HomeMy WebLinkAbout11-12520 � CITY OF ZEPHYRHILLS
5335 - 8TH STREEf
(si3) �so-oozo 12520
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12520 Address: 6040 8TH ST
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: 02-26-21-0080-OOA00-0010
Improv. Cost:
Date Issued: 11/09/2011 Name: FIRST CHRISTIAN CHURCH
Total Fees: 25.00 Address: 6040 8TH ST
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/09/2011 Phone: (813)782-1071
Work Desc: FPM-ANNUAL FIRE ALARM FOR FIRST CHRISTIAN CHURCH
j
V �_
,2 ��
�� �
�
ina
Chapter 633, Florida Statutes, authorizes the City to charge and collect user fees to pay for the costs of fre
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."
�,.
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
8 � � City of Zephyfiills'Fi�� Fax-813-�ao-oo21
Permit Application
)ate Received - Phone Contact for Pertnit �� �����
na�.s�sR..R,�`_"° .. _. .
;�s���•° ..�..,_..,,.�.. • �
�wners Name C Owner'S Phone Nttmber
Tnmers Address � � � 3
=ee Simple TiUeholder Name TiUeholder Phone Number ��
=ee SimpleTiUeholder Address
��?!���
� " � Jab Address � -Q.� Lot #
Sub Division -C � Paroet # Q� ' �(O ' ' U� �d ' �U �� � �/"
�ffi,�•.:caa.F{:Y<:t3t�.�II'�
� Bio-Hazard Waste 5torage - ANNUAL � Fumigatlon Tent
� Comm Exhaust Kitchen HoodlDuct a Hazardous Material (Tier II or ftQ Facllify} ANNUAL
� ConVolled 8um � Hood InstallaUon
� Emergenay Generatar < 3p kw � LP/Naturef Gas-InstallaBon
Emergeney Generator> 30 kw � LP/Natural Gas-ANNUAL Sale i � I
Fire Protection Maintenance -ANNUAL o Places of Assembly-ANNUAL � {�
�y emi �n r � r /� V
5prinkler � ❑ O ❑ � � �rea8onal Bum G�` � �
Rre Alartn ❑ ❑ `x � � 5parklers � �
Hood Cieaning � O O ❑� � Sprinkler System InstallaUons �,�
Hood Suppression � � Q O� � Standpipes (5prinkler Sys)
Q Fire Aiarm Instaltation � Toroh.RoofinglTar Kettle
Fire Pumps � Waste Tire Storage ANNUAL
Fire Woiics '
FlammableApplicaUon-ANNUAL Valuation of Project
Fuel Tanks
� �th8f:
'ConVactor Comparry ='� .+� �� ! � �.
Signature ' Registerad Y N Fee Current I�
Address 1 i Licetl9e # iJ b► t`5
ELECTRICiAN Company
Signature Registered Y/ N Fea Curtent Y/ N�
Address Ucense #
PLUMBER Company
Signature Registered r Y/ N Fee Curtent Y/ N
Address License #
MECHANICAL Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
OTHER Company
Signature Registered Y/ N Fee Current Y/ N
Address Licensa #
a����.__�__—�,,.-°_-_-�.��._. . _ __.._z
_. . _... . _... _
Directions:
FII aut applicallon completely.
Owner 8 Contractor sign back of appiicatior�, notarized (Or, aopy of signad contract with owner}
If over $250D, a Notice of Commencement fs required (Mectianical work over 35000) .
Supply two (2) sets of drawings with applicable documerrtation
Allow 10-14 days for revinw after suhmittal date. Parcel #- abtai�ed from Property Tax Notice (http:Uappraiser.pascogov.00m)