HomeMy WebLinkAbout13-14711 , CITY OF ZEPHYRHILLS
5335-8TH STREET
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ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 14711 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: 11/12/2013 Name: ALLIANCE CHURCH OF ZEPHRYHILLS
Total Fees: 25.00 Address: 6251 FORT KING RD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/12/2013 Phone: (813)782-8865
Work Desc: FPM- SPRINKLER 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 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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PERMIT OFFICE
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION -8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
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' 813-780-0020 City of Zephyrhills Fire Fax-813-780-0021
Permit Application
Date Received /`� �� Phon ntact for Pe rm�t ��� _-`j � �� 1 l l' 1 1 \ 1
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Owner's Name � Owner's Phone Numt�er � � �
Owner'sAddress � G�� 32��`?��
Fee 5imple Titleholder Name v� � YT � ( TiUeholder Phone Nu nber C� �� �
Fee Simple Titieholder Address
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Job Address �j �"'�' h� I I� (�_..�„ ��:3 S� Lot# ��
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Sub Division Parcel#
� Bio-Hazard Waste Storage-ANNUA� � Hazardous Material(ller II or RQ Facility)ANNUAL
� Comm Exhaust Kitchen Hood/Duct � Hood Instaliation
� Controiled Bum a LP/Natural Gas-Instal ation
� Emergency Generetor<30 kw � LPlNatural Gas-ANNUAL Sale
� Emergency Generator>30 kw � Places of Assembly-ANNUAL
��Fire Protection Maintenance-ANNUAL � Recreational Burn
� emi � er ❑ � 1 I
Sprinkler ❑ ❑ Sparklers 1I �
Fire Alarm � ❑ ❑ ❑ � � Sprinkler System Inskiilations � 1
Hood Cleaning � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys)
Hood Suppression � p ❑ ❑ � � Torch Roofing/Tar Kettle
� Fire Alarm Installation � Waste Tire Storage ANNUAL
� Fire Pumps
� Fire Works
� Flammable App�ication-ANNUAL � Valuation of Project
oFuel Tanks
Q Other•
Contractor �
Company
Signature Registered Y/N Fee Current Y/N
Address ��/J �y �,, �j-' . �C� � '� License# �—
ELECTRICIAN Company
Signature Registered Y/P� Fee Current Y/N
Address License#
PLUMBER Company
Signature Registered Y/N Fee Current Y/N
Address �
License#
MECHANICAL Company �—
Signature Registered Y/N� Fee Current Y/N
Address License# �—
OTHER
Company
Signature Registered Y/N Fee Current Y/N
Address License#
Directions:
Fill out application completely
Owner 8 Contractor sign back of application,notarized(Or,copy of signed contract with owner)
If over$2500,a Notice of Commencement is required(MeChanical work over$5000)
Supply two(2)sets of drawings with applicable documentation
Ailow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice i http://appraiser.pascogov.com)