Permit Application �
)ate Received - Phone Contact for Permit �/��.��
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huner's Name Owne�s Phone Number
�wners Address e �, �� (�
=ee Simple TiUeholder Name Titlehol er Phone Number ���
=ee Simple Titleholder Address
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Job Address Lot # �
Sub Division � j�' e 1 Parcel # �p� ��! •�V ��
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� BfaHazard Waste Storage - ANNU L � Fumiga8on Tent
� Cornm Exhaust Kltchen HoodlDuct a Hazardous Material (7'ler li or RQ Facillty} ANNUAL
� ConVolled Bum � Hood {nstallaUon
� Emergency Generator < 30 kw a LP/Naturaf Gas-Instaliation
Emergency Generator> 30 kw � LP/Natural Gas-ANNUAL Sale
Fire Protection Mairttenance -ANNUAL a Places of Assembly-ANNUAL
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5prinkler �❑ O O� a Recreadonal Bum
Fre Alarm � p p��� � Sparklers
Hood Clsaning O O ❑� a Sprinkler System installatlons
Hoad Suppresslon �❑ 0 O� � Standpipes (Sp�nWer Sys)
� Fire Alartn Installation � Torcfi. RaofinglTar FCettle
Fire Pumps � Waste Tire Storage ANNUAL
Fire Works
Flammable ApplicaUon-ANNUAL Vafuation of Project
Fue( Tanks
Q Other;
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ConVa�tor J / Comparry � • �.+G ;it'itvh�' L,
Signature 1�•- ' Registerad Y V N Fee Curcent N��
Addross 1 � License # �j b ��
ELECTRICIAN Company
5ignature Registered Y! N Fee Curtent Y/ N
Address Lfcense i�
PLUMBER Company
Signature RBgistBred Y/ N Fee Current Y/ N
Address License #
MECHANICAL Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
OTHER Company
5ignature Registered Y/ N Fee Current �/ N
Address
Lioense #
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�irections:
Fill aut application complstely.
Owner 8 Contractor sign back of appiicatior�, notarized (Or, �opy of signed wntract with owner}
If over $250D, a Notice af Commencement fs requlred (Mechaniea! work over 35000)
Supply two (2) sets of drewings with applicabie dacumerrtatlon �
Allow 10-14 days for rev[ew after submitta! date. Parcet #- obtained frora Property Tax NoUce (http:/lappraiser.pascogov.com)