HomeMy WebLinkAbout13-14614 CITY OF ZEPHYRHILLS
5335-8TH STREET
�sis)�so-oo20 1461
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 14614 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: 10/09/2013 Name: ALLIANCE CHURCH OF ZEPHRYHILLS
Total Fees: 50.00 Address: 6251 FORT KING RD
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/09/2013 Phone: (813 782-8865
Work Desc: PLACES OF ASSEMBLY ALLIANCE CHURCH OF ZEPHYRHILLS EXP 10/2014
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Chapter 633, Florida Statutes,authorizes the City to charge and collect user fees to pay for tl�e costs of fire
prevention and protection related activities such as inspections, plan review,administrative fees,and other
aosts related to the afnrementioned.
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$100.00, whichever is greater. All
work shall be performed in aaordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE
OF COMMENCEMENT."
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PERMIT OFFICE
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
813-78U-UU20 c;iry or cepnymms rire rax-ts�3-iuu-uun
Permit Application
ate Received
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�wner's Name x /�L.L/�^lt:G ��(U�'C t1 �� ZcPI.��,Q���t�� p�,,�er's Phone Number � �� �
�wner'sAddress "��i�.J`� f"O/'c'T' f�i,�.)� ,eD ��P�-�rRr����s, F'L - 3J�$�'�fa
ee Simple Titleholder Name Titleholder Phone Number � C� ��
ee Simple Titleholder Address
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�b Address Lot# C�
ub Division Parcel#
� Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct a Hazardous Material(Tier II or RQ F�acility)ANNUAL
� Controiled Bum � Hood Installation
� Emergency Generator<30 kw � LP/Natural Gas-Installation
aEmergency Generator>30 kw a LPMatural Gas-ANNUAL Sale
� Fire Protection Maintenance-ANN� � � � Places of Assembly-ANNUAL I "%'��l(�
y emi n er /� � ( `E�
❑ � ❑ '
Sprinkler ❑ p ❑ Recreational Bum '�
Fire Alartn � ❑ ❑ ❑ � � Sparklers
Hood Cleaning � ❑ ❑ ❑ C� � Sprinkler System Installations
Hood Suppression � p ❑ ❑ � � Standpipes(Sprinkler Sys)
QFire Alarm Installation � To�h Roofing/Tar Kettie
� Fire Pumps � Waste Tire Storage ANNUAL
� Fire Works
� Flammable Application-ANNUAL
� �-� Valuation of Project
Fuel Tanks
Q Other:
Antractor �
ignature u � ' , Company
Registered Y/N Fee Current Y/N
Address
License#
LECTRICIAN
Company
ignature Registered Y/N Fee Current Y/N
Address
License#
'LUMBER
Company
�ignature Registered Y/N Fee Current Y/N
Address
License#
�ECHANICAL
Company
;ignature Registered Y/N Fee Current Y/N
Address
License#
)THER
Company
�ignature Registered Y/N Fee Current Y/N
Address
�-- � License#
iirections: " 3",Y`a-�-� z -
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Fill out application completely.
Owner&Contractor sign back of application,notarized(Or,copy of signed coniract with owner)
If over$2500,a Notice of Commencement is required(Mechanical work over$5000)
Supply two(2)sets of drawings with appiicable documentation
Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice htt //a
( p: ppraiser.pascogov.com)