HomeMy WebLinkAbout12-13164 • CITY OF ZEPHYRHILLS �
5335-8TH STREET '�
(si3)�so-oo20 13164
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13164 Address: 6251 FORT KING 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: 03-26-21-0010-09500-0000
Improv. Cost:
Date Issued: 6/12/2012 Name: ALLIANCE CHURCH OF ZEPHRYHILLS
Total Fees: 25.00 Address: 6251 FORT KING RD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/12/2012 Phone: (813)782-8865
Work Desc: FPM- FIRE ALARM ANNUAL-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 Appiication. 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 RECO IN Y R NOTICE
OF COMMENCEMENT." '
PERMIT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
s�a-�ao-oo2o City of Zephyrhills�Fir��. Fax-813-�8o-o021
Permit Application
;Received - Phona ContaetforPertnit �� �R�
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iers Name --Q
V Owner's Phone Nttmber �i 3 1 , ��. '�'� [_L�3ts�k.,[
ners Address / /1 � � �
s Simple Titleholder Name Titleholder Phone Number � � �
a SimpleTitleholderAddress
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�Address Lot# �
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b Division �
�.itt�€- -asv s.. 'F�i5��?¢s'ff�=2�e.N�m�i��'y..'�"sc:i':ur'�.4 t'-�-3:�
� BiaHazard Waste 5tocage-ANNUAL � FumigeUan Tent
� Comm Exhaust Kitchen HoodlDuct a Haza�dous Material(Tier li or RQ Faciliiy)ANNUAL
� ConVolled Bum a Hood Installatlon
� Emergency Ganeraior<30 kw � LP1Naturei Gas-Installation
Emergency Gene2tor>30 kw � LP/Natural Gas-ANNUAL Sale
Flre Protection Mairttenance-ANNUAL � Places of Assembly-ANNUAL � �
rty em� �n er /�r
Sprinkle� � ❑ O ❑ � � Recreational Bum � �'r/�
l
Fre Alarm � ❑ ❑ � � � Sparklers
Hood Cleaning 0 a � � � Sprinkler System Installatlons
Hood Suppression � ❑ ❑ O C� � 5tandpipes(Sprinkler Sys)
� Fire Alarm InstallaUon � Torcfi.RoofinglTar Kettie
Fire Pumps � Waste Tire Stotage ANNUAL
Firs Works '
FlammableApplication-ANNUAL r� � Valuation of Project
Fuel Tanks
Q other:
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:ontractor Comparry � ��`i .� :�Ce _ �,
ilgnature ' Registereil Y N Fee Current N
Address 1 ' � License# �ty ►c�
_LECTRICIAN Company
Slgnature Regfstered Y/�I Fee Current Y/�—
Address License#
PLUMBER Company
Signature Registered Y/N Fee Current Y/N
Address License#
MECHANICAL Company
Signature Registered Y!N Fee Current Y/N
Addrass License#
07HER Company
_— - _
Signature Registered Y/N Fee Current Y!N
Address License#
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Directions: '
Ftl aut applination complately.
Owner S Contractor sign back of applicatior�,notarized(Or,copy of slgnad contract with ownarj
If over 52500,a Notice of Commencement fs required(Mechanicak work over 35000) .
Supply two(2)sets of drawings with appiicable dacumentation
Allow 10-14 days for review aiter submittal date. Parcel#-abtained frorrt Property Tax Notics(http:llappraiser.pasoogov.00m}