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HomeMy WebLinkAbout15-16588 i CITY OF ZEPHYRHILLS 5335-8TH�STREET �; (si3)�so-oozo 16588 ANNUAL ASSEMBLY PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 16588 Address: 38741 CR 54 2A Permit Type: FIRE PLACE OF ASSEMBLY ZEPHYRHILLS, FL. Class of Work: FIRE-PLACES OF ASSEMBLY Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: ZEPHYRHILLS COLONY Est. Value: Parcel Number: 02-26-21-0010-05000-0030 Improv. Cost: � OWNER INFORMATION Date Issued: 9/15/2015 Name: SLEEPY HOLLOW MOBILE ESTATE INC Total Fees: 50.00 Address: 38615 LANSING AVE Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 9/15/2015 Phone: (573)253-9799 Work Desc: PLACE OF ASSEMBLY- SLEEPY HOLLOW MHP CLUBHOUSE EXP 9/2016 CONTRACTOR S APPLICATION FEES ' OW ER FIRE PERM T FEES 50.00 I ✓ !/ � ' Ins ectionslRe uired FIRE S TE PE TION-Final � i • r ♦ OCCUPANCY LOAD. � �' � � � C � Occupancy by more than the number of persons above shall be considered dangerous and unlawful. Occupant load determined by Florida Fire Prevention Code, NFPA101, Section 7.3.1.2 e PERMIT OFFIC PERMIT EXPIRES IN ONE (1) YEAR FROM DATE OF ISSUANCE THIS PERMIT NEEDS TO BE POSTED IN VISIBLE LOCATION IN MAIN ASSEMBLY AREA ZEPHYRHILLS FIRE RESCUE DEPT - �6907 Dairy Rd, Zephyrhills, FL 33542 rrom: 08127/2q1� 12:29 #903 P.041/002 813-780•002C CiEy oi Zephyrtsills Fire �ax•Si3-786-0021 Permit Applicatian . �''` bate Received ! . .. .. _ . . .�. . . .. . _ , . ._. . ---Phone Contaci fer Perrnit . . ._����ti,_���`� u jj� ., Clwrtets Nama L� � 1��/s� ) � � '�`.2 S —y �wner's Phone Numher ��� � L.� a„�et�5 Avdtess '.,�Sto I 5 �n S ' JP - �`1) �L 5 U c�-- Fee Srmpte Titlettotder NamO I T(deholder Phone Number � � �.�..._� FHe Simgle 7itleholder Address � F y,., :: . „ :+.! . y. .. ..,�* . . �. +.._ '::X u_'::.-'.'.y •ifi.. :.;.:�. - r.Ss.: ::.:. v:.Kti'i:_*::'�+. -'.�::.»'tirs'". =.."y '�.�✓1...�..--!(i�' / ,anr ";r':':a�a^•:.^s-:-:;.'.t•�J.^•!'.�.kw�, Jqb Address� �y1 .•�-.�.:� ..��1 � .�:2 �1 �I h'�1� .3.A.�1' Z Y �V o� Lot# �� 5ub Divlslon I Par�e}# F::r,. .a . r_.. .. . .,. r ... i _> ..�....--....✓... -_......_. .. ... :.:.. ._ __ "-°. • . �•- .aY_ a n c. � .o,:ii;'=^•'ri�:.o� ..:.r�ay�,'cr.:�a.=•'!a'%`.°:x.Y2u � 81a-Haz2rd Waste Storage-A13N21A� t� Fumigatipn Teni � Comm Exhaust Kitchen Hoad/puct � Hazardous Materia!(7ier 1t or RQ Facl7iiy)AHMUA� � Corstra!!ed Bum � Hoad insieflation � � Emergency Generator K 80 kw Q LP1Naturai Gas•Inst�Uation +- �� � Q Emargency Generalor>3D kw � I.P/F�t�tutaE Gas-ANNUAi.8ale ,ii S � � Fira ProtecUon Maintenance-AFtNUAL � Piaces of Assemhly-ANNt{AL �y em A"�Tn er Sprinkler � Ci ❑ ❑ � � Ratre�tiana!&um Fire Alarm � r3 C7 Ci � � Sparkters � � Hoed Cleaning � ❑ ❑ a � � Sprinkler System tnstallat3ans � Hpad Suppression � ❑ Q GT" � � Standpipes(SpCinklerSys) � Flre Alarm installatlon � � Torch RoqflnglTar Kettle �I Q Fine Purnps Q Weste Tire Storage ANNUAL I � FireWor{c5 �� �,� � Ftammable Applicatton-ANNUAL � Valuation af Projec# �� Qfuet Tanks Q Other: I ..,.. ' : ' .. . � "' - .r . . . .. ,.. .. `. _ . -� ' . .. . . . . . . .Y�: . . �:«=Y'.....�.:l�v ... . . -. . • i. Goniractor Company Signature I Reglstered Y!(� Fee Current Y!N ��� Address � License� EG�C�'RiCiAN � Campany SlgnaWre , l�eg'sstered Y/N� Fee Current Y/N Address I Liaense# _ - FLg S BE�R Regisienred Y 1 N� Fee Current Y/fV Addcess � License# M�CHANICAL � Gnmpany 5ignature Registerecf Y/N Fee Curront Y)� Address � License# OThiER Company Signature I Registered Y/N Fee Cu►rent Y/Fd� Address � ��cense# Oirecftons: ... . .. ... .. .. �. .,. _ . . . . . .. _._ �:.. ., . - _. • - - - �� - -= -� - -- . _ <. . . .- . Fitt out application completelY� I GWner&COntr�ctor sign back of application,notarized{Or,copy o£stgned contract with owner) - ,;over$2500,a Nouce of Commertcement is required(Mechanlcal work over$50Q0) Sopaty two(2)sets of drawings wilh app!lcabla documentatfan Allow t 0-14 days for review aker submittal date. PafCe4#-obtalned from Property Tax[Jfltice(htt�Jtappraiser.pascagav.cam}