HomeMy WebLinkAbout12-12707 CITY OF ZEPHYRHILLS
5335-8TH STREET -
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(813)780-0020 12707
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12707 Address: 5510 19TH ST
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: 11-26-21-0010-14300-0000
Improv. Cost:
Date Issued: 1/20/2012 Name: FIRST PRESBYTERIAN CHURCH OF ZE
Total Fees: 25.00 Address: 5510 19TH ST
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1/20/2012 Phone: (813)782-7412
Work Desc: FPM- FIRE ALARM ANNUAL- 1ST PRESBYTERIAN 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 INSPECTlON - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- Fire Marshal Office- 813-780-0041
s�a-�ao-oo2o City of Zephyrhills�Firs• Fax-813a8o-oo21
Permit Application '
)ate Received - Phone Contaet for Pertnit ��
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hvne�s Name 1 e�j (� u rL Owner'S Phone Number L—J.�.�1.1 �L._I-1�1�
�wners Address ( � ( '� �� 3 3� a.
'ee Simple TiUeholder Name Trfleholder Phone Number � � �
=es Simple TiUeholder Address
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Job Address �c-�.A, �'Y� �� Lot# �
Sub Division Parcet#
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a Bio-Hazard Waste 5torage-ANNUAL � FumigaUon Tent
� Comm Exhaust fdtchen HoodlDuct � Hazardous Material(7ier li or RQ Faciliiy)ANNUAL
� ConVolied Bum � Hood Installadon
� Emergency Generator<30 kw � LP/Naturai Gas-InstallaBon
Emergency Generatar>30 k�u � LP/Natural Gas-ANNUAl.5ale
Fire Protection Mai�tenance-ANNLIAL a Places of Assembly,ANNUAL
�y emi A"Tn er
Sprinkler � ❑ O O � � Recreatlonal Bum
Fire Alarm O ❑ � � Sparklers i ' ���
Hood Cleaning � ❑ p � � � Sprinkler System Installations
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Hood Supp►ession � ❑ ❑ p � a Standpipes(Sprinkier Sys)
� Fire Alartn Instalia8on � Torch.Roofing/Tar KetUe
Fire Pumps � Waste llre Storage ANNUAL
Firs Wo�lcs •
F{ammable Applicatlon-ANNUAL
Valuation of Project
Fuel Tanks
Q Other:
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ConUaotor _,-a ComPany °'� .cr '7t'=tw ' E:,
Signature ' Registerecl Y N Fee Current N
Address ,,, 1 � License# �b ��
ELECTRICIAN
Company
Signature Registered Y/N Fee Current Y/N
Address License#
PLUMBER
Company
5ignature Registered Y/(�f Fes Curtent Y/N
Address
License# �—
MECHANICAL
Company
Signature Registered Y/N Fee Current Y/N
Address
License#
OTHER Company
Slgnature Registared Y/N Fee Current Y/IV
Address License#
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�irections: � __,.,�,,.._;,�,.;�;.�x;,�,��r
Fitl out applicaUon completely.
Owner&Contraetor sign baek of appii�aUon,notarYzed(Or,copy of signed contract with owner)
if nver 52500,a Notice of Commencsment fs required(Mechanicat work over 35DOa)
Supply two(2j sets of drawings with applicable dacumentation
Allaw 10-14 days for rsview after submittal date. Parcel#-obtained from Property Tax Nollce(http://appraiser.pascogov,00m)