HomeMy WebLinkAbout16-17264�
: CITY OF ZEPHYRHILLS
w * 5335-8TH STREET
�sis)�so-oo20 17264
ANNUAL ASSEMBLY PERMIT
PERMIT INFORMATION �- LOCATION INFORMATION
Permit Number: 17264 Address: 37815 15TH AVE
Permit Type: FIRE PLACE OF ASSEMBLY ZEPHYRHILLS, FL.
Class of Work: FIRE-PLACES OF ASSEMBLY Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
' Square Feet: Subdivision: CITY OF ZEPHYRHILLS
, Est. Value: Parcel Number: 10-26-21-0600-00000-0010
Improv. Cost: OWNER INFORMATION
Date Issued: 4/18/2016 Name: JOSEPH, JOSEPH
Total Fees: 50.00 Address: 37815 15TH AVE WEST
Amount Paid: 50.00 ZEPHYRHILLS FL
Date Paid: 4/18/2016 Phone:
Work Desc: PLACES OF ASSEMBLY-WELLSPRING- EXP 4/2017 t
CONTRACTOR S � APPLICATION FEES
FIRE PERMIT FEES 50.00
�
, � W �
� ��
, � I �
�
Ins ections Re uired _
FIRE SITE INSPECTI N-Final
OCCUPANCY LOAD: �
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
a«-�ov-uvzo City af Zephyfiitls Fire Fax-813-786-OQ21
Permit Appiication
ate Received rv { Pfione Contact for Permit Y��� ��.';�-�
;'sa^rT-'dst4'*�.i°:?'..C:a:;�...,_�.mv.s:x�-:���.rv:.n•f��:ati ts^k.::�s»sti4..:=::�c.�"d�u"h:�8t«"xt:-^'a:F.i�.x...�;'.,^,"'-:.�.ti:�ti��._....v.,,,�s<;s{,'4;;.,,,,.c:.:,.:5'.m.�+f.°-_�.."',=wYy�.=,F„'',e'rv:.a�c',r�;. �t�...wa..�.-:.aws v�3. ;:r.aa.+.eJ.s.n...
r .� .
wner"s Name;�.. � � Owner's Phane Nurrrbar ' �� ds 6��
wnefs Addres� �j� �J(• J J��
�e Slmp4e Titiehoider Name Titiefiolder Phone Number C� �� l�..l
�e Simple TitVeholder Address
�.�--�.:�.. -.....+. n.r-„�.'..�.,.,.....�. �:�...y,,.,�..-.4�a..a;^'rsk sY::.^,-.�w,-'..>-•-- •rhE.-a...- .u�`-s'..r.<,„.�_t'-' _ '- hsrr�yS•;a;...:� rA,,,s'a �;�'=�;�wh.t>�'jy- -,_..�":..,�a =,.�:a},��*�u�}-^�2rtrr'-"��:.�3�"��:`.�v'�-,�"'.��
.�;..E:T.�-er�;'!Y.x,,.-..a,. -:L - -«r?..aa.�'.�c�-v..-.r�,{�... ...`.s,k:s...n,,.a-sa-�'.wx.u-�.,n..u:���..'�.;.+"lc'_f.',o`8:�+-�'..;.r,�w a,.-sS2;t'> =n��a5,.u.-a:..�. ,'�"'�„�. �w:�.� •, .,
�b Address� Lqt# C�
�b Division Parcel# -
2� � _-�_�� �_� ��v„�
'r`*s�;�5.">._w.:�s.{y:..�::.':G:^r . .:'�a:r•.:":l-w.'x'.-,,:..%Y:-ai�&`�:-"s;,vah:.:,:2:1a,:Y°�<-2f£`�';aE:�3=-."�..w*�t�.w.�z*g;it��•3�?i.;�z.i's.:.�3";:�;�3r�c=f.Js.,.v:ar�k' ���-s�:;T<."..�"'"-�.�`'�.=.�:c.,_c^'��...���35:`-^�;;.F,.' ��:� :3:�:';:�'� I
p..�. .:; a:.s;
Q Bio-Hazard Waste Storage-ANNUAI. � Fuinigation Tent �
Q Comm Exhaust Kitchen HoodlDuct � �tazardous Matenai(Tier It or RQ Facility}ANNUAL
� Controlled Bum � Hood tnstaliation
'� � Emergency Generator<3p{tw � LP1Natura�Gas-installation
� Emergency Genera#or>34 kw LPMatural Gas-ANINUAL Sale .
� Fre Protection Main#enance-AFiNUAt � Places of Assembiy-ANNUAL
�� em� An er .�����
Sprinkler � ❑ � � � � Recreationai Bum �
Fre Alarm � C1 O D � � Sparklers ,��T I ���
«
Nood Cleani�g � O ❑ ❑ �� � Sprinkler System Instatiatiqns
Haod Suppression � � ❑ ❑ � � Standpipes(Sprinkler Sys}
o Fire Atarm tnstallafian Q Torch Roofing(far Kettte
o Fire Pumps Q Waste Tire Storage ANNUAL
� Flammabia Apptication-ANNUAL ��� Valuation of Project
� Fuei Tanks
Q Other:
r_........;.'?r.�`�?Y.'�:;X��'.`.:`>s�s�+'x'"e5t,�`.�r"_�=tz��..-'".�:w'�'u2'`�'-"`y«.M:�...c"'°°�c�a.°`'S����v�'��a-",w�,�-x--'i..`".�u�-•S�w`"z��.�.;��',r;.'�t.��:.e>"=,`&°s�c','�'w`:'"�y.:'�sw�...---.f""""-v.�-s.x:�F:,v".��'-:'^`.�r�,.n.x.f-�a':c`�'.."�.a.`,s'"�.:a"".�:isa'4`°,a..'n,"��".r,"�'�'
ontracto� Company . .
ignatur��� �� Registered Y/N_ Fee Cnrrent Y/N
Address License# �•
I.ECTRtCtAN Company �
ignature Registereci Y/N Fee Gutrent Y/N
Address - License#
LUMBEFi ' Company .
ignature �e��stered Y/N Fee Current Y I N
Address - License#
ECNANtCAL Company
ignature Registered Y/N Fee Current Y/N
Address License#
THER � Company
ignatura Registered Y/N Fee Curcent Y/N
Address License#
x„..-`ir�:��-�'?":�<sc:s.--"-,x:�n�a;��:ex.r�-.s3T.» ..w.::=�[...r_:__�.�-'a„�.�..:.�un:�s:�...�,.i.^z,a�t,.,..a..�::.,,...��..v-,,�;..:.,:-.�,-s�,�;�=�'Y:,.���::sco.a._r.. .�_...�_._.::sv:.;--.�..�����.�4.�r.v�^�,.s;.kkv:.�:-:�i;+��:J;ar�:t"--a.:q:.;s'.
irections:
FiII aut apptication compietely.
Owner 8�Coniractor sign 6ack of appticatian,natarized{qr,copy of signed contract with owner)
If over$2500,a Notice of Cqmmencement is required(Mechanical work over$5000)
Suppty two(2}sets of drawings with applicable documentation
Aitow 10-'t4 days for review after submsttal date. Parcel#-obtained fram Property Tax Notice(httpJtappraiser.pascogov.com}