HomeMy WebLinkAbout12-13199 CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oo20 3199
ANNUAL FIRE PROTECTION MAINTENANCE
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Permit Number: 13199 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: 6/22/2012 Name: AGAPE BAPTIST CHURCH
Total Fees: 25.00 Address: PO BOX 1505
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33539
Date Paid: 6/22/2012 Phone: (813)788-0283
Work Desc: FPM- FIRE ALARM ANNUAL-AGAPE BAPTIST 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
wsts 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 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
a��-7eo-oo2o City of Zephyrhilis'Fir��� Fax-813-'t8o-oo21
Permit Application
ite Received � � - Phona Contaetfor Pertnit
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aners Name �"j Owner's Phone Numher �
nrner's Address (� / j 5 �
�e Simple TiUeholder Name Titleholder Phone Number �� �
;e Simple Titleholder Address
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ib Address � 9 �,..J 'e � Lot# C
�6 Division Parcel# Q - CXJ%C�(� �j(1 (�Z
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� Bio-Hazard Waste 5iorege-ANNUAL � FumigaUan Tent
� Comm Exhaust IGtchen Hood/Duct Q Hazardous Material(7ler II or RQ Faciiiiy)ANNUAL
� ConVoiled Bum � Hoad Instatladon
n Emergency Generator<30 kw � LP/Naturef Gas-Installakion
Emergeney Generator>30 kw � LPINatural Gas-ANNUAL 5ale ���} �
Flre Proteo8on Mairttenance-ANNUAL � Places af Assembly-ANNUAL �1 �
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Sprinkler � ❑ ❑ O � � RecreallonalBum
Fre Alarm � ❑ ❑ � � � Sparkiers
Hood Cleaning ❑ ❑ ❑ � � Sprinkler System Installatlons
Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys)
� Fira Alartn InstallaUvn � Torcfi RoofinglTar KetUe
Fire Pumps � Waste Tlrs Storage ANNUAL
Fire Wotics •
Flammable AppllcaGon-ANNUAL �_�� Valuation af PrOject
Fuef Tanks
Q Other:
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iignaturer � . - Comparry " >=� � � �,� y�—`�
Registered _ Y.N Fee Cucrent N—��
Address ) 1 _ " � License# �ry ►�
cLECTRICIAN
Comparry
3lgnature Registered Y/N_ Fee Current Y/N
Address
License#
PLUMBER Gompany
5ignature Reglstered Y/N Fee Current �(/N
Address
License#
MECHANICAL
Company
5ignature Registered Y/N Fee Current Y/N
Address �*"
License#
OTHER
, Company
5ignature Ragistered Y/N Fee Cunent �(l N
Address Licensa#
D°a3���w �� � _
irections: -_�......,:�-"— .,=:z:_�-�..r,y.,,�;;�=�:_�.s.
Fiil out applicatfon completely.
Owner 8 Contractor sign back of applicatlor�,notarized(Or,copy of signed conUact with owner}
If over 52500,a Notice of Commencement!s required(Mechanieal work over 35000)
Supply two(2J sets of drewings with applicable dacumerrtation �
Allow 10-14 days for review after submittal data. Parcel#-abtained frorn Property Tax Notles(http://appraiser.pascogov.com)