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HomeMy WebLinkAbout15-16589 CITY OF ZEPHYRHILLS � = ` 5335-8TH STREET (sis)�so-oo20 1658 ANNUAL ASSEMBLY PERMIT PERMIT INFORMATION I LOCATION INFORMATION • Permit Number: 16589 Address: 38620 LANSING AVE 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: SLEEPY HOLLOW MHSUB DIV Est. Value: Parcel Number: 02-26-21-0260-04500-0000 Improv. Cost: OWNER INFORMATION Date Issued: 9/15/2015 Name: SLEEPY HOLLOW Total Fees: 50.00 Address: 38620 LANSING AVE Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 9/15/2015 Phone: (813)782-1111 Work Desc: PLACE OF ASSEMBLY- SLEEPY HO;LLOW MHP CLUBHOUSE EXP 9/2016-SEE NOTE CONTRACTOR S APPLICATION FEES OWNER FIRE PERMIT FEES 50.00 , ns ections, Re uired FIRE SITE INSPE TI N-Final � ///���''' '� � i J„']i � ,//(J I OCCU PANCY LOAD: 2 (� � � i r � 1v � 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 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 � trom: 08/27I20i� 12:29 #903 P.0011002 , � St3•I86-002C City ot 2ephyfiills�ire �ax-813-780-Q421 Permit App(icatian Date Received � I Phone Contact for Perrnit I`�1 ��2 .µ ll/_j I t'. . . . . , .�.. !.+" !!J._...^!a+S.», . �... ..... .: „ �. _. ....«_... "''_ ` - r ` 'A='acxti�f.r�-.'.+""1�^.,C .,}...�. O+mers Nam� �12 0-� a!lo� I J!� J3• 7.t�" �' �~�Q,�a Uwner's Phone Rlumber �� �� �._.� 4wne�'s Address �g�t7�� ,tJ�h���v�C' I��,Q ' Z/2.. }�, }'1 i ! ' �'"L � � �.. Fee Simple 7itleholder lJame ( Titieholder�hone hie�mber � � � Fae 3imple 7�tleholder Address ( I �UC�('�CT��O j1. .'" .�. „� .• . .:�i,r - :•.;.,.r,.. ..;; .: ;r.. ,.r,: ..__:'+„-.r?...,.-s=:.��:•_.n��=s�.:•.,;:;::�,:•-.,. �..• ;.: ��• _ . - :' <;i' .:r�C—'.�.'„ ,.f...;�.,- ..y-s»'.?t'�'�as:kF.. Job Address �tS�A�.� �..Q t"�. ,t�Q G--e- .� .t�..{'�� }1 `J �� ��J'rJ�'� 1�=C: l� tot# ��. Sub Divlslon I Parcei# F. . ..� '^ :.•: i � � ��i��. :'�T. . . ..s: �i . ...�%if�'..._i. .�.r.. .. . �.�..:_ � ._c -ti.a:t�-.• • x�, .�. ...'e�}`�.S . i .v.r'i,k,;L'!a.:2"e5-:r.":.T'61+C���N,:..� -'j,y.T,�'�i�i+'.'�u � ' Bio•Harara Waste Storege-ANNUAL � Fumigation'Ten1 Q Comm Exhaust Kit�hen Hood/Duct � Hazardou5 Maleriaf(7ler H or RC2 Facfitity)ANNURL QCorttrolled 6um a iload lnstaNa2ian � � Emergency Generator<30 kw � LPlNatural Gas-Inst�llalion { � Q Emergency Gene�star�30 kw Q LPll�itural Gas-ANNUA�$ale ��7 �,i' ' Q Fire Prokeotion Maintenance-AhlNUAL � piaces of Assemdly-ANNttAL '� em� n er � � �� sprinkter � p ❑ p � � Recreational Bum � Pfre Atarm � J ❑ C3 � SpBrkfet9 � t�ad ciosnin� � ❑ ❑ a � � Sprinkter System tnstallations Haod Suppress�on � ❑ p G� �� � Standpipes(Sprinkier 5ys} � Fire Alarm tnstailat�on � T'arch Rootinglfar Keftie � Fire�'urnps � Waste Tire Storage ATlNt1A1 FSre 1N9slc& QFtammable Application-AP1NUAl Vatuativn of Project l=uel Tanks � �thef: _ ( . _ . • . . . ..... . . . ..... .. . . � .,. . _ . , _ _. . .. .. .. . --. ._ . _,._.-�:�.._ _ :,t::.; . ._- . . , . ,. .. .� >-- • - •--- ., •• ,;...... , .. ... Contracior I Cpmpany ��' Signature Registerad Y 1 i� Fee Current Y/I�I Address � License# E4ECTRtCiAN I Company 3ignature Registered Y 1 iV Fee Current Y/N Address � Ltr,Anse# Pi.UMBER Company s��r,ature I Reg�ierea Y/N Fee Cu►rent Y/IV Address � License# M�CHAt3IGAt Company ���� Stgnatura Registered Y l h) �ee Current Y/N Addrsss � License# OTtiER Company S(gnature Registered Y/N Fee Current Y 1 N Address � Liaense# �.. .,.., ... . .. .. ..... .. ... .,. _ .. . . . .. _ . - --- : . . .. _. . - ... r r, . . . ... _ . , Utrecttons; Fti ouiapgiicailan cflmplete4y. � C�wner 8�Contractor si n back of a licetion no�rized Or co oi si ried contrack with owner 9 pp . � , PY S } if ovE+r$2500,a hioUe9 pf Commencemant is required(Mechanical work over$500D) Supply Mro{2)sets af drawiogs wiih apgllcabie dacumentatfpn Allow 7 0-74 days for rev;aw after submltta!d�te. Pamei#-ob2alned trom Froperty Tax Nfotice{httpllsppraissr.pascagav.cam}