HomeMy WebLinkAbout11-12569 CITY OF ZEPHYRHILLS
� 5335 - 8TH STREET
(si3) �so-oo20 12569
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12569 Address: 6251 FT KING RD
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book:
Proposed Use: CHURCH Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number:
Improv. Cost:
Date Issued: 11/29/2011 Name: THE ALLIANCE CHURCH
Total Fees: 25.00 Address: 6251 FT. KING RD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11 /29/2011 Phone:
Work Desc: FPM-ANNUAL FIRE SPRINKLER FOR THE ALLIANCE 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 pertormed 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-oo2o c:ny at cepnymuis rire
Fex$13-780-0021
' . - Pertnit Applicatfon
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Owners Name `�'t� Ownsrs Phons Number �� �(��
Owners Address � [.��
Fee Simple Titleholder Name TitlsFioldsr Phons Numbsr C� ��
Fee Simple Titleholder Address
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� �m �� ��sn HoodlD�t � Hszatdan M�tsrfaf (Tisr II or RQ Facility) ANNUAL
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n EmergencY Gensrator < 30 kw LP/Nahxal C3ts-Installatlon
�9e^�Y � � � � g LP/N�itxal G�s,ANNUAL Sals
� Fire Pretection Mafnbsnance - ANNUAL � Plaoss of Asssmbly-ANNUAL
Sprinkisr � � � � RecroaHornl B�un
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Fire Pumps � Waabe Tiro 3torape ANNUAL
Rro Works
Flammable AppUcauon- ANNUAL � V81u8�ion of ProjeCt
Fuel Tanks
Q Other.
Contractar
Signature �,'���E- ` .(� �►�Y 1� C Yl ✓tG _
Rspisterod N Fee Cunsnt
Address �ro E:�f'O�!r° FL. Llosnss #
ELECTRICIAN �
S�g�«� �� f Y/ N I ��� Y/ N
Address Lio�rus #
PLUMBER ��
Signat"�e Repistsrsd Y/ N Fee Currsnt Y/ N
Address LIc�Me �
MECHANI �
Signature Rsp�se�rsd Y/ N Fss Cunsnt Y/ N
Addross Licsrae �k
OTHER �
signature Rsptstsrsd Y/ N Fes Cumsrrt Y/ N
Address Lk�ms �
Diradions: � . . , •� -, „
Fill out appUcation compistely.
Ownsr & Contraator sipn b�ck of �PP�icatlon� nofarized (Or. copY of si0nsd oontraet wifh ov�rt�sr)
If over 52500, a NoUoe of Comrnsnosrtbnt Is rsquked (Nleclmnical w�ork ovsr t5000)
S�PP�Y �(2) ssts oF drawinas witl� spp6c�bls doa+�on
Aliow 10-14 days fa roviaw afEsr submilfaf dabe. Paroel #- obfeh�sd from Prop�Ry Tax Noifes (M�J/appraiaer.p�ogov.com)